Use 93150 for therapy activation of the implanted system. Use 93153 for a device check without activation or programming.
On this page
CMS RVU26D · Effective 2026-10-01
93153 in Wyoming**
Office / nonfacility
$57.86
Base rate per service
Facility setting
$18.44
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Neurostimulation
About 93153: Implanted nerve stimulator interrogation without programming
Report 93153 for reviewing an implanted peripheral nerve neurostimulator’s function and stored information when the device is checked without changing its settings.
This service is a device check for an implanted peripheral nerve neurostimulator system, commonly an upper-airway stimulation system used to treat obstructive sleep apnea. A sleep medicine clinician, otolaryngologist, or other clinician managing the implant may interrogate the system during an outpatient follow-up to review device status and available operating information. The defining feature is that the clinician checks the device without programming or changing its settings.
Select 93153 when the documented service is interrogation alone. Use the programming-related sibling when the clinician interrogates and adjusts the system, and the polysomnography-related sibling when that service is performed in conjunction with a sleep study. Documentation should identify the implanted system, describe the interrogation and information reviewed, record relevant findings, and make clear whether settings were changed. The CMS physician fee schedule assigns value to physician work, practice expense, and malpractice; its practice-expense valuation differs between office and facility settings.
Where the value comes from
- Work RVU0.42 · 24%
- Practice expense (office) RVU1.29 · 74%
- Malpractice RVU0.03 · 2%
60
Medicare services in 2024 · #5248 by national volume
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.
93153 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
93151 covers interrogation with programming. 93153 is the better fit when the clinician reviews the device but leaves its settings unchanged.
93152 describes interrogation and programming in conjunction with polysomnography; 93153 describes interrogation without programming.
The same code, a different location
How does Wyoming** compare?
93153 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
$57.86
$8.38 higher than Wyoming**
$66.66
$8.80 higher than Wyoming**
$61.42
$3.56 higher than Wyoming**
$59.73
$1.87 higher than Wyoming**
$66.58
$8.72 higher than Wyoming**
$67.48
$9.62 higher than Wyoming**
Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 93153 ranges from $51.56 in Arkansas to $78.24 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 93153
Office
$52.30
Facility
$17.81
$5.56 lower than Wyoming** for the office setting.
Arkansas
Arkansas · 93153
Office
$51.56
Facility
$17.70
$6.30 lower than Wyoming** for the office setting.
Arizona
Arizona · 93153
Office
$56.64
Facility
$18.45
$1.22 lower than Wyoming** for the office setting.
Bakersfield
California · 93153
Office
$62.13
Facility
$18.93
$4.27 higher than Wyoming** for the office setting.
Chico
California · 93153
Office
$62.03
Facility
$18.83
$4.17 higher than Wyoming** for the office setting.
El Centro
California · 93153
Office
$62.03
Facility
$18.84
$4.17 higher than Wyoming** for the office setting.
Fresno
California · 93153
Office
$62.03
Facility
$18.83
$4.17 higher than Wyoming** for the office setting.
Hanford-Corcoran
California · 93153
Office
$62.03
Facility
$18.83
$4.17 higher than Wyoming** for the office setting.
Madera
California · 93153
Office
$62.03
Facility
$18.83
$4.17 higher than Wyoming** for the office setting.
Merced
California · 93153
Office
$62.03
Facility
$18.83
$4.17 higher than Wyoming** for the office setting.
Modesto
California · 93153
Office
$62.03
Facility
$18.83
$4.17 higher than Wyoming** for the office setting.
Napa
California · 93153
Office
$72.21
Facility
$20.26
$14.35 higher than Wyoming** for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 93153
Office
$65.97
Facility
$19.39
$8.11 higher than Wyoming** for the office setting.
Redding
California · 93153
Office
$62.03
Facility
$18.83
$4.17 higher than Wyoming** for the office setting.
Rest Of California
California · 93153
Office
$62.03
Facility
$18.83
$4.17 higher than Wyoming** for the office setting.
Riverside-San Bernardino-Ontario
California · 93153
Office
$62.36
Facility
$19.16
$4.50 higher than Wyoming** for the office setting.
