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

Reports short-latency sensory pathway testing from the upper limbs, recording evoked responses to assess conduction toward the central nervous system.

CMS RVU26DEffective Oct 1, 2026One payment locality9K Medicare services in 2024

In Queens, NY, Medicare pays $177.67 for 95925 in the office.

$177.67Office (non-facility)
Not available in this settingHospital or facility
+17.2%vs the national office rate ($151.64)

Check a contract rate as a % of Medicare · 95925 nationwide

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

We’ll open 95925 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 95925 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Queens, NY compares for 95925

Across 109 of 109 payment localities, the office rate for 95925 runs from $132.07 in Arkansas to $210.97 in San Benito County, CA. Queens, NY pays $177.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

95925 in Queens, NY vs other payment areas
  1. Queens, NY · this page$177.67
  2. Manhattan, NY · New York$175.32−$2.35
  3. NYC suburbs and Long Island, NY · New York$179.43+$1.76
  4. Poughkeepsie and northern NYC suburbs, NY · New York$165.39−$12.28
  5. Rest of New York · New York$144.45−$33.22
  6. Los Angeles, CA · California$175.84−$