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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 90999 and 90945 Adjusted for 2024

Act
immediately
Effective date
Aug 5, 2024
Identified
Jun 21, 2026

Summary

Nevada Medicaid has adjusted reimbursement rates for dialysis CPT codes 90945 and 90999 effective August 5, 2024. This affects End Stage Renal Disease (ESRD) facilities and hospital-based ESRD providers only.

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What to do

immediately · 2 steps
01Nevada ESRD facilities and hospital-based ESRD providers should verify billing system has updated rates for CPT 90945 and 90999 for Nevada Medicaid claims with dates of service on or after August 5, 2024.
02No reprocessing of prior claims is required as this is a go-forward change only.

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 90999 and 90945 Adjusted for 2024
medicaid.nv.gov · Always check the source before changing claims.
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