What Medicare Covers for Biofeedback Therapy
This page reports publicly published coding and coverage information. It is not billing, coding, or legal advice, and it is not a statement that any BioReg device qualifies for any code. Codes and coverage change. Verify current payer policy and work with a certified professional coder before submitting claims.
Medicare coverage of biofeedback is narrow and is governed nationally by National Coverage Determination 30.1. A code existing in the CPT set does not mean Medicare covers the service. Two of the biofeedback codes most relevant to mental health practices, CPT 90875 and 90876, are identified as non-covered by Medicare.
Last verified: August 2026
What does NCD 30.1 cover?
National Coverage Determination 30.1, Biofeedback Therapy is Medicare's general biofeedback policy. NCD 30.1 limits national coverage to muscle re-education of specific muscle groups, or treatment of pathological muscle abnormalities such as spasticity, incapacitating muscle spasm, or weakness, where more conventional treatments have not been successful.
NCD 30.1 does not cover biofeedback for ordinary muscle tension states or for psychosomatic conditions. That exclusion, rather than the existence of a code, is what determines the Medicare outcome for most biofeedback services delivered outside a muscle re-education context.
Is NCD 30.1.1 Medicare's general biofeedback policy?
No. NCD 30.1.1 is a separate determination specific to biofeedback for stress or urge urinary incontinence. NCD 30.1.1 is frequently miscited as Medicare's general biofeedback policy in vendor materials and training documents. It is not. The general policy is NCD 30.1.
Are CPT 90875 and 90876 covered by Medicare?
CPT 90875 and 90876 are identified as non-covered by Medicare (Billing and Coding Article A56937, Psychiatry and Psychology Services).
These are the individual psychophysiological therapy codes that incorporate biofeedback training with psychotherapy, so this is the most practically significant coverage fact for a mental health practice evaluating biofeedback equipment.
For what those two codes describe and how the current biofeedback code family is structured, see the deleted codes and current replacements page.
Do Medicare coverage rules vary by region?
Yes. Local Coverage Determinations vary by Medicare Administrative Contractor jurisdiction, and each LCD is normally paired with a Billing and Coding Article that carries the coding detail. A Medicare Administrative Contractor billing and coding article describes biofeedback training as the time the modality is attached to the patient, with feedback results used or analyzed by the patient or clinician (Billing and Coding Article A53352). That is jurisdictional guidance, not national policy, and it does not necessarily apply in another jurisdiction.
Practitioners must check their own MAC's LCD and associated Billing and Coding Article in the Medicare Coverage Database.
What about commercial payers?
Commercial policies vary by payer, plan, state, and diagnosis. Many commercial payers treat biofeedback as investigational for some indications. Benefit eligibility verification is not the same as confirming the payer's medical policy: eligibility tells a practice what the plan covers in general terms, while the medical policy states whether the payer considers this specific service payable for this specific indication.
Because coverage is narrow under Medicare and inconsistent across commercial plans, many practices run these services on a cash-pay basis. To model that against device cost, use the ROI calculator.
Back to the reimbursement overview.
Compiled from published CMS and AMA sources. Last verified August 2026.
Questions about a device rather than a code? Contact BioReg.