CPT 90901
Global 000 ActiveBiofeedback train any meth
CPT 90901 Billing & Documentation Guide
CPT code 90901 (Biofeedback train any meth) is classified under Physical Medicine with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.41, a non-facility practice expense RVU of 0.81, and a malpractice RVU of 0.01, a total non-facility RVU of 1.23 and facility RVU of 0.49. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $42.5, though rates vary from $37.11 to $54.39 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 90901, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 90901 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 90901 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 90901
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.41 | 0.41 |
| Practice Expense RVU | 0.81 | 0.07 |
| Malpractice RVU | 0.01 | 0.01 |
| Total RVU | 1.23 | 0.49 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 90901
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $46.38 | $17.13 | $43.76 - $54.39 | 29 |
| Florida | $41.49 | $16.69 | $40.06 - $42.7 | 3 |
| Georgia | $39.93 | $16.35 | $38.23 - $41.62 | 2 |
| Illinois | $40.53 | $16.64 | $38.92 - $42.17 | 4 |
| Michigan | $39.57 | $16.36 | $38.77 - $40.37 | 2 |
| North Carolina | $39.15 | $16.09 | $39.15 - $39.15 | 1 |
| New York | $44.98 | $17.41 | $39.63 - $47.36 | 5 |
| Ohio | $38.73 | $16.17 | $38.73 - $38.73 | 1 |
| Pennsylvania | $40.68 | $16.47 | $38.85 - $42.5 | 2 |
| Texas | $40.71 | $16.38 | $38.62 - $42.64 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 90901
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 90901 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12002 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12004 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12006 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 90901
What does CPT code 90901 mean? +
CPT code 90901 represents: Biofeedback train any meth. It's in the Physical Medicine category with a global period of 000.
What is the Medicare reimbursement for CPT 90901? +
The 2026 Medicare national average non-facility payment for CPT 90901 is $42.5. Rates range from $37.11 to $54.39 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 90901? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 90901? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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