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Nevada MedicaidMedicaid · Reimbursement · Provider Announcement · NV · NephrologyMedium impact

Attention Provider Types 45 (End Stage Renal Disease (ESRD) Facility) and 81 (Hospital Based ESRD Provider): Rates for Dialysis Codes 90945 and 90999 Adjusted for 2026

Act
by Jan 1, 2026
Effective date
Jan 1, 2026
Identified
Jun 21, 2026

Summary

Nevada Medicaid has adjusted reimbursement rates for dialysis CPT codes 90945 and 90999 effective January 1, 2026. This affects ESRD facilities and hospital-based ESRD providers billing Nevada Medicaid for peritoneal dialysis and unlisted dialysis procedures.

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What to do

by Jan 1, 2026 · 3 steps
01Billing team must verify billing software has updated Nevada Medicaid fee schedules for CPT codes 90945 and 90999.
02Contact Nevada Medicaid or billing software vendor to confirm new rates are loaded for ESRD provider types 45 and 81.
03Update internal rate sheets if maintained separately.

Codes mentioned

9094590999

Original notice

Attention Provider Types 45 (End Stage Renal Disease (ESRD) Facility) and 81 (Hospital Based ESRD Provider): Rates for Dialysis Codes 90945 and 90999 Adjusted for 2026
medicaid.nv.gov · Always check the source before changing claims.
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