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CPT code 90901: Biofeedback training, any modality2026 Medicare rate & RVUs in Hawaii, Guam, HI

Reports biofeedback training in which a patient uses real-time physiologic feedback to learn to control a bodily response through a selected modality.

CMS RVU26DEffective Oct 1, 2026One payment locality88.9K Medicare services in 2024

In Hawaii, Guam, HI, Medicare pays $44.65 for 90901 in the office and $16.55 when it’s performed in a hospital or facility.

$44.65Office (non-facility)
$16.55Hospital or facility
+8.7%vs the national office rate ($41.08)

Check a contract rate as a % of Medicare · 90901 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 90901 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Hawaii, Guam, HI
  2. What 90901 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 90901 covers

Biofeedback training uses sensors and a display or other feedback method to show a patient a physiologic response, such as muscle activity, while the patient practices changing it. Physicians and trained rehabilitation or behavioral-health clinicians may provide the service in an office or therapy setting. The training must involve active instruction and practice; measurement or monitoring alone does not describe the service. This code covers biofeedback modalities outside the separately specified perineal-muscle training service.

Report 90901 when the documentation identifies the physiologic target, modality, training performed, and the patient’s participation and response. Its descriptor does not define timed increments; the 15-minute perineal-muscle service has separate codes. The CMS global period is 0 days, so same-day preoperative and postoperative care is included. If assistant-at-surgery payment is sought, documentation must support medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Hawaii, Guam, HI compares for 90901

Across 109 of 109 payment localities, the office rate for 90901 runs from $37.11 in Arkansas to $54.39 in San Benito County, CA. Hawaii, Guam, HI pays $44.65. The RVUs are the same everywhere; the geographic indexes change the dollars.

90901 in Hawaii, Guam, HI vs other payment areas
  1. Hawaii, Guam, HI · this page$44.65
  2. Los Angeles, CA · California$46.48+$1.83
  3. Washington, DC area · District of Columbia$46.68+$2.03
  4. Miami, FL · Florida$42.70−$1.95
  5. Chicago, IL · Illinois$41.75−$2.90
  6. Manhattan, NY · New York$46.54+$1.89
  7. Alaska · Alaska$49.54+$4.89

Other areas in Hawaii first, then benchmark localities. Bars start at $0.

Every other payment area

90901 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$37.56$15.93
ArkansasArkansas$37.11$15.87
ArizonaArizona$40.20$16.25
Bakersfield, CACalifornia$43.81$16.72
Chico, CACalifornia$43.76$16.67
El Centro, CACalifornia$43.76$16.67
Fresno, CACalifornia$43.76$16.67
Hanford, CACalifornia$43.76$16.67

90901 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$37.11

$49.54

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
90901 office rate range by state
State / territoryOffice rate rangeLocalities
AK$49.541
AL$37.561
AR$37.111
AZ$40.201
CA$43.76–$54.3929
CO$42.911
CT$43.511
DC$46.681
DE$40.791
FL$40.06–$42.703
GA$38.23–$41.622
GU$44.651
HI$44.651
IA$38.581
ID$38.741
IL$38.92–$42.174
IN$38.941
KS$38.321
KY$38.051
LA$37.96–$39.532
MA$42.67–$46.862
MD$41.52–$46.683
ME$38.79–$40.722
MI$38.77–$40.372
MN$41.631
MO$37.34–$39.793
MS$37.241
MT$41.081
NC$39.151
ND$40.881
NE$38.791
NH$42.151
NJ$44.15–$46.302
NM$38.901
NV$41.051
NY$39.63–$47.365
OH$38.731
OK$38.111
OR$40.88–$44.222
PA$38.85–$42.502
PR$41.381
RI$42.201
SC$38.981
SD$40.861
TN$38.471
TX$38.62–$42.648
UT$39.431
VA$40.52–$46.682
VI$41.381
VT$40.651
WA$42.62–$47.852
WI$39.721
WV$37.681
WY$41.001

See 90901 in every payment locality

How the 90901 rate is calculated

Each of 90901’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 90901

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.41

0.41 RVUs× 1.000 GPCI

Practice expense0.81

0.81 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

1.2300

Conversion factor

$33.4009

Medicare rate

$41.08

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Hawaii, Guam, HI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,556