Sacramento-Roseville-Folsom
California · 93153
Office
$65.18
Facility
$19.34
$7.32 higher than Wyoming** for the office setting.
Salinas
California · 93153
Office
$64.94
Facility
$19.26
$7.08 higher than Wyoming** for the office setting.
San Diego-Chula Vista-Carlsbad
California · 93153
Office
$66.52
Facility
$19.39
$8.66 higher than Wyoming** for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 93153
Office
$76.57
Facility
$21.00
$18.71 higher than Wyoming** for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 93153
Office
$76.54
Facility
$20.97
$18.68 higher than Wyoming** for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 93153
Office
$78.24
Facility
$21.41
$20.38 higher than Wyoming** for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 93153
Office
$78.10
Facility
$21.27
$20.24 higher than Wyoming** for the office setting.
San Luis Obispo-Paso Robles
California · 93153
Office
$63.88
Facility
$18.99
$6.02 higher than Wyoming** for the office setting.
Santa Cruz-Watsonville
California · 93153
Office
$67.21
Facility
$19.32
$9.35 higher than Wyoming** for the office setting.
Santa Maria-Santa Barbara
California · 93153
Office
$65.20
Facility
$19.24
$7.34 higher than Wyoming** for the office setting.
Santa Rosa-Petaluma
California · 93153
Office
$67.90
Facility
$19.50
$10.04 higher than Wyoming** for the office setting.
Stockton
California · 93153
Office
$62.03
Facility
$18.83
$4.17 higher than Wyoming** for the office setting.
Vallejo
California · 93153
Office
$72.16
Facility
$20.21
$14.30 higher than Wyoming** for the office setting.
Visalia
California · 93153
Office
$62.03
Facility
$18.83
$4.17 higher than Wyoming** for the office setting.
Yuba City
California · 93153
Office
$62.03
Facility
$18.83
$4.17 higher than Wyoming** for the office setting.
Colorado
Colorado · 93153
Office
$60.82
Facility
$18.89
$2.96 higher than Wyoming** for the office setting.
Connecticut
Connecticut · 93153
Office
$61.93
Facility
$19.48
$4.07 higher than Wyoming** for the office setting.
Delaware
Delaware · 93153
Office
$57.57
Facility
$18.63
$0.29 lower than Wyoming** for the office setting.
Fort Lauderdale
Florida · 93153
Office
$59.49
Facility
$19.56
$1.63 higher than Wyoming** for the office setting.
Rest Of Florida
Florida · 93153
Office
$56.73
Facility
$19.05
$1.13 lower than Wyoming** for the office setting.
Atlanta
Georgia · 93153
Office
$59.05
Facility
$19.01
$1.19 higher than Wyoming** for the office setting.
Rest Of Georgia
Georgia · 93153
Office
$53.66
Facility
$18.50
$4.20 lower than Wyoming** for the office setting.
Hawaii, Guam
Hawaii · 93153
Office
$63.60
Facility
$18.79
$5.74 higher than Wyoming** for the office setting.
Iowa
Iowa · 93153
Office
$53.85
Facility
$17.79
$4.01 lower than Wyoming** for the office setting.
Idaho
Idaho · 93153
Office
$54.14
Facility
$17.88
$3.72 lower than Wyoming** for the office setting.
East St. Louis
Illinois · 93153
Office
$55.69
Facility
$19.43
$2.17 lower than Wyoming** for the office setting.
Rest Of Illinois
Illinois · 93153
Office
$54.93
Facility
$18.95
$2.93 lower than Wyoming** for the office setting.
Suburban Chicago
Illinois · 93153
Office
$60.15
Facility
$19.68
$2.29 higher than Wyoming** for the office setting.
Indiana
Indiana · 93153
Office
$54.46
Facility
$17.92
$3.40 lower than Wyoming** for the office setting.
Kansas
Kansas · 93153
Office
$53.48
Facility
$17.85
$4.38 lower than Wyoming** for the office setting.
