Billing code 93150: Therapy activationMedicare rate & RVUs
Report 93150 when a clinician initiates therapy on an implanted peripheral neurostimulator system, such as a hypoglossal nerve stimulator for obstructive sleep apnea.
Medicare pays $110.89 for 93150 nationally in the office and $36.41 in a hospital or facility. Local office rates run $98.36–$148.58.
Medicare rate · 93150
Therapy activation
Swap in your local Medicare rate.
- Work RVUs
- 0.83
- Total RVUs
- 3.32
- Global days
- XXX
National rate · 2026
$110.89
Office setting, before claim adjustments.
See every locality for 93150 → · 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 93150 covers
This service covers initiating stimulation therapy on an implanted peripheral neurostimulator system. A clinician who manages the device, often a sleep medicine or otolaryngology provider for hypoglossal nerve stimulation, activates the system and establishes initial therapy settings. A typical situation is the post-implant visit when stimulation is first turned on for a patient with obstructive sleep apnea.
Choose 93150 for therapy initiation, rather than a later visit limited to checking or adjusting an established system. Document the implanted system, the activation performed, the settings established, and the patient’s response. CMS assigns physician fee schedule values for both office and facility settings; the applicable setting affects the practice-expense valuation. The supplied CMS facts list no special reporting rule for this service.
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 93150 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
$98.36 to $148.58
109 of 109 payment localities
93150 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.
$98.36
$133.31
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 | $128.96 | 1 |
| AL | $99.77 | 1 |
| AR | $98.36 | 1 |
| AZ | $108.05 | 1 |
| CA | $118.04–$148.58 | 29 |
| CO | $115.88 | 1 |
| CT | $118.16 | 1 |
| DC | $127.04 | 1 |
| DE | $109.82 | 1 |
| FL | $108.51–$117.78 | 3 |
| GA | $102.61–$112.74 | 2 |
| GU | $120.98 | 1 |
| HI | $120.98 | 1 |
| IA | $102.61 | 1 |
| ID | $103.19 | 1 |
| IL | $105.18–$115.07 | 4 |
| IN | $103.79 | 1 |
| KS | $101.97 | 1 |
| KY | $101.72 | 1 |
| LA | $101.50–$106.44 | 2 |
| MA | $115.14–$127.45 | 2 |
| MD | $111.95–$127.04 | 3 |
| ME | $103.54–$109.30 | 2 |
| MI | $104.16–$109.67 | 2 |
| MN | $111.59 | 1 |
| MO | $99.68–$107.02 | 3 |
| MS | $99.05 | 1 |
| MT | $110.89 | 1 |
| NC | $104.63 | 1 |
| ND | $109.50 | 1 |
| NE | $103.21 | 1 |
| NH | $113.91 | 1 |
| NJ | $119.66–$125.73 | 2 |
| NM | $104.65 | 1 |
| NV | $110.58 | 1 |
| NY | $106.16–$129.95 | 5 |
| OH | $103.88 | 1 |
| OK | $101.72 | 1 |
| OR | $109.87–$119.71 | 2 |
| PA | $104.13–$115.16 | 2 |
| PR | $111.75 | 1 |
| RI | $113.83 | 1 |
| SC | $104.40 | 1 |
| SD | $109.34 | 1 |
| TN | $102.45 | 1 |
| TX | $103.45–$115.37 | 8 |
| UT | $105.80 | 1 |
| VA | $108.83–$127.04 | 2 |
| VI | $111.75 | 1 |
| VT | $108.93 | 1 |
| WA | $114.98–$130.20 | 2 |
| WI | $105.88 | 1 |
| WV | $101.31 | 1 |
| WY | $110.28 | 1 |
How the 93150 rate is calculated
Each of 93150’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 · 93150
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.83Practice expense 2.42Malpractice 0.07
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93150
93150 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 93150
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$110.89
The facility rate would be $36.41 (+$74.48). In a facility, the facility bills its own costs separately.
93150 compared with similar codes
Compare codes
93150 vs 93151 vs 93152 vs 93153: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93151Neurostimulator programming
- Choose 93150 for therapy activation. Choose 93151 for interrogation and programming of a system already in use.
- 93152Device programming
- 93152 is for interrogation and programming performed during polysomnography; 93150 represents therapy activation.
- 93153Device interrogation
- 93153 covers interrogation without programming. 93150 is selected when the encounter initiates therapy.
93150 billing questions
How is 93150 different from 93151?
93150 is for initiating therapy on the implanted system. 93151 describes interrogation and programming, typically when the system is already in use.
When is 93150 typically reported after implantation?
Report it when the clinician first activates therapy, commonly at a post-implant visit. The code is distinguished by the activation service, not by a particular number of days after surgery.
What documentation supports 93150?
Document the implanted system, that therapy was activated, the settings established, and the patient’s response to stimulation.
Should 93150 be used for a visit during polysomnography?
Use 93150 for therapy activation. 93152 describes interrogation and programming performed during polysomnography, which is a different service.
Can 93150 be used when the device is checked but not reprogrammed?
A check without programming is described by 93153. 93150 is for initiating therapy, not a routine interrogation.
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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