CLV IntelligenceReimbursement Policy Evidence

CPT procedure code

90937

Medicare payment

$88.51

2026 Physician Fee Schedule · non-facility

Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A

National amount before geographic adjustment. Your MAC's locality rate will differ.

Code definition

Code

90937

Code system

CPT (Current Procedural Terminology)

This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.

Category

—

Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.

Policy activity for CPT 90937

CLV Intelligence is tracking 4 policy changes that cite CPT 90937 between 2026-06-05 and 2026-09-12, drawn from 3 LCD/NCD coverage updates and 1 Federal Register notice. The changes span ESRD. 1 is flagged critical or high priority.

LCD/NCD coverage updates
3
Federal Register notice
1

Counts reflect the source documents CLV has matched to CPT 90937 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

Policy changes matched to 90937

Matched to this code by CLV analysis of each policy. The linked source document is authoritative.

Federal Register Notice: Medicare and Medicaid Programs: Application From the Accreditation Commission for Health Care, Inc. for Continued Approval of Its End-Stage Renal Disease (ESRD) Accreditation Program

ESRD · FR-2023-05761

Government source· Federal Registerverify ↗
High

Full analysis available with a CLV subscription.

View alert

LCD L37475: Frequency of Hemodialysis — Wellpoint Federal

ESRD · LCD-L37475

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

View alert

LCD L37564: Frequency of Hemodialysis — First Coast

ESRD · LCD-L37564

Government source· CMS / MACverify ↗
Low

Full analysis available with a CLV subscription.

View alert

LCD L34575: Frequency of Hemodialysis — Palmetto GBA

ESRD · LCD-L34575

Government source· CMS / MACverify ↗
Low

Full analysis available with a CLV subscription.

View alert

Audit documentation

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