Code
90901
Physician work
0.41
Practice expense
0.81
Malpractice
0.01

GPCI2026.csv

46

Locality
Hawaii, Guam, HI
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Office calculation for 90901 in Hawaii, Guam, HI
ComponentRVULocality factorAdjusted
Physician work0.41× 1.0000.4100
Practice expense0.81× 1.1370.9210
Malpractice0.01× 0.5790.0058
Total RVUs1.3368
Conversion factor× 33.4009

Office rate, Hawaii, Guam, HI$44.65

Office: (0.41 × 1 + 0.81 × 1.137 + 0.01 × 0.579) × $33.4009 = $44.65

Facility: (0.41 × 1 + 0.07 × 1.137 + 0.01 × 0.579) × $33.4009 = $16.55

Open 90901 in the RVU calculator

Payment rules and modifiers for 90901

The CMS indicators that decide how 90901 is paid alongside other services.

CMS payment indicators · 90901

Biofeedback training, any modality

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 90901

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 90901
CodeHow it relatesOffice range, Hawaii, Guam, HI
Used instead
90912Biofeedback, pelvic floor, initial 15 minutesSpecified perineal-muscle biofeedback with an initial timed interval.$88.37
97112Neuromuscular reeducation, balance, coordination, proprioception, timedNeuromuscular reeducation may be selected for therapeutic movement training rather than biofeedback training.$34.74
Same family
90913Biofeedback training, additional 15 minutesAdditional timed interval for the perineal-muscle service represented by 90912.$34.37

How 90901 has changed in Hawaii, Guam, HI

90901 · Office / nonfacility

$44.65

Effective 2026-10-01

The base rate is $1.66 higher than on 2025-10-01, moving from $42.99 to $44.65 (3.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $42.99changed to$44.65

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.79 changed to 0.81
    • Malpractice RVU 0.02 changed to 0.01
    • Practice expense GPCI 1.149 changed to 1.137
    • Malpractice GPCI 0.561 changed to 0.579

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $44.62changed to$42.99

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.80 changed to 0.79

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $43.89changed to$44.62

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $45.21changed to$43.89

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.01 changed to 0.02
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 1.146 changed to 1.149
    • Malpractice GPCI 0.618 changed to 0.561

  5. January 1, 2023

    RVU23A

    $45.25changed to$45.21

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.77 changed to 0.80
    • Malpractice RVU 0.02 changed to 0.01
    • Work GPCI 1.010 changed to 1.003
    • Practice expense GPCI 1.143 changed to 1.146
    • Malpractice GPCI 0.675 changed to 0.618

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $45.63changed to$45.25

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $45.08changed to$45.63

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.72 changed to 0.77
    • Work GPCI 1.006 changed to 1.010
    • Practice expense GPCI 1.144 changed to 1.143
    • Malpractice GPCI 0.644 changed to 0.675

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $44.14changed to$45.08

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.70 changed to 0.72
    • Work GPCI 1.001 changed to 1.006
    • Practice expense GPCI 1.146 changed to 1.144
    • Malpractice GPCI 0.614 changed to 0.644

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $43.68changed to$44.14

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.69 changed to 0.70

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $40.45changed to$43.68

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.61 changed to 0.69
    • Work GPCI 1.002 changed to 1.001
    • Practice expense GPCI 1.154 changed to 1.146
    • Malpractice GPCI 0.616 changed to 0.614

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $41.79changed to$40.45

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.64 changed to 0.61
    • Work GPCI 1.003 changed to 1.002
    • Practice expense GPCI 1.162 changed to 1.154
    • Malpractice GPCI 0.618 changed to 0.616

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $41.94changed to$41.79

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $41.74changed to$41.94

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $43.99changed to$41.74

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.70 changed to 0.64
    • Malpractice RVU 0.01 changed to 0.02
    • Work GPCI 1.002 changed to 1.003
    • Practice expense GPCI 1.158 changed to 1.162
    • Malpractice GPCI 0.659 changed to 0.618

