Summary & Overview
CPT 90913: Biofeedback Training for Incontinence
CPT code 90913 covers time-based, face-to-face biofeedback training delivered by a physician or other qualified healthcare professional to help patients gain voluntary control over involuntary functions such as pelvic floor activity, blood pressure, or heart rate. The code is used for management of conditions like fecal or urinary incontinence and includes associated EMG and manometry when performed. It is reported for each additional 15 minutes of direct patient training beyond an initial service.
This code matters nationally as biofeedback is a noninvasive, rehabilitative technique increasingly incorporated into conservative management pathways for pelvic-floor and autonomic dysfunction. Payers commonly referenced in analyses include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Coverage, coding guidance, and allowed services can affect access to biofeedback as a treatment option across outpatient and clinic settings.
Readers will learn the clinical intent of the code, typical service settings, the payer landscape covered in this review, and what to expect in terms of how the code is used in practice. The publication covers benchmarks, common billing considerations, and recent policy or coverage trends relevant to biofeedback training. Data not available in the input will be noted where applicable.
Billing Code Overview
CPT code 90913 describes face-to-face biofeedback training provided by a physician or other qualified healthcare professional to help a patient gain voluntary control over involuntary bodily functions. The service focuses on modifying brain activity, blood pressure, heart rate, and other autonomic or pelvic-floor functions for conditions such as fecal or urinary incontinence. Electromyography (EMG) and manometry, when performed, are included as part of this service.
Service Type: Therapeutic biofeedback training, time-based
Typical Site of Service: Outpatient clinic or office setting, including specialist pelvic floor or continence clinics, and can occur in hospital outpatient departments when provided by qualified professionals.
Clinical & Coding Specifications
Clinical Context
A 58-year-old female with long-standing urinary urgency and mixed urinary incontinence is referred to a urogynecology clinic for biofeedback-assisted pelvic floor muscle training. The physician evaluates the patient, documents baseline symptoms, and initiates face–to–face biofeedback training using surface electromyography and manometry sensors to teach voluntary control of pelvic floor and sphincter muscles. The initial session includes instruction, sensor placement, demonstration of technique, and guided practice during a 30-minute visit; EMG and manometry recordings are obtained and interpreted as part of the session. Follow-up sessions occur weekly for additional 15-minute blocks of face–to–face biofeedback training as the patient gains control and learns home exercises. Typical documentation includes patient consent, indication (urinary or fecal incontinence), time spent in direct patient contact, modalities used (EMG/manometry), objective measurements, patient response, and a plan for subsequent sessions. Typical site of service is an outpatient specialty clinic (urogynecology, colorectal, or pelvic floor rehabilitation) or ambulatory surgery center when performed as part of a multidisciplinary pelvic floor program.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
11 | Normal, usual, or customary service | When reporting the primary service without any unusual circumstances. |