CPT code 90913: Biofeedback training, additional 15 minutes2026 Medicare rate & RVUs in Madera, CA
Reports each additional 15 minutes of targeted pelvic floor biofeedback training for anorectal or urinary incontinence, alongside the initial training service.
In Madera, CA, Medicare pays $33.99 for 90913 in the office and $21.18 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 90913 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 90913 covers
This code represents an additional 15-minute segment of biofeedback training focused on perineal muscles for anorectal or urinary incontinence. A clinician, commonly a pelvic floor physical therapist or other qualified practitioner, guides the patient in controlling the muscles while feedback may be provided through EMG or manometry. Sessions typically occur in an outpatient clinic or therapy setting and build on the initial training segment.
Report 90913 only with the primary training service, 90912; it is not a standalone service. Select additional units based on documented training time beyond the initial segment, and record the biofeedback method, targeted muscles, and clinical work performed. CMS treats this add-on as paid within the primary procedure's global period. The record should distinguish active biofeedback training from a diagnostic test or general exercise instruction.
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 Madera, CA compares for 90913
Across 109 of 109 payment localities, the office rate for 90913 runs from $30.13 in Arkansas to $41.61 in Alaska. Madera, CA pays $33.99. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Madera, CA · this page$33.99
- Bakersfield, CA · California$34.10+$0.11
- Chico, CA · California$33.99
- El Centro, CA · California$34.00+$0.01
- Fresno, CA · California$33.99
- Hanford, CA · California$33.99
- Los Angeles, CA · California$35.83+$1.84
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $33.99 | $21.18 |
| Modesto, CACalifornia | $33.99 | $21.18 |
| Napa, CACalifornia | $38.07 | $22.66 |
| Oxnard, CACalifornia | $35.56 | $21.74 |
| Redding, CACalifornia | $33.99 | $21.18 |
| Rest of CaliforniaCalifornia | $33.99 | $21.18 |
| Riverside, CACalifornia | $34.33 | $21.52 |
| Sacramento, CACalifornia | $35.32 | $21.72 |
| Salinas, CACalifornia | $35.18 | $21.63 |
| San Diego, CACalifornia | $35.72 | $21.74 |
| Marin County, CACalifornia | $39.94 | $23.46 |
| San Francisco, CACalifornia | $39.91 | $23.42 |
| San Benito County, CACalifornia | $40.75 | $23.89 |
| Santa Clara County, CACalifornia | $40.61 | $23.75 |
| San Luis Obispo, CACalifornia | $34.64 | $21.33 |
| Santa Cruz, CACalifornia | $35.85 | $21.65 |
| Santa Maria, CACalifornia | $35.23 | $21.60 |
| Santa Rosa, CACalifornia | $36.20 | $21.84 |
| Stockton, CACalifornia | $33.99 | $21.18 |
| Vallejo, CACalifornia | $38.02 | $22.61 |
| Visalia, CACalifornia | $33.99 | $21.18 |
| Yuba City, CACalifornia | $33.99 | $21.18 |
| Washington, DC areaDistrict of Columbia | $36.42 | $22.65 |
| Miami, FLFlorida | $34.88 | $22.71 |
| Chicago, ILIllinois | $34.22 | $22.47 |
| Manhattan, NYNew York | $36.82 | $23.24 |
| AlaskaAlaska | $41.61 | $29.16 |
| AlabamaAlabama | $30.42 | $20.19 |
| ArkansasArkansas | $30.13 | $20.09 |
| ArizonaArizona | $32.12 | $20.79 |
