Billing code 93151: Neurostimulator programmingMedicare rate & RVUs
Report this service when a clinician checks an implanted peripheral neurostimulator and programs its settings, such as during hypoglossal nerve stimulator follow-up.
Medicare pays $94.52 for 93151 nationally in the office and $34.40 in a hospital or facility. Local office rates run $84.18–$125.84.
Medicare rate · 93151
Neurostimulator programming
Swap in your local Medicare rate.
- Work RVUs
- 0.78
- Total RVUs
- 2.83
- Global days
- XXX
National rate · 2026
$94.52
Office setting, before claim adjustments.
See every locality for 93151 → · 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 93151 covers
A clinician uses the device programmer to review an implanted peripheral neurostimulator’s function and settings, then makes programming changes as needed. A familiar example is follow-up care for a hypoglossal nerve stimulator used to treat obstructive sleep apnea. Sleep medicine, otolaryngology, and other clinicians managing implanted stimulation devices may perform the service in an office or facility setting.
Choose this code when the encounter includes both device interrogation and programming. Documentation should identify the device, record the interrogation findings and settings, describe the programming changes, and explain their clinical purpose. Distinguish this work from initial therapy activation, interrogation during a polysomnography session, and interrogation without programming. CMS assigns work, practice expense, and malpractice RVUs; the practice expense input differs between office and facility settings.
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 93151 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
$84.18 to $125.84
109 of 109 payment localities
93151 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.
$84.18
$113.13
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 | $110.97 | 1 |
| AL | $85.35 | 1 |
| AR | $84.18 | 1 |
| AZ | $92.18 | 1 |
| CA | $100.42–$125.84 | 29 |
| CO | $98.65 | 1 |
| CT | $100.58 | 1 |
| DC | $107.99 | 1 |
| DE | $93.65 | 1 |
| FL | $92.61–$100.31 | 3 |
| GA | $87.73–$96.07 | 2 |
| GU | $102.79 | 1 |
| HI | $102.79 | 1 |
| IA | $87.67 | 1 |
| ID | $88.15 | 1 |
| IL | $89.87–$98.05 | 4 |
| IN | $88.64 | 1 |
| KS | $87.15 | 1 |
| KY | $86.98 | 1 |
| LA | $86.80–$90.88 | 2 |
| MA | $98.06–$108.27 | 2 |
| MD | $95.42–$107.99 | 3 |
| ME | $88.45–$93.19 | 2 |
| MI | $89.00–$93.57 | 2 |
| MN | $95.04 | 1 |
| MO | $85.30–$91.34 | 3 |
| MS | $84.76 | 1 |
| MT | $94.52 | 1 |
| NC | $89.35 | 1 |
| ND | $93.33 | 1 |
| NE | $88.16 | 1 |
| NH | $97.00 | 1 |
| NJ | $101.88–$106.94 | 2 |
| NM | $89.41 | 1 |
| NV | $94.26 | 1 |
| NY | $90.61–$110.47 | 5 |
| OH | $88.76 | 1 |
| OK | $86.97 | 1 |
| OR | $93.66–$101.81 | 2 |
| PA | $88.96–$98.11 | 2 |
| PR | $95.23 | 1 |
| RI | $97.00 | 1 |
| SC | $89.17 | 1 |
| SD | $93.19 | 1 |
| TN | $87.55 | 1 |
| TX | $88.40–$98.20 | 8 |
| UT | $90.33 | 1 |
| VA | $92.81–$107.99 | 2 |
| VI | $95.23 | 1 |
| VT | $92.87 | 1 |
| WA | $97.91–$110.55 | 2 |
| WI | $90.35 | 1 |
| WV | $86.68 | 1 |
| WY | $94.00 | 1 |
How the 93151 rate is calculated
Each of 93151’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 · 93151
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.78Practice expense 1.99Malpractice 0.06
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93151
93151 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 · 93151
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$94.52
The facility rate would be $34.40 (+$60.12). In a facility, the facility bills its own costs separately.
93151 compared with similar codes
Compare codes
93151 vs 93150 vs 93152 vs 93153: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93150Therapy activation
- 93150 describes therapy activation. Choose 93151 for interrogation and programming rather than activation.
- 93152Device programming
- 93152 is for interrogation and programming performed during polysomnography; 93151 is used for the service outside that sleep-study context.
- 93153Device interrogation
- 93153 is for interrogation without programming. When settings are programmed during the encounter, use 93151.
93151 billing questions
When should this code be selected instead of 93153?
Use 93151 when the clinician interrogates the implanted peripheral neurostimulator and programs it. Code 93153 describes interrogation without programming.
How does 93151 differ from 93150?
93151 covers interrogation with programming. Use 93150 for therapy activation of the implanted peripheral neurostimulator.
Which code applies when programming occurs during a sleep study?
Use 93152 when interrogation and programming take place during polysomnography. Routine interrogation and programming outside that setting are reported with 93151.
What documentation supports reporting 93151?
Document the device, interrogation results, settings reviewed, programming changes, and the clinical reason for those changes.
Can 93151 be reported when settings are only reviewed?
No. If the device is interrogated but not programmed, 93153 is the related code for that service.
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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