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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 2025

Nevada Medicaid·NV · Nephrology·Provider Announcement
Effective date
Jan 1, 2025
We identified it
Jun 21, 2026
Days to comply

Summary

Nevada Medicaid has adjusted 2025 reimbursement rates for dialysis codes 90945 and 90999 for ESRD facilities and hospital-based ESRD providers, effective January 1, 2025. Claims processed with 2024 rates between January 1 and February 23, 2025 will be automatically reprocessed at the new 2025 rates.

Action Required

Action needed
No immediate action required - Nevada Medicaid will automatically reprocess claims for codes 90945 and 90999 with dates of service from January 1, 2025 through February 23, 2025 to apply correct 2025 rates. Monitor future remittance advice for reprocessing results and be prepared to appeal any denials that may occur during reprocessing.

Affected Billing Codes

90945
90999