| ColoradoColorado | $33.68 | $21.24 |
| ConnecticutConnecticut | $34.43 | $21.84 |
| DelawareDelaware | $32.53 | $20.98 |
| Fort Lauderdale, FLFlorida | $33.74 | $21.90 |
| Rest of FloridaFlorida | $32.58 | $21.40 |
| Atlanta, GAGeorgia | $33.22 | $21.35 |
| Rest of GeorgiaGeorgia | $31.30 | $20.87 |
| Hawaii, Guam, HIHawaii | $34.37 | $21.08 |
| IowaIowa | $30.85 | $20.15 |
| IdahoIdaho | $31.00 | $20.25 |
| East St. Louis, ILIllinois | $32.55 | $21.79 |
| Rest of IllinoisIllinois | $31.99 | $21.32 |
| Suburban Chicago, ILIllinois | $34.03 | $22.02 |
| IndianaIndiana | $31.12 | $20.28 |
| KansasKansas | $30.79 | $20.22 |
| KentuckyKentucky | $30.98 | $20.59 |
| New Orleans, LALouisiana | $31.98 | $20.98 |
| Rest of LouisianaLouisiana | $30.96 | $20.62 |
| Metropolitan Boston, MAMassachusetts | $36.22 | $22.27 |
| Rest of MassachusettsMassachusetts | $33.59 | $21.28 |
| Baltimore area, MDMaryland | $34.33 | $21.79 |
| Rest of MarylandMaryland | $33.00 | $21.17 |
| Rest of MaineMaine | $31.15 | $20.40 |
| Southern Maine, MEMaine | $32.23 | $20.64 |
| Detroit, MIMichigan | $32.89 | $21.61 |
| Rest of MichiganMichigan | $31.55 | $20.88 |
| MinnesotaMinnesota | $32.46 | $20.43 |
| Metropolitan Kansas City, MOMissouri | $31.79 | $20.82 |
| Metropolitan St. Louis, MOMissouri | $32.01 | $20.88 |
| Rest of MissouriMissouri | $30.63 | $20.56 |
| MississippiMississippi | $30.38 | $20.32 |
| MontanaMontana | $32.73 | $21.04 |
| North CarolinaNorth Carolina | $31.36 | $20.46 |
| North DakotaNorth Dakota | $32.14 | $20.45 |
| NebraskaNebraska | $30.95 | $20.16 |
| New HampshireNew Hampshire | $33.22 | $21.05 |
| Northern New JerseyNew Jersey | $36.26 | $22.70 |
| Rest of New JerseyNew Jersey | $34.88 | $22.12 |
| New MexicoNew Mexico | $31.69 | $20.97 |
| NevadaNevada | $32.58 | $20.88 |
| NYC suburbs and Long Island, NYNew York | $37.50 | $23.60 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $35.12 | $22.32 |
| Queens, NYNew York | $36.98 | $23.16 |
| Rest of New YorkNew York | $31.68 | $20.58 |
| OhioOhio | $31.43 | $20.76 |
| OklahomaOklahoma | $30.90 | $20.46 |
| Portland, OROregon | $34.41 | $21.42 |
| Rest of OregonOregon | $32.38 | $20.73 |
| Metropolitan Philadelphia, PAPennsylvania | $33.84 | $21.67 |
| Rest of PennsylvaniaPennsylvania | $31.45 | $20.71 |
| Puerto RicoPuerto Rico | $32.88 | $21.06 |
| Rhode IslandRhode Island | $33.44 | $21.36 |
| South CarolinaSouth Carolina | $31.44 | $20.64 |
| South DakotaSouth Dakota | $32.07 | $20.38 |
| TennesseeTennessee | $30.90 | $20.27 |
| Austin, TXTexas | $33.52 | $21.16 |
| Beaumont, TXTexas | $31.31 | $20.67 |
| Brazoria, TXTexas | $32.51 | $20.93 |
| Dallas, TXTexas | $32.68 | $21.04 |
| Fort Worth, TXTexas | $32.54 | $21.02 |
| Galveston, TXTexas | $32.59 | $20.98 |
| Houston, TXTexas | $33.14 | $21.53 |
| Rest of TexasTexas | $31.87 | $20.78 |
| UtahUtah | $31.73 | $20.74 |
| VirginiaVirginia | $32.18 | $20.69 |
| Virgin Islands, VIUnited States Virgin Islands | $32.88 | $21.06 |
| VermontVermont | $32.09 | $20.51 |
| Rest of WashingtonWashington | $33.51 | $21.20 |
| King County, WAWashington | $36.80 | $22.45 |
| WisconsinWisconsin | $31.41 | $20.21 |
| West VirginiaWest Virginia | $31.20 | $21.04 |
| WyomingWyoming | $32.47 | $20.78 |
90913 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.
