CPT 90913
Global ZZZ ActiveBfb training ea addl 15 min
CPT 90913 Billing & Documentation Guide
CPT code 90913 (Bfb training ea addl 15 min) is classified under Medicine/E&M with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.5, a non-facility practice expense RVU of 0.45, and a malpractice RVU of 0.03, a total non-facility RVU of 0.98 and facility RVU of 0.63. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $33.58, though rates vary from $30.13 to $41.61 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 90913, 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 90913 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 3 units of 90913 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 90913
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.5 | 0.5 |
| Practice Expense RVU | 0.45 | 0.1 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 0.98 | 0.63 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 90913
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 | $35.63 | $21.79 | $33.99 - $40.75 | 29 |
| Florida | $33.73 | $22 | $32.58 - $34.88 | 3 |
| Georgia | $32.26 | $21.11 | $31.3 - $33.22 | 2 |
| Illinois | $33.2 | $21.9 | $31.99 - $34.22 | 4 |
| Michigan | $32.22 | $21.24 | $31.55 - $32.89 | 2 |
| North Carolina | $31.36 | $20.46 | $31.36 - $31.36 | 1 |
| New York | $35.62 | $22.58 | $31.68 - $37.5 | 5 |
| Ohio | $31.43 | $20.76 | $31.43 - $31.43 | 1 |
| Pennsylvania | $32.65 | $21.19 | $31.45 - $33.84 | 2 |
| Texas | $32.52 | $21.01 | $31.31 - $33.52 | 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 90913
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 90913 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0596T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 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 |
| 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 |
| 12007 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 90913
What does CPT code 90913 mean? +
CPT code 90913 represents: Bfb training ea addl 15 min. It's in the Medicine/E&M category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 90913? +
The 2026 Medicare national average non-facility payment for CPT 90913 is $33.58. Rates range from $30.13 to $41.61 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 90913? +
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 90913? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team