Kentucky
Kentucky · 93153
Office
$53.25
Facility
$18.21
$4.61 lower than Wyoming** for the office setting.
New Orleans
Louisiana · 93153
Office
$55.71
Facility
$18.62
$2.15 lower than Wyoming** for the office setting.
Rest Of Louisiana
Louisiana · 93153
Office
$53.12
Facility
$18.24
$4.74 lower than Wyoming** for the office setting.
Metropolitan Boston
Massachusetts · 93153
Office
$66.94
Facility
$19.88
$9.08 higher than Wyoming** for the office setting.
Rest Of Massachusetts
Massachusetts · 93153
Office
$60.42
Facility
$18.92
$2.56 higher than Wyoming** for the office setting.
Baltimore/Surr. Cntys
Maryland · 93153
Office
$61.72
Facility
$19.43
$3.86 higher than Wyoming** for the office setting.
Rest Of Maryland
Maryland · 93153
Office
$58.69
Facility
$18.81
$0.83 higher than Wyoming** for the office setting.
Rest Of Maine
Maine · 93153
Office
$54.29
Facility
$18.03
$3.57 lower than Wyoming** for the office setting.
Southern Maine
Maine · 93153
Office
$57.36
Facility
$18.30
$0.50 lower than Wyoming** for the office setting.
Detroit
Michigan · 93153
Office
$57.30
Facility
$19.26
$0.56 lower than Wyoming** for the office setting.
Rest Of Michigan
Michigan · 93153
Office
$54.50
Facility
$18.51
$3.36 lower than Wyoming** for the office setting.
Minnesota
Minnesota · 93153
Office
$58.66
Facility
$18.11
$0.80 higher than Wyoming** for the office setting.
Metropolitan Kansas City
Missouri · 93153
Office
$55.47
Facility
$18.46
$2.39 lower than Wyoming** for the office setting.
Metropolitan St. Louis
Missouri · 93153
Office
$56.05
Facility
$18.53
$1.81 lower than Wyoming** for the office setting.
Rest Of Missouri
Missouri · 93153
Office
$52.15
Facility
$18.17
$5.71 lower than Wyoming** for the office setting.
Mississippi
Mississippi · 93153
Office
$51.87
Facility
$17.93
$5.99 lower than Wyoming** for the office setting.
Montana**
Montana · 93153
Office
$58.12
Facility
$18.70
$0.26 higher than Wyoming** for the office setting.
North Carolina
North Carolina · 93153
Office
$54.87
Facility
$18.10
$2.99 lower than Wyoming** for the office setting.
North Dakota**
North Dakota · 93153
Office
$57.52
Facility
$18.11
$0.34 lower than Wyoming** for the office setting.
Nebraska
Nebraska · 93153
Office
$54.18
Facility
$17.80
$3.68 lower than Wyoming** for the office setting.
New Hampshire
New Hampshire · 93153
Office
$59.76
Facility
$18.73
$1.90 higher than Wyoming** for the office setting.
Northern Nj
New Jersey · 93153
Office
$65.96
Facility
$20.24
$8.10 higher than Wyoming** for the office setting.
Rest Of New Jersey
New Jersey · 93153
Office
$62.74
Facility
$19.70
$4.88 higher than Wyoming** for the office setting.
New Mexico
New Mexico · 93153
Office
$54.74
Facility
$18.60
$3.12 lower than Wyoming** for the office setting.
Nevada**
Nevada · 93153
Office
$57.99
Facility
$18.54
$0.13 higher than Wyoming** for the office setting.
Nyc Suburbs/Long Island
New York · 93153
Office
$68.02
Facility
$21.16
$10.16 higher than Wyoming** for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 93153
Office
$63.05
Facility
$19.90
$5.19 higher than Wyoming** for the office setting.
Queens
New York · 93153
Office
$67.30
Facility
$20.71
$9.44 higher than Wyoming** for the office setting.
Rest Of New York
New York · 93153
Office
$55.67
Facility
$18.22
$2.19 lower than Wyoming** for the office setting.
Ohio
Ohio · 93153
Office
$54.38
Facility
$18.39
$3.48 lower than Wyoming** for the office setting.
