$100.58
Choose 93150 for therapy activation. Choose 93151 for interrogation and programming of a system already in use.
On this page
CMS RVU26D · Effective 2026-10-01
93150 Therapy activation Medicare reimbursement rates in Connecticut
Report 93150 when a clinician initiates therapy on an implanted peripheral neurostimulator system, such as a hypoglossal nerve stimulator for obstructive sleep apnea. Compare 93150 office and facility rates across CMS payment localities in Connecticut.
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.
What does Medicare pay for 93150 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$118.16
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$37.94
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Neurostimulation
About 93150: Implanted neurostimulator therapy activation
Report 93150 when a clinician initiates therapy on an implanted peripheral neurostimulator system, such as a hypoglossal nerve stimulator for obstructive sleep apnea.
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.
Where the value comes from
- Work RVU0.83 · 25%
- Practice expense (office) RVU2.42 · 73%
- Malpractice RVU0.07 · 2%
38
Medicare services in 2024 · #5533 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.
93150 compared with similar codes
Office rates for Connecticut, from the same CMS release.
$154.09
93152 is for interrogation and programming performed during polysomnography; 93150 represents therapy activation.
$61.93
93153 covers interrogation without programming. 93150 is selected when the encounter initiates therapy.
Compare 93150 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
$118.16
Facility
$37.94
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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 93150 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
11,954
- Code
- 93150
- Physician work
- 0.83
- Practice expense
- 2.42
- Malpractice
- 0.07
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.83 | × 1.020 | 0.8466 |
| Practice expense | 2.42 | × 1.077 | 2.6063 |
| Malpractice | 0.07 | × 1.210 | 0.0847 |
| Total RVUs | 3.5376 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$118.16
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.83 | 1.02 |
| Practice expense | 2.42 | 1.077 |
| Malpractice | 0.07 | 1.21 |
(0.83 × 1.02 + 2.42 × 1.077 + 0.07 × 1.21) × $33.4009 = $118.16
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.83 | 1.02 |
| Practice expense | 0.19 | 1.077 |
| Malpractice | 0.07 | 1.21 |
(0.83 × 1.02 + 0.19 × 1.077 + 0.07 × 1.21) × $33.4009 = $37.94
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.
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 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.
11,95193050,TC,Art pressure waveform analys,A,,0.00,0.25,,0.25,NA,0.01,0.26,0.26,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95293145,,Interrog crtd sins bat ip wo,A,,0.65,0.94,,0.13,,0.05,1.64,0.83,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95393146,,Interrog crtd sins bat ip w/,A,,0.90,1.52,,0.21,,0.06,2.48,1.17,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95493150,,Therapy activation ipnss,A,,0.83,2.42,,0.19,,0.07,3.32,1.09,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95593151,,Interrog&prgrmg ipnss,A,,0.78,1.99,,0.19,,0.06,2.83,1.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95693152,,Interrog&prgrmg ipnss polysm,A,,1.77,2.45,,0.36,,0.14,4.36,2.27,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95793153,,Interrog w/o prgrmg ipnss,A,,0.42,1.29,,0.11,,0.03,1.74,0.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808