CPT 90993: Dialysis Self-Care Training Session
Commercial payers pay $297 on average nationally for this procedure.
CPT code 90993 describes a partial dialysis self-care training session in which the provider trains the patient and/or a helper to perform dialysis-related procedures; this service documents each individual training session when the full course was not completed and is typically delivered as an outpatient training service in a dialysis center or clinic setting focused on patient education and hands-on instruction.
For related coverage guidance, see recent payer policy updates: Dialysis Services (ESRD) Coverage and Provider Requirements, Total Parenteral Nutrition and Intradialytic Parenteral Nutrition, End Stage Renal Disease (ESRD): Renal Dialysis.
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National Reimbursement Benchmarks
Across national commercial payers, BUCA’s mean commercial benchmark of $297.40 represents the general market midpoint for this code. Blue Cross Blue Shield’s mean and median are substantially higher than BUCA at $428.50 and $454.20 respectively, while Aetna and Cigna sit lower with means of $108.30 and $127.40. UnitedHealth Group’s mean is $131.70, similar to Cigna, highlighting a split between higher-paying Blue Cross Blue Shield and a cluster of lower-to-mid payers around $100–$130.
Dispersion analysis (P75 minus P25) highlights variability across payers: Blue Cross Blue Shield has the widest interquartile spread at $148.00 ($484.00 - $369.20), indicating the most pricing variability among major commercial plans. Aetna’s spread is $28.00 ($95.30 - $63.50) and Cigna’s is $77.10 ($161.50 - $83.40), while UnitedHealth Group’s spread is $80.20 ($162.70 - $82.50). BUCA’s interquartile range is $92.80 ($336.50 - $243.70), placing it between the tightest and widest payers.