CPT code 90912: Biofeedback, pelvic floor, initial 15 minutes2026 Medicare rate & RVUs in South Dakota
Reports the initial 15 minutes of clinician-led biofeedback training to help a patient control perineal, anorectal sphincter, or urethral sphincter muscles.
In South Dakota, Medicare pays $81.06 for 90912 in the office and $36.30 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 90912 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 90912 covers
A clinician guides the patient in learning to control pelvic floor muscles using feedback about muscle activity. The training may use electromyography or manometry to show the patient how the perineal muscles or anorectal or urethral sphincter respond. Common treatment situations include pelvic floor muscle dysfunction associated with urinary or fecal incontinence and difficulty coordinating defecation. Physical therapists and other qualified clinicians may provide the service in outpatient rehabilitation or clinical settings.
Report 90912 for the initial 15-minute segment of this specific biofeedback training, and use 90913 for each additional 15 minutes when supported. Document the treatment target, feedback method, patient participation, and time spent in training. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Bilateral adjustment is not appropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery payment 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 South Dakota compares for 90912
Across 109 of 109 payment localities, the office rate for 90912 runs from $74.24 in Arkansas to $106.99 in San Benito County, CA. South Dakota pays $81.06. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$81.06
- Los Angeles, CA · California$92.07+$11.01
- Washington, DC area · District of Columbia$92.96+$11.90
- Miami, FL · Florida$86.79+$5.73
- Chicago, IL · Illinois$84.79+$3.73
- Manhattan, NY · New York$93.24+$12.18
- Alaska · Alaska$99.73+$18.67
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $75.14 | $35.97 |
| ArkansasArkansas | $74.24 | $35.80 |
| ArizonaArizona | $80.36 | $36.99 |
| Bakersfield, CACalifornia | $86.93 | $37.87 |
| Chico, CACalifornia | $86.74 | $37.69 |
| El Centro, CACalifornia | $86.75 | $37.70 |
| Fresno, CACalifornia | $86.74 | $37.69 |
| Hanford, CACalifornia | $86.74 | $37.69 |
| Madera, CACalifornia | $86.74 | $37.69 |
| Merced, CACalifornia | $86.74 | $37.69 |
| Modesto, CACalifornia | $86.74 | $37.69 |
| Napa, CACalifornia | $99.28 | $40.29 |
| Oxnard, CACalifornia | $91.56 | $38.65 |
| Redding, CACalifornia | $86.74 | $37.69 |
| Rest of CaliforniaCalifornia | $86.74 | $37.69 |
| Riverside, CACalifornia | $87.30 | $38.25 |
| Sacramento, CACalifornia | $90.69 | $38.64 |
| Salinas, CACalifornia | $90.34 | $38.47 |
| San Diego, CACalifornia | $92.19 | $38.66 |
| Marin County, CACalifornia | $104.80 | $41.69 |
| San Francisco, CACalifornia | $104.74 | $41.63 |
| San Benito County, CACalifornia | $106.99 | $42.45 |
