CPT® Code 90913

Add-On Code

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)

Biofeedback training for the perineal muscles, specifically targeting the anorectal or urethral sphincter, is a therapeutic procedure designed to assist patients in managing conditions such as urinary retention, urinary incontinence, fecal incontinence, and constipation. This training utilizes advanced techniques, including electromyography (EMG) and/or manometry, to provide real-time feedback on muscle activity. During anorectal biofeedback, a specialized manometer probe equipped with multiple microsensors and a balloon, or a water-perfused probe with side holes, is inserted into the rectum. These devices are instrumental in displaying muscle activity visually or audibly, allowing patients to recognize and correct dyssynergic muscle activity that may hinder normal defecation. Through this process, patients engage in neuromuscular conditioning techniques aimed at enhancing the coordination of the anorectal muscles. For bladder sphincter dyssynergia, biofeedback training involves specific exercises that focus on the tensing and relaxing of pelvic muscles, alongside practicing relaxation techniques during voiding. Additionally, a biofeedback device that records urinary flow and EMG data is employed, providing a visual display that alerts patients to variations in pelvic floor and urethral sphincter tension. This comprehensive approach enables patients to utilize biofeedback techniques effectively, ultimately improving their control over pelvic floor muscles and urethral sphincter function. For billing purposes, the initial 15 minutes of one-on-one training using biofeedback techniques is reported with CPT® Code 90912, while each subsequent 15-minute increment is reported with CPT® Code 90913.