{
    "code": "90935",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/90935/2017/A",
    "release_specific_url": "https://localishealth.com/cpt/90935/2017/B",
    "description": "A single hemodialysis treatment together with one physician assessment of the patient tied to that treatment. Hemodialysis pumps blood through a filter that removes waste products and excess fluid, doing the job failing kidneys cannot. The physician work here is one evaluation connected to the session, whether before, during, or after; a companion code covers sessions requiring repeated physician evaluations because the patient's condition changed mid-treatment. This code is used for individual treatments, not for the monthly bundled management of an outpatient dialysis patient.",
    "answer": {
        "question": "How much did Medicare pay for CPT 90935 in Q2 2017?",
        "text": "Medicare paid $73.21 for CPT 90935 in the office (non-facility) setting and $73.21 in a facility under the Q2 2017 Physician Fee Schedule, effective April 2017. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2017, when it decreased 0.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2017,
        "quarter": "B",
        "label": "Q2 2017",
        "effective": "April 1 – June 30, 2017",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 73.21,
        "facility": 73.21,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.48,
        "practice_expense_non_facility": 0.48,
        "practice_expense_facility": 0.48,
        "malpractice": 0.08
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 35.8887,
    "source": {
        "label": "Physician relative value file (Q2 2017)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu17b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2017/B",
        "file": "PPRRVU17_V0209.csv",
        "row": 14985,
        "sha256": "98ce34eaa1f673ddaba572e4aa6186f4d0b1d8dc452577f68ea672cb487e34b9"
    },
    "modified_at": "2026-08-04T03:07:42+00:00"
}