| Santa Clara County, CACalifornia | $106.76 | $42.22 |
| San Luis Obispo, CACalifornia | $88.91 | $37.93 |
| Santa Cruz, CACalifornia | $92.87 | $38.49 |
| Santa Maria, CACalifornia | $90.61 | $38.42 |
| Santa Rosa, CACalifornia | $93.79 | $38.83 |
| Stockton, CACalifornia | $86.74 | $37.69 |
| Vallejo, CACalifornia | $99.19 | $40.20 |
| Visalia, CACalifornia | $86.74 | $37.69 |
| Yuba City, CACalifornia | $86.74 | $37.69 |
| ColoradoColorado | $85.39 | $37.77 |
| ConnecticutConnecticut | $87.00 | $38.80 |
| DelawareDelaware | $81.54 | $37.32 |
| Fort Lauderdale, FLFlorida | $84.17 | $38.83 |
| Rest of FloridaFlorida | $80.79 | $38.00 |
| Atlanta, GAGeorgia | $83.40 | $37.93 |
| Rest of GeorgiaGeorgia | $77.04 | $37.12 |
| Hawaii, Guam, HIHawaii | $88.37 | $37.48 |
| IowaIowa | $76.87 | $35.92 |
| IdahoIdaho | $77.25 | $36.07 |
| East St. Louis, ILIllinois | $79.82 | $38.65 |
| Rest of IllinoisIllinois | $78.72 | $37.86 |
| Suburban Chicago, ILIllinois | $85.03 | $39.06 |
| IndianaIndiana | $77.63 | $36.14 |
| KansasKansas | $76.50 | $36.04 |
| KentuckyKentucky | $76.43 | $36.64 |
| New Orleans, LALouisiana | $79.42 | $37.30 |
| Rest of LouisianaLouisiana | $76.30 | $36.69 |
| Metropolitan Boston, MAMassachusetts | $93.00 | $39.56 |
| Rest of MassachusettsMassachusetts | $84.98 | $37.85 |
| Baltimore area, MDMaryland | $86.72 | $38.70 |
| Rest of MarylandMaryland | $82.94 | $37.64 |
| Rest of MaineMaine | $77.50 | $36.32 |
| Southern Maine, MEMaine | $81.10 | $36.74 |
| Detroit, MIMichigan | $81.55 | $38.36 |
| Rest of MichiganMichigan | $77.99 | $37.13 |
| MinnesotaMinnesota | $82.45 | $36.40 |
| Metropolitan Kansas City, MOMissouri | $79.05 | $37.02 |
| Metropolitan St. Louis, MOMissouri | $79.75 | $37.14 |
| Rest of MissouriMissouri | $75.16 | $36.58 |
| MississippiMississippi | $74.72 | $36.18 |
| MontanaMontana | $82.16 | $37.41 |
| North CarolinaNorth Carolina | $78.18 | $36.43 |
| North DakotaNorth Dakota | $81.17 | $36.42 |
| NebraskaNebraska | $77.24 | $35.93 |
| New HampshireNew Hampshire | $84.03 | $37.43 |
| Northern New JerseyNew Jersey | $92.24 | $40.32 |
| Rest of New JerseyNew Jersey | $88.17 | $39.30 |
| New MexicoNew Mexico | $78.32 | $37.27 |
| NevadaNevada | $81.94 | $37.14 |
| NYC suburbs and Long Island, NYNew York | $95.05 | $41.84 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $88.66 | $39.65 |
| Queens, NYNew York | $94.01 | $41.10 |
| Rest of New YorkNew York | $79.15 | $36.63 |
| OhioOhio | $77.79 | $36.93 |
| OklahomaOklahoma | $76.40 | $36.43 |
| Portland, OROregon | $87.82 | $38.09 |
| Rest of OregonOregon | $81.47 | $36.89 |
| Metropolitan Philadelphia, PAPennsylvania | $85.10 | $38.51 |
| Rest of PennsylvaniaPennsylvania | $77.94 | $36.85 |
| Puerto RicoPuerto Rico | $82.70 | $37.45 |
| Rhode IslandRhode Island | $84.22 | $37.99 |
| South CarolinaSouth Carolina | $78.08 | $36.73 |
| TennesseeTennessee | $76.80 | $36.12 |
| Austin, TXTexas | $84.96 | $37.61 |
