$103.19
93150 describes therapy activation. Choose 93151 for interrogation and programming rather than activation.
On this page
CMS RVU26D · Effective 2026-10-01
93151 Neurostimulator programming Medicare reimbursement rates in Idaho
Report this service when a clinician checks an implanted peripheral neurostimulator and programs its settings, such as during hypoglossal nerve stimulator follow-up. Compare 93151 office and facility rates across CMS payment localities in Idaho.
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 93151 in Idaho?
Idaho 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
$88.15
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
$32.84
1 of 1 localities have a supported rate.
Payment area: Idaho
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 93151: Implanted peripheral neurostimulator interrogation and programming
Report this service when a clinician checks an implanted peripheral neurostimulator and programs its settings, such as during hypoglossal nerve stimulator follow-up.
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.
Where the value comes from
- Work RVU0.78 · 28%
- Practice expense (office) RVU1.99 · 70%
- Malpractice RVU0.06 · 2%
308
Medicare services in 2024 · #3978 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.
93151 compared with similar codes
Office rates for Idaho, from the same CMS release.
$136.62
93152 is for interrogation and programming performed during polysomnography; 93151 is used for the service outside that sleep-study context.
$54.14
93153 is for interrogation without programming. When settings are programmed during the encounter, use 93151.
Compare 93151 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
Idaho →
Office / nonfacility
$88.15
Facility
$32.84
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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 93151 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
11,955
- Code
- 93151
- Physician work
- 0.78
- Practice expense
- 1.99
- Malpractice
- 0.06
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.78 | × 1.000 | 0.7800 |
| Practice expense | 1.99 | × 0.920 | 1.8308 |
| Malpractice | 0.06 | × 0.473 | 0.0284 |
| Total RVUs | 2.6392 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$88.15
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1 |
| Practice expense | 1.99 | 0.92 |
| Malpractice | 0.06 | 0.473 |
(0.78 × 1 + 1.99 × 0.92 + 0.06 × 0.473) × $33.4009 = $88.15
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.78 | 1 |
| Practice expense | 0.19 | 0.92 |
| Malpractice | 0.06 | 0.473 |
(0.78 × 1 + 0.19 × 0.92 + 0.06 × 0.473) × $33.4009 = $32.84
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.
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 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.
11,95293145,,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
11,95893224,,Xtrnl ecg rec up to 48 hrs,A,,0.38,1.70,,1.70,NA,0.03,2.11,2.11,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772