$30.13
$41.61
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 | $41.61 | 1 |
| AL | $30.42 | 1 |
| AR | $30.13 | 1 |
| AZ | $32.12 | 1 |
| CA | $33.99–$40.75 | 29 |
| CO | $33.68 | 1 |
| CT | $34.43 | 1 |
| DC | $36.42 | 1 |
| DE | $32.53 | 1 |
| FL | $32.58–$34.88 | 3 |
| GA | $31.30–$33.22 | 2 |
| GU | $34.37 | 1 |
| HI | $34.37 | 1 |
| IA | $30.85 | 1 |
| ID | $31.00 | 1 |
| IL | $31.99–$34.22 | 4 |
| IN | $31.12 | 1 |
| KS | $30.79 | 1 |
| KY | $30.98 | 1 |
| LA | $30.96–$31.98 | 2 |
| MA | $33.59–$36.22 | 2 |
| MD | $33.00–$36.42 | 3 |
| ME | $31.15–$32.23 | 2 |
| MI | $31.55–$32.89 | 2 |
| MN | $32.46 | 1 |
| MO | $30.63–$32.01 | 3 |
| MS | $30.38 | 1 |
| MT | $32.73 | 1 |
| NC | $31.36 | 1 |
| ND | $32.14 | 1 |
| NE | $30.95 | 1 |
| NH | $33.22 | 1 |
| NJ | $34.88–$36.26 | 2 |
| NM | $31.69 | 1 |
| NV | $32.58 | 1 |
| NY | $31.68–$37.50 | 5 |
| OH | $31.43 | 1 |
| OK | $30.90 | 1 |
| OR | $32.38–$34.41 | 2 |
| PA | $31.45–$33.84 | 2 |
| PR | $32.88 | 1 |
| RI | $33.44 | 1 |
| SC | $31.44 | 1 |
| SD | $32.07 | 1 |
| TN | $30.90 | 1 |
| TX | $31.31–$33.52 | 8 |
| UT | $31.73 | 1 |
| VA | $32.18–$36.42 | 2 |
| VI | $32.88 | 1 |
| VT | $32.09 | 1 |
| WA | $33.51–$36.80 | 2 |
| WI | $31.41 | 1 |
| WV | $31.20 | 1 |
| WY | $32.47 | 1 |
How the 90913 rate is calculated
Each of 90913’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 · 90913
RVUs × geographic indexes × conversion factor
Work0.50
0.50 RVUs× 1.000 GPCI
Practice expense0.45
0.45 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
0.9800
Conversion factor
$33.4009
Medicare rate
$32.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Madera, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,558
- Code
- 90913
- Physician work
- 0.50
- Practice expense
- 0.45
- Malpractice
- 0.03
GPCI2026.csv
14
- Locality
- Madera, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.50 | × 1.017 | 0.5085 |
| Practice expense | 0.45 | × 1.096 | 0.4932 |
| Malpractice | 0.03 | × 0.536 | 0.0161 |
| Total RVUs | 1.0178 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Madera, CA$33.99
Office: (0.5 × 1.017 + 0.45 × 1.096 + 0.03 × 0.536) × $33.4009 = $33.99
Facility: (0.5 × 1.017 + 0.1 × 1.096 + 0.03 × 0.536) × $33.4009 = $21.18
Payment rules and modifiers for 90913
The CMS indicators that decide how 90913 is paid alongside other services.