| Beaumont, TXTexas | $77.51 | $36.78 |
| Brazoria, TXTexas | $81.59 | $37.23 |
| Dallas, TXTexas | $82.00 | $37.42 |
| Fort Worth, TXTexas | $81.52 | $37.38 |
| Galveston, TXTexas | $81.77 | $37.32 |
| Houston, TXTexas | $82.68 | $38.24 |
| Rest of TexasTexas | $79.43 | $36.96 |
| UtahUtah | $78.97 | $36.90 |
| VirginiaVirginia | $80.82 | $36.82 |
| Virgin Islands, VIUnited States Virgin Islands | $82.70 | $37.45 |
| VermontVermont | $80.84 | $36.53 |
| Rest of WashingtonWashington | $84.83 | $37.70 |
| King County, WAWashington | $94.81 | $39.90 |
| WisconsinWisconsin | $78.89 | $36.01 |
| West VirginiaWest Virginia | $76.28 | $37.38 |
| WyomingWyoming | $81.73 | $36.97 |
90912 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$74.24
$99.73
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $99.73 | 1 |
| AL | $75.14 | 1 |
| AR | $74.24 | 1 |
| AZ | $80.36 | 1 |
| CA | $86.74–$106.99 | 29 |
| CO | $85.39 | 1 |
| CT | $87.00 | 1 |
| DC | $92.96 | 1 |
| DE | $81.54 | 1 |
| FL | $80.79–$86.79 | 3 |
| GA | $77.04–$83.40 | 2 |
| GU | $88.37 | 1 |
| HI | $88.37 | 1 |
| IA | $76.87 | 1 |
| ID | $77.25 | 1 |
| IL | $78.72–$85.03 | 4 |
| IN | $77.63 | 1 |
| KS | $76.50 | 1 |
| KY | $76.43 | 1 |
| LA | $76.30–$79.42 | 2 |
| MA | $84.98–$93.00 | 2 |
| MD | $82.94–$92.96 | 3 |
| ME | $77.50–$81.10 | 2 |
| MI | $77.99–$81.55 | 2 |
| MN | $82.45 | 1 |
| MO | $75.16–$79.75 | 3 |
| MS | $74.72 | 1 |
| MT | $82.16 | 1 |
| NC | $78.18 | 1 |
| ND | $81.17 | 1 |
| NE | $77.24 | 1 |
| NH | $84.03 | 1 |
| NJ | $88.17–$92.24 | 2 |
| NM | $78.32 | 1 |
| NV | $81.94 | 1 |
| NY | $79.15–$95.05 | 5 |
| OH | $77.79 | 1 |
| OK | $76.40 | 1 |
| OR | $81.47–$87.82 | 2 |
| PA | $77.94–$85.10 | 2 |
| PR | $82.70 | 1 |
| RI | $84.22 | 1 |
| SC | $78.08 | 1 |
| SD | $81.06 | 1 |
| TN | $76.80 | 1 |
| TX | $77.51–$84.96 | 8 |
| UT | $78.97 | 1 |
| VA | $80.82–$92.96 | 2 |
| VI | $82.70 | 1 |
| VT | $80.84 | 1 |
| WA | $84.83–$94.81 | 2 |
| WI | $78.89 | 1 |
| WV | $76.28 | 1 |
| WY | $81.73 | 1 |
How the 90912 rate is calculated
Each of 90912’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 · 90912
RVUs × geographic indexes × conversion factor
Work0.90
0.90 RVUs× 1.000 GPCI
Practice expense1.51
1.51 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
2.4600
Conversion factor
$33.4009
Medicare rate
$82.17
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,557
- Code
- 90912
- Physician work
- 0.90
- Practice expense
- 1.51
- Malpractice
- 0.05
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.90 | × 1.000 | 0.9000 |
| Practice expense | 1.51 | × 1.000 | 1.5100 |
| Malpractice | 0.05 | × 0.336 | 0.0168 |
| Total RVUs | 2.4268 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$81.06
Office: (0.9 × 1 + 1.51 × 1 + 0.05 × 0.336) × $33.4009 = $81.06
Facility: (0.9 × 1 + 0.17 × 1 + 0.05 × 0.336) × $33.4009 = $36.30
Payment rules and modifiers for 90912
The CMS indicators that decide how 90912 is paid alongside other services.
