What documentation does 90989 require?

- Training curriculum completed. - Patient competency documented. - Course completion date.

What are common 90989 billing pitfalls?

- If training not completed, use 90993 per-session.

How much does 90989 pay in 2026?

2026 work RVU for 90989 is 5.00. National Medicare non-facility allowable is approximately $307.96 at the 2026 conversion factor. Adjust for locality GPCI and your payer's contracted conversion factor for actual payment.

Nephrology · CMS status A

90989

Home dialysis training, complete

Dialysis training, patient, including helper where applicable, any mode, completed course.

Nephro

Model in calculator →Audit a note

Work RVU

5.00

2026 Medicare pays

$307.96

National GPCI · non-facility · CF $33.4009

RVU anatomyWork 5.00 + Practice 3.86 + Malpractice 0.36 = 9.22 total

Work (your effort)Practice expenseMalpractice

When to use it

Successful completion of home dialysis training (HD or PD).

Documentation checklist

✓Training curriculum completed.
✓Patient competency documented.
✓Course completion date.

Common pitfalls

!If training not completed, use 90993 per-session.

Common ICD-10 pairings

N18.6

Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.