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $43.63changed to$43.99

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.75 changed to 0.70
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.154 changed to 1.158
    • Malpractice GPCI 0.700 changed to 0.659

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$43.63

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$44.65$16.55RVU26D
2026-07-01$44.65$16.55RVU26C
2026-04-01$44.65$16.55RVU26B
2026-01-01$44.65$16.55RVU26A
2025-10-01$42.99$18.83RVU25D
2025-07-01$42.99$18.83RVU25C
2025-04-01$42.99$18.83RVU25B
2025-01-01$42.99$18.83RVU25A
2024-10-01$44.62$19.38RVU24D
2024-07-01$44.62$19.38RVU24C
2024-04-01$44.62$19.38RVU24B
2024-03-09$44.62$19.38RVU24AR
2024-01-01$43.89$19.06RVU24A
2023-10-01$45.21$19.58RVU23D
2023-07-01$45.21$19.58RVU23C
2023-04-01$45.21$19.58RVU23B
2023-01-01$45.21$19.58RVU23A
2022-10-01$45.25$19.94RVU22D
2022-07-01$45.25$19.94RVU22C
2022-04-01$45.25$19.94RVU22B
2022-01-01$45.25$19.94RVU22A
2021-10-01$45.63$20.50RVU21D
2021-07-01$45.63$20.50RVU21C
2021-04-01$45.63$20.50RVU21B
2021-01-01$45.63$20.50RVU21A
2020-10-01$45.08$21.13RVU20D
2020-07-01$45.08$21.13RVU20C
2020-04-01$45.08$21.13RVU20B
2020-01-01$45.08$21.13RVU20A
2019-10-01$44.14$21.02RVU19D
2019-07-01$44.14$21.02RVU19C
2019-04-01$44.14$21.02RVU19B
2019-01-01$44.14$21.02RVU19A
2018-10-01$43.68$20.58RVU18D
2018-07-01$43.68$20.58RVU18C
2018-04-01$43.68$20.58RVU18B
2018-01-01$43.68$20.58RVU18AR1
2017-10-01$40.45$20.16RVU17D
2017-07-01$40.45$20.16RVU17C
2017-04-01$40.45$20.16RVU17B
2017-01-01$40.45$20.16RVU17A
2016-10-01$41.79$20.57RVU16D
2016-07-01$41.79$20.57RVU16C
2016-04-01$41.79$20.57RVU16B
2016-01-01$41.79$20.57RVU16A
2015-10-01$41.94$21.07RVU15D
2015-07-01$41.94$21.07RVU15C
2015-04-01$41.74$20.96RVU15B
2015-01-01$41.74$20.96RVU15A
2014-10-01$43.99$21.18RVU14D
2014-07-01$43.99$21.18RVU14C
2014-04-01$43.99$21.18RVU14B
2014-01-01$43.99$21.18RVU14A
2013-10-01$43.63$20.86RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 90901 for an earlier date of service

Where the Hawaii, Guam, HI rate applies

Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.

  • Ahuimanu
  • Aiea
  • Ainaloa
  • Anahola
  • Black Sands
  • Captain Cook
  • Discovery Harbour
  • East Honolulu

Browse all communities in Hawaii

90901 billing questions

When should 90901 be used instead of 90912?

Use 90901 for biofeedback training by a modality not represented by the specific perineal-muscle training service. Code 90912 is for the specified perineal-muscle training and has a timed initial interval.

Is 90901 reported by elapsed time?

The 90901 descriptor does not define timed increments. Do not use its units to represent the additional 15-minute intervals described by 90913.

Does monitoring alone support 90901?

No. Documentation should show that the patient received training and practiced responding to physiologic feedback, not just that a signal was measured or observed.

What should the note document?

Identify the physiologic target and feedback modality, the instruction and practice provided, and the patient’s participation and response.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the service. An assistant-at-surgery claim requires documented medical necessity; co-surgeon and team-surgery billing are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 90901PPRRVU2026_Oct_nonQPP.csv, line 11,556 (RVU26D)
Geographic factors for Hawaii, Guam, HIGPCI2026.csv, line 46 (RVU26D)

Open CMS sourceHow we calculate rates

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