Billing code 90912: BiofeedbackMedicare rate & RVUs
Reports the initial 15 minutes of clinician-led biofeedback training to help a patient control perineal, anorectal sphincter, or urethral sphincter muscles.
Medicare pays $82.17 for 90912 nationally in the office and $37.41 in a hospital or facility. Local office rates run $74.24–$106.99.
Medicare rate · 90912
Biofeedback
- Work RVUs
- 0.9
- Total RVUs
- 2.46
- Global days
- 000
National rate · 2026
$82.17
Office setting, before claim adjustments.
See every locality for 90912 →Billed by an NP, PA or therapist? →
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 10 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.
Where 90912 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$74.24 to $106.99
109 of 109 payment localities
90912 rates by state
Office rate range in each state. Select a state to see its payment localities.
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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.
Payment rules and modifiers for 90912
The CMS indicators that decide how 90912 is paid alongside other services.
CMS payment indicators · 90912
Biofeedback
| 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. |
90912 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 90901Biofeedback training
- Choose 90912 for biofeedback training of perineal muscles or the anorectal or urethral sphincter. 90901 describes biofeedback training not represented by that specific target.
- 90913Biofeedback training
- 90912 represents the initial 15 minutes; 90913 represents each additional 15 minutes of the same qualifying training.
- 97112Neuromuscular reeducation
- 97112 is neuromuscular reeducation. Use 90912 when the service is pelvic floor biofeedback training using feedback about muscle activity, rather than reeducation without that specific biofeedback service.
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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