CPT code 95925: Evoked potential, upper limbs2026 Medicare rate & RVUs

Medicare pays $151.64 for 95925 nationally in the office. Local office rates run $132.07–$210.97.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 95925 covers

This study electrically stimulates peripheral sensory nerves in the upper limbs and records the resulting responses along sensory pathways toward the central nervous system. Neurologists and other qualified neurodiagnostic professionals use it to evaluate suspected sensory pathway dysfunction, including in patients with possible spinal cord or central nervous system disease. Testing may take place in an office or facility with the equipment and trained staff needed to stimulate nerves and record responses.

Report the upper-limb study when that is the tested pathway, and retain documentation of the stimulation, recorded responses, interpretation, and report. The code is priced bilaterally, so modifier 50 does not increase payment. CMS recognizes separate professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no 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 95925 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

95925 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 95925 rate is calculated

Each of 95925’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.

Payment rules and modifiers for 95925

The CMS indicators that decide how 95925 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

95925 compared with similar codes

How to choose

95926Somatosensory testingLower-limb short latency

Choose 95925 for upper-limb sensory pathways and 95926 for lower-limb sensory pathways.

95927Somatosensory testingTrunk or head

95927 covers short-latency sensory testing of the trunk or head, not the upper limbs.

95928Motor evoked potentialsUpper limbs

95928 evaluates central motor evoked responses in the upper limbs; 95925 evaluates sensory pathway responses.

95938Sensory evoked potentialsUpper and lower limbs

95938 is associated with intraspinal SSEP monitoring, while 95925 describes diagnostic upper-limb SSEP testing.

Codes related to 95925

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates