Billing code 93152: Device programmingMedicare rate & RVUs in Texas
Reports interrogation and programming of an implanted peripheral nerve stimulation system performed in conjunction with polysomnography, such as sleep-related stimulation adjustment.
Medicare pays $137.93–$149.96 for 93152 in the office in Texas, from Beaumont to Austin. Which amount applies depends on the service address.
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 9 sections
What 93152 covers
This service covers checking an implanted peripheral nerve stimulation system and changing its programmed settings while polysomnography is being performed. A typical setting is a sleep laboratory evaluating a patient with an implanted hypoglossal nerve stimulation system for obstructive sleep apnea. The sleep physician or other qualified clinician assesses the device’s response during the sleep study and adjusts stimulation parameters as needed; this is not simply a stand-alone device check.
Choose this code when both system interrogation and programming occur in the polysomnography setting. Use 93151 for interrogation and programming without the polysomnography circumstance, and 93153 when the system is interrogated without programming. Documentation should identify the implanted system, the interrogation performed, the programming changes, and the polysomnography context. CMS assigns physician work and practice-expense values, with separate practice-expense inputs for 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 93152 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$137.93 to $149.96
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | $149.96 | $76.10 |
| Beaumont | $137.93 | $74.41 |
| Brazoria | $144.34 | $75.16 |
| Dallas | $145.17 | $75.64 |
| Fort Worth | $144.41 | $75.58 |
| Galveston | $144.72 | $75.40 |
| Houston | $147.29 | $77.97 |
| Rest Of Texas | $141.00 | $74.75 |
How the 93152 rate is calculated
Each of 93152’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 · 93152
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.77Practice expense 2.45Malpractice 0.14
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93152
93152 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 · 93152
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$145.63
The facility rate would be $75.82 (+$69.81). In a facility, the facility bills its own costs separately.
93152 compared with similar codes
Compare codes
93152 vs 93151 vs 93153 vs 93150: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93151Neurostimulator programming
- Use 93152 when interrogation and programming take place with polysomnography; use 93151 for the same device work without that circumstance.
- 93153Device interrogation
- 93153 covers interrogation without programming. 93152 requires programming and the polysomnography context.
- 93150Therapy activation
- 93150 describes therapy activation; 93152 describes interrogation and programming during polysomnography.
93152 billing questions
How does 93152 differ from 93151?
93152 describes interrogation and programming performed with polysomnography. 93151 describes interrogation and programming without that circumstance.
Can 93152 be used when the device is only checked?
No. The service includes programming as well as interrogation. Use 93153 for interrogation without programming.
Does 93152 replace the polysomnography code?
The code identifies device interrogation and programming in the polysomnography setting. It does not, by itself, establish whether a separate sleep-study code is reportable; document the services performed and apply the relevant coding requirements.
What documentation supports reporting 93152?
Document the implanted system, the interrogation and programming performed, the settings changed, and that the work occurred in conjunction with polysomnography.
Is 93152 for activating a newly implanted system?
No. Therapy activation is described by 93150. 93152 is for interrogation and programming in the polysomnography setting.
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
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