CMS payment indicators · 90913
Biofeedback training, additional 15 minutes
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| 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 90913 has changed in Madera, CA
90913 · Office / nonfacility
$33.99
Effective 2026-10-01
The base rate is $1.49 higher than on 2025-10-01, moving from $32.50 to $33.99 (4.6%).
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
$32.50changed to$33.99
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.44 changed to 0.45
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$33.08changed to$32.50
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.43 changed to 0.44
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$32.54changed to$33.08
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$33.44changed to$32.54
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.42 changed to 0.43
- Malpractice RVU 0.04 changed to 0.03
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$33.34changed to$33.44
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.40 changed to 0.42
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$33.62changed to$33.34
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$34.17changed to$33.62
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.39 changed to 0.40
- Malpractice RVU 0.03 changed to 0.04
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$34.17
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 | $33.99 | $21.18 | RVU26D |
| 2026-07-01 | $33.99 | $21.18 | RVU26C |
| 2026-04-01 | $33.99 | $21.18 | RVU26B |
| 2026-01-01 | $33.99 | $21.18 | RVU26A |
| 2025-10-01 | $32.50 | $23.31 | RVU25D |
| 2025-07-01 | $32.50 | $23.31 | RVU25C |
| 2025-04-01 | $32.50 | $23.31 | RVU25B |
| 2025-01-01 | $32.50 | $23.31 | RVU25A |
| 2024-10-01 | $33.08 | $23.98 | RVU24D |
| 2024-07-01 | $33.08 | $23.98 | RVU24C |
| 2024-04-01 | $33.08 | $23.98 | RVU24B |
| 2024-03-09 | $33.08 | $23.98 | RVU24AR |
| 2024-01-01 | $32.54 | $23.59 | RVU24A |
| 2023-10-01 | $33.44 | $24.67 | RVU23D |
| 2023-07-01 | $33.44 | $24.67 | RVU23C |
| 2023-04-01 | $33.44 | $24.67 | RVU23B |
| 2023-01-01 | $33.44 | $24.67 | RVU23A |
| 2022-10-01 | $33.34 | $24.86 | RVU22D |
| 2022-07-01 | $33.34 | $24.86 | RVU22C |
| 2022-04-01 | $33.34 | $24.86 | RVU22B |
| 2022-01-01 | $33.34 | $24.86 | RVU22A |
| 2021-10-01 | $33.62 | $25.07 | RVU21D |
| 2021-07-01 | $33.62 | $25.07 | RVU21C |
| 2021-04-01 | $33.62 | $25.07 | RVU21B |
| 2021-01-01 | $33.62 | $25.07 | RVU21A |
| 2020-10-01 | $34.17 | $25.67 | RVU20D |
| 2020-07-01 | $34.17 | $25.67 | RVU20C |
| 2020-04-01 | $34.17 | $25.67 | RVU20B |
| 2020-01-01 | $34.17 | $25.67 | 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 Madera, CA rate applies
Madera, CA is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Madera
- Ahwahnee
- Bass Lake
- Bonadelle Ranchos
- Chowchilla
- Coarsegold
- Fairmead
- La Vina
90913 billing questions
Can 90913 be billed by itself?
No. It is an add-on for additional training time and must be reported with 90912, which covers the initial segment.
How is 90913 different from 90912?
90912 represents the initial 15 minutes of pelvic floor biofeedback training. Use 90913 for each additional 15-minute segment.
When would 90901 be more appropriate?
90901 describes biofeedback training by a broader range of methods. Codes 90912 and 90913 are specific to training perineal muscles for anorectal or urinary incontinence.
What documentation supports an additional unit?
Document the training duration beyond the initial segment, the muscles and incontinence-related goal addressed, and the feedback method used, such as EMG or manometry when performed.
Is general pelvic floor exercise instruction enough to report 90913?
No. The record should support biofeedback training using monitored feedback to guide muscle control, not simply exercise instruction or a diagnostic measurement.
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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