CMS payment indicators · 90912
Biofeedback, pelvic floor, initial 15 minutes
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 90912 has changed in South Dakota
90912 · Office / nonfacility
$81.06
Effective 2026-10-01
The base rate is $4.23 higher than on 2025-10-01, moving from $76.83 to $81.06 (5.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$76.83changed to$81.06
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.46 changed to 1.51
- Malpractice RVU 0.04 changed to 0.05
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$79.53changed to$76.83
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.47 changed to 1.46
- Malpractice RVU 0.05 changed to 0.04
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$78.23changed to$79.53
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$80.47changed to$78.23
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.46 changed to 1.47
- Malpractice RVU 0.04 changed to 0.05
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$81.58changed to$80.47
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.44 changed to 1.46
- Malpractice RVU 0.05 changed to 0.04
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$81.91changed to$81.58
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.43 changed to 1.44
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$80.78changed to$81.91
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.32 changed to 1.43
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$80.78
Held through RVU20B, RVU20C, RVU20D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $81.06 | $36.30 | RVU26D |
| 2026-07-01 | $81.06 | $36.30 | RVU26C |
| 2026-04-01 | $81.06 | $36.30 | RVU26B |
| 2026-01-01 | $81.06 | $36.30 | RVU26A |
| 2025-10-01 | $76.83 | $39.96 | RVU25D |
| 2025-07-01 | $76.83 | $39.96 | RVU25C |
| 2025-04-01 | $76.83 | $39.96 | RVU25B |
| 2025-01-01 | $76.83 | $39.96 | RVU25A |
| 2024-10-01 | $79.53 | $40.91 | RVU24D |
| 2024-07-01 | $79.53 | $40.91 | RVU24C |
| 2024-04-01 | $79.53 | $40.91 | RVU24B |
| 2024-03-09 | $79.53 | $40.91 | RVU24AR |
| 2024-01-01 | $78.23 | $40.25 | RVU24A |
| 2023-10-01 | $80.47 | $41.84 | RVU23D |
| 2023-07-01 | $80.47 | $41.84 | RVU23C |
| 2023-04-01 | $80.47 | $41.84 | RVU23B |
| 2023-01-01 | $80.47 | $41.84 | RVU23A |
| 2022-10-01 | $81.58 | $42.47 | RVU22D |
| 2022-07-01 | $81.58 | $42.47 | RVU22C |
| 2022-04-01 | $81.58 | $42.47 | RVU22B |
| 2022-01-01 | $81.58 | $42.47 | RVU22A |
| 2021-10-01 | $81.91 | $42.83 | RVU21D |
| 2021-07-01 | $81.91 | $42.83 | RVU21C |
| 2021-04-01 | $81.91 | $42.83 | RVU21B |
| 2021-01-01 | $81.91 | $42.83 | RVU21A |
| 2020-10-01 | $80.78 | $44.33 | RVU20D |
| 2020-07-01 | $80.78 | $44.33 | RVU20C |
| 2020-04-01 | $80.78 | $44.33 | RVU20B |
| 2020-01-01 | $80.78 | $44.33 | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
90912 billing questions
How is 90912 different from 90901?
90912 is for biofeedback directed at perineal muscles or the anorectal or urethral sphincter. 90901 is the broader biofeedback training code for other methods or targets.
When can 90913 be reported with 90912?
90912 covers the initial 15 minutes of the specified training. Report 90913 for each additional 15 minutes when the documented service continues beyond that initial segment.
What should the note include?
Document the muscle group or sphincter trained, the feedback method used, the patient's participation, and the time spent in biofeedback training.
Should modifier 50 be appended for training on both sides?
No. CMS identifies bilateral adjustment as inappropriate for 90912; do not use modifier 50 to represent bilateral treatment.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the 0-day global period.
Can an assistant or another surgeon be paid for this service?
Assistant-at-surgery payment requires documented medical necessity. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
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
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