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See a sample rate comparisonCPT 90913 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Bfb Training Ea Addl 15 Min, Biofeedback Training Perineal Muscles Anorectal Or Urethral Sphincter Including Emg And Or Manometry When Performed Each Additional 15 Minutes Of One On One Physician Or Other Qualified Health Care Professional Contact With The Patient List Separately In Addition To Code For Primary Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Biofeedback Services and Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | GP - Services delivered under an outpatient physical therapy plan of care XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $32.73 national non-facility rate (2026) · View Medicare rates for 90913 |
| Medicaid Fee Schedule | $26.25 median of the 8 states in the free preview · View Medicaid rates for 90913 |
National average reimbursement for CPT 90913 by major payers:
$37.54
$42.11
$40.57
$47.57
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CPT 90913
5 of 25 sample ratesHigher to lower in this preview
Katie Carr
Tenet Florida Physician Services II LLC
$194.06Published rateJennifer Sprague
Advocate Health And Hospitals Corporation
$54.65Published rateElizabeth Konopka
$47.48Published rateNora Ulias
Valley Medical Group, P.C.
$40.10Published rateBrian Gaputis
Center For Bone And Joint Surgery Of The Palm Beaches, PA
$25.83Published rate
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See a sample payer proposalCPT 90913 vs. Other Biofeedback Services and Procedures Codes
The CPT 90913 code is part of the Medicine Services and Procedures services used for Biofeedback Services and Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 90913 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 90887-CPT | Low | Interpj/Explnaj Rslt Psyc Xm, Interpretation Or Explanation Of Results Of Psychiatric Other Medical Examinations And Procedures Or Other Accumulated Data To Family Or Other Responsible Persons Or Advising Them How To Assist Patient |
| 90901-CPT | Low | Biofeedback Training, Training In The Conscious Control Of Stress-Related Body Actions Such As Blood Flow Heart Rate And Muscle Tension. Electrical Impulses Display As Real-Time Biofeedback To Help A Person Practice. |
| 90912-CPT | Low | Bfb Training 1st 15 Min, Biofeedback Training Perineal Muscles Anorectal Or Urethral Sphincter Including Emg And Or Manometry When Performed Initial 15 Minutes Of One On One Physician Or Other Qualified Health Care Professional Contact With The Patient |
| 90913-CPT | Low | Bfb Training Ea Addl 15 Min, Biofeedback Training Perineal Muscles Anorectal Or Urethral Sphincter Including Emg And Or Manometry When Performed Each Additional 15 Minutes Of One On One Physician Or Other Qualified Health Care Professional Contact With The Patient List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 90913. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 90913 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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