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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 2025

Effective date
Jan 1, 2025
Identified
Jun 21, 2026

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.

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What to do

Action · 2 steps
01No 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.
02Monitor future remittance advice for reprocessing results and be prepared to appeal any denials that may occur during reprocessing.

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 2025
medicaid.nv.gov · Always check the source before changing claims.
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