Billing code 90913: Biofeedback trainingMedicare rate & RVUs
Reports each additional 15 minutes of targeted pelvic floor biofeedback training for anorectal or urinary incontinence, alongside the initial training service.
Medicare pays $32.73 for 90913 nationally in the office and $21.04 in a hospital or facility. Local office rates run $30.13–$41.61.
Medicare rate · 90913
Biofeedback training
Swap in your local Medicare rate.
- Work RVUs
- 0.5
- Total RVUs
- 0.98
- Global days
- ZZZ
National rate · 2026
$32.73
Office setting, before claim adjustments.
See every locality for 90913 → · 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 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.
Where 90913 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
$30.13 to $41.61
109 of 109 payment localities
90913 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.
$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
Swap in your local Medicare rate.
Work 0.50Practice expense 0.45Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 90913
The CMS indicators that decide how 90913 is paid alongside other services.
CMS payment indicators · 90913
Biofeedback training
| 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. |
90913 compared with similar codes
Compare codes
90913 vs 90912 vs 90901 vs 97112: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 90912Biofeedback
- 90912 covers the initial 15 minutes of the specified pelvic floor biofeedback training; 90913 covers additional 15-minute segments and is paired with 90912.
- 90901Biofeedback training
- 90901 is for biofeedback training by a broader range of methods. Use 90912 and 90913 for perineal muscle training directed to anorectal or urinary incontinence.
- 97112Neuromuscular reeducation
- 97112 describes neuromuscular reeducation. It is distinct from the specific biofeedback training reported with 90912 and 90913.
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
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