Oklahoma
Oklahoma · 93153
Office
$53.28
Facility
$18.09
$4.58 lower than Wyoming** for the office setting.
Portland
Oregon · 93153
Office
$62.87
Facility
$19.08
$5.01 higher than Wyoming** for the office setting.
Rest Of Oregon
Oregon · 93153
Office
$57.65
Facility
$18.39
$0.21 lower than Wyoming** for the office setting.
Metropolitan Philadelphia
Pennsylvania · 93153
Office
$60.33
Facility
$19.30
$2.47 higher than Wyoming** for the office setting.
Rest Of Pennsylvania
Pennsylvania · 93153
Office
$54.53
Facility
$18.35
$3.33 lower than Wyoming** for the office setting.
Puerto Rico
Puerto Rico · 93153
Office
$58.58
Facility
$18.73
$0.72 higher than Wyoming** for the office setting.
Rhode Island
Rhode Island · 93153
Office
$59.70
Facility
$18.98
$1.84 higher than Wyoming** for the office setting.
South Carolina
South Carolina · 93153
Office
$54.69
Facility
$18.27
$3.17 lower than Wyoming** for the office setting.
South Dakota**
South Dakota · 93153
Office
$57.45
Facility
$18.04
$0.41 lower than Wyoming** for the office setting.
Tennessee
Tennessee · 93153
Office
$53.73
Facility
$17.91
$4.13 lower than Wyoming** for the office setting.
Austin
Texas · 93153
Office
$60.53
Facility
$18.83
$2.67 higher than Wyoming** for the office setting.
Beaumont
Texas · 93153
Office
$54.17
Facility
$18.30
$3.69 lower than Wyoming** for the office setting.
Brazoria
Texas · 93153
Office
$57.62
Facility
$18.56
$0.24 lower than Wyoming** for the office setting.
Dallas
Texas · 93153
Office
$57.93
Facility
$18.67
$0.07 higher than Wyoming** for the office setting.
Fort Worth
Texas · 93153
Office
$57.51
Facility
$18.65
$0.35 lower than Wyoming** for the office setting.
Galveston
Texas · 93153
Office
$57.76
Facility
$18.62
$0.10 lower than Wyoming** for the office setting.
Houston
Texas · 93153
Office
$58.30
Facility
$19.17
$0.44 higher than Wyoming** for the office setting.
Rest Of Texas
Texas · 93153
Office
$55.82
Facility
$18.42
$2.04 lower than Wyoming** for the office setting.
Utah
Utah · 93153
Office
$55.43
Facility
$18.38
$2.43 lower than Wyoming** for the office setting.
Virginia
Virginia · 93153
Office
$57.09
Facility
$18.35
$0.77 lower than Wyoming** for the office setting.
Virgin Islands
United States Virgin Islands · 93153
Office
$58.58
Facility
$18.73
$0.72 higher than Wyoming** for the office setting.
Vermont
Vermont · 93153
Office
$57.19
Facility
$18.17
$0.67 lower than Wyoming** for the office setting.
Rest Of Washington
Washington · 93153
Office
$60.34
Facility
$18.84
$2.48 higher than Wyoming** for the office setting.
Seattle (King Cnty)
Washington · 93153
Office
$68.42
Facility
$20.06
$10.56 higher than Wyoming** for the office setting.
Wisconsin
Wisconsin · 93153
Office
$55.61
Facility
$17.86
$2.25 lower than Wyoming** for the office setting.
West Virginia
West Virginia · 93153
Office
$52.91
Facility
$18.66
$4.95 lower than Wyoming** for the office setting.
