Billing code 90913: Biofeedback trainingMedicare rate & RVUs in Utah

Reports each additional 15 minutes of targeted pelvic floor biofeedback training for anorectal or urinary incontinence, alongside the initial training service.

CMS RVU26DEffective Oct 1, 20261 payment locality29.3K Medicare services in 2024

Medicare pays $31.73 for 90913 in the office in Utah (Utah). Which amount applies depends on the service address.

$31.73Office (non-facility)
$20.74Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 90913 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 90913 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 90913 covers

This code represents an additional 15-minute segment of biofeedback training focused on perineal muscles for anorectal or urinary incontinence. A clinician, commonly a pelvic floor physical therapist or other qualified practitioner, guides the patient in controlling the muscles while feedback may be provided through EMG or manometry. Sessions typically occur in an outpatient clinic or therapy setting and build on the initial training segment.

Report 90913 only with the primary training service, 90912; it is not a standalone service. Select additional units based on documented training time beyond the initial segment, and record the biofeedback method, targeted muscles, and clinical work performed. CMS treats this add-on as paid within the primary procedure's global period. The record should distinguish active biofeedback training from a diagnostic test or general exercise instruction.

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.

90913 in Utah

90913 office and facility rates by payment locality
Payment localityOfficeFacility
Utah$31.73$20.74

How the 90913 rate is calculated

Each of 90913’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 · 90913

RVUs × geographic indexes × conversion factor

Work0.50

0.50 RVUs× 1.000 GPCI

Practice expense0.45

0.45 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

0.9800

Conversion factor

$33.4009

Medicare rate

$32.73

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 90913

The CMS indicators that decide how 90913 is paid alongside other services.

CMS payment indicators · 90913

Biofeedback training

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

90913 compared with similar codes

Compare codes · National

4 codes, side by side

  • 90913

    Biofeedback training0.5 wRVU

    $32.73

  • 90912

    Biofeedback0.9 wRVU

    $82.17+$49.44

  • 90901

    Biofeedback training0.41 wRVU

    $41.08+$8.35

  • 97112

    Neuromuscular reeducation0.5 wRVU

    $32.73+$0.00

How to choose

90912Biofeedback
90912 covers the initial 15 minutes of the specified pelvic floor biofeedback training; 90913 covers additional 15-minute segments and is paired with 90912.
90901Biofeedback training
90901 is for biofeedback training by a broader range of methods. Use 90912 and 90913 for perineal muscle training directed to anorectal or urinary incontinence.
97112Neuromuscular reeducation
97112 describes neuromuscular reeducation. It is distinct from the specific biofeedback training reported with 90912 and 90913.

90913 billing questions

Can 90913 be billed by itself?

No. It is an add-on for additional training time and must be reported with 90912, which covers the initial segment.

How is 90913 different from 90912?

90912 represents the initial 15 minutes of pelvic floor biofeedback training. Use 90913 for each additional 15-minute segment.

When would 90901 be more appropriate?

90901 describes biofeedback training by a broader range of methods. Codes 90912 and 90913 are specific to training perineal muscles for anorectal or urinary incontinence.

What documentation supports an additional unit?

Document the training duration beyond the initial segment, the muscles and incontinence-related goal addressed, and the feedback method used, such as EMG or manometry when performed.

Is general pelvic floor exercise instruction enough to report 90913?

No. The record should support biofeedback training using monitored feedback to guide muscle control, not simply exercise instruction or a diagnostic measurement.

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
RVUs for 90913PPRRVU2026_Oct_nonQPP.csv, line 11,558 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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