# CPT 90961

> The national PFS baseline was $310.63 for CPT 90961 in the Office (non-facility) setting and $310.63 in a facility under the Q1 2026 Physician Fee Schedule, effective January 2026. These are the national allowed amounts before locality (GPCI) adjustment; sequestration is excluded. Across payment localities, both settings' amount is $288.69–$404.84. This is a 9.1% increase from the previous quarter.

## What it is

Monthly Dialysis Care, Fewer Visits

## Selected release

- Release: Q1 2026 (2026 A)
- Effective: January 1 – March 31, 2026
- Status indicator: A
- Office (non-facility) national allowed amount: $310.63
- Facility national allowed amount: $310.63
- Sequestration: not applied

## RVUs and formula

- Work RVU: 5.52
- Office (non-facility) practice expense RVU: 3.42
- Facility practice expense RVU: 3.42
- Malpractice RVU: 0.36
- Conversion factor: 33.4009
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2026)
- CMS file: https://www.cms.gov/files/zip/rvu26a-updated-12-29-2025.zip
- Parsed file: PPRRVU2026_Jan_nonQPP.csv, row 11,471
- Canonical page: https://localishealth.com/cpt/90961/2026/A
- Release-specific citation URL: https://localishealth.com/cpt/90961/2026/A
- Last significant update: 2026-08-13T15:11:57+00:00