CPT code 95912: Nerve conduction study, 11–12 studies2026 Medicare rate & RVUs in Missouri
Reports conventional nerve conduction testing when the examination includes 11 or 12 studies to assess peripheral nerve function, conduction, or suspected nerve injury.
Medicare pays $233.71–$247.55 for 95912 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 95912 covers
Nerve conduction studies use electrical stimulation and recording electrodes to measure how peripheral nerves conduct signals. Neurologists and physical medicine and rehabilitation physicians commonly use them to evaluate concerns such as focal nerve entrapment or generalized peripheral neuropathy. Testing may be performed in an office or hospital setting, with trained staff involved in the technical work and a qualified practitioner interpreting the findings.
Select this tier when the completed examination includes 11 or 12 qualifying nerve conduction studies; choose the tier by the study count, not simply by the number of nerves or limbs examined. The report should support the studies performed and their findings. CMS recognizes a professional component for interpretation (modifier 26) and a technical component for equipment and staff (modifier TC); reporting without either modifier represents the global service.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 95912 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$233.71 to $247.55
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $245.45 | Unavailable |
| Metropolitan St. Louis, MO | $247.55 | Unavailable |
| Rest of Missouri | $233.71 | Unavailable |
How the 95912 rate is calculated
Each of 95912’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 95912
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense4.56
4.56 RVUs× 1.000 GPCI
Malpractice0.14
0.14 RVUs× 1.000 GPCI
Adjusted RVUs
7.6300
Conversion factor
$33.4009
Medicare rate
$254.85
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95912
The CMS indicators that decide how 95912 is paid alongside other services.
CMS payment indicators · 95912
Nerve conduction study, 11–12 studies
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
95912 without 26 · national office
$254.85
Nerve conduction study, 11–12 studies
95912-26 · Professional component
$158.32
Pays only the interpretation and report.
95912 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 95911Nerve conduction study9-10 studies
- 95911 is the lower study-count tier for 9–10 studies; 95912 is used for 11–12.
- 95913Nerve conduction13 or more studies
- 95913 is for examinations with 13 or more studies. Use 95912 when the total is 11 or 12.
- 95905Nerve conduction testAutomated device, 1-2 studies
- 95905 describes automated nerve conduction testing, rather than selecting a conventional study-count tier such as 95912.
- 95886Needle EMG add-onComplete study, each extremity
- 95886 describes needle EMG of an extremity, not nerve conduction studies; both may be reported when each service is performed.
95912 billing questions
When should 95912 be chosen instead of 95911 or 95913?
Use 95912 when the examination includes 11 or 12 qualifying nerve conduction studies. The adjacent tiers are for 9–10 studies and 13 or more studies, respectively.
Is 95912 reported once per nerve or once per study?
Choose one code from the nerve conduction study series based on the total qualifying study count. Do not treat the tier as a separate unit for each nerve or limb.
Can nerve conduction testing and needle EMG be reported together?
They represent distinct electrodiagnostic services. When needle EMG is performed and documented, it may be reported with the applicable EMG code.
What do modifiers 26 and TC indicate for 95912?
Modifier 26 identifies the professional interpretation, while TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports reporting 95912?
Document the studies performed, the results, and the interpretation. The record should support a total of 11 or 12 qualifying studies.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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