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MedicaidReimbursementMedium 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

Nevada Medicaid·NV · Nephrology·Provider Announcement
Effective date
Jan 1, 2026
We identified it
Jun 21, 2026
Days to comply

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.

Action Required

Action needed
By January 1, 2026: Billing team must verify billing software has updated Nevada Medicaid fee schedules for CPT codes 90945 and 90999. Contact Nevada Medicaid or billing software vendor to confirm new rates are loaded for ESRD provider types 45 and 81. Update internal rate sheets if maintained separately.

Affected Billing Codes

90945
90999