See how rates vary across the country
93153 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$51.56
$70.13
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $67.48 | 1 |
| AL | $52.30 | 1 |
| AR | $51.56 | 1 |
| AZ | $56.64 | 1 |
| CA | $62.03–$78.24 | 29 |
| CO | $60.82 | 1 |
| CT | $61.93 | 1 |
| DC | $66.66 | 1 |
| DE | $57.57 | 1 |
| FL | $56.73–$61.42 | 3 |
| GA | $53.66–$59.05 | 2 |
| GU | $63.60 | 1 |
| HI | $63.60 | 1 |
| IA | $53.85 | 1 |
| ID | $54.14 | 1 |
| IL | $54.93–$60.15 | 4 |
| IN | $54.46 | 1 |
| KS | $53.48 | 1 |
| KY | $53.25 | 1 |
| LA | $53.12–$55.71 | 2 |
| MA | $60.42–$66.94 | 2 |
| MD | $58.69–$66.66 | 3 |
| ME | $54.29–$57.36 | 2 |
| MI | $54.50–$57.30 | 2 |
| MN | $58.66 | 1 |
| MO | $52.15–$56.05 | 3 |
| MS | $51.87 | 1 |
| MT | $58.12 | 1 |
| NC | $54.87 | 1 |
| ND | $57.52 | 1 |
| NE | $54.18 | 1 |
| NH | $59.76 | 1 |
| NJ | $62.74–$65.96 | 2 |
| NM | $54.74 | 1 |
| NV | $57.99 | 1 |
| NY | $55.67–$68.02 | 5 |
| OH | $54.38 | 1 |
| OK | $53.28 | 1 |
| OR | $57.65–$62.87 | 2 |
| PA | $54.53–$60.33 | 2 |
| PR | $58.58 | 1 |
| RI | $59.70 | 1 |
| SC | $54.69 | 1 |
| SD | $57.45 | 1 |
| TN | $53.73 | 1 |
| TX | $54.17–$60.53 | 8 |
| UT | $55.43 | 1 |
| VA | $57.09–$66.66 | 2 |
| VI | $58.58 | 1 |
| VT | $57.19 | 1 |
| WA | $60.34–$68.42 | 2 |
| WI | $55.61 | 1 |
| WV | $52.91 | 1 |
| WY | $57.86 | 1 |
Where does this rate apply?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Why are the office and facility amounts different?
For 93153 in Wyoming**, the physician’s office rate is $57.86 and the facility-setting rate is $18.44: a difference of $39.42.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 93153 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$63.65
$57.86 × 110% = $63.65
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 93153 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
11,957
- Code
- 93153
- Physician work
- 0.42
- Practice expense
- 1.29
- Malpractice
- 0.03
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.42 | × 1.000 | 0.4200 |
| Practice expense | 1.29 | × 1.000 | 1.2900 |
| Malpractice | 0.03 | × 0.740 | 0.0222 |
| Total RVUs | 1.7322 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Wyoming**$57.86
Open 93153 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.42 | 1 |
| Practice expense | 1.29 | 1 |
| Malpractice | 0.03 | 0.74 |
(0.42 × 1 + 1.29 × 1 + 0.03 × 0.74) × $33.4009 = $57.86
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.42 | 1 |
| Practice expense | 0.11 | 1 |
| Malpractice | 0.03 | 0.74 |
(0.42 × 1 + 0.11 × 1 + 0.03 × 0.74) × $33.4009 = $18.44
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
93153 · Office / nonfacility
$57.86
Effective 2026-10-01
The base rate is $7.01 higher than on 2025-10-01, moving from $50.85 to $57.86 (13.8%).
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
$50.85changed to$57.86
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.43 changed to 0.42
- Practice expense RVU 1.12 changed to 1.29
- Malpractice GPCI 0.739 changed to 0.740
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $50.85
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
93153 billing questions
How does 93153 differ from 93151?
93153 represents interrogation without changing device settings. When the clinician interrogates and programs the implanted system, consider 93151 instead.
Can 93153 be used when the device is reprogrammed?
No. This code is for an interrogation without programming; document whether any device settings were changed.
How does 93153 differ from 93152?
93152 is the related interrogation-and-programming service performed in conjunction with polysomnography. 93153 describes interrogation without programming.
What should the record include?
Identify the implanted neurostimulator, describe the interrogation and information reviewed, document the findings, and indicate that settings were not changed.
Is 93153 the device activation service?
No. Device activation is represented by 93150; 93153 is for a later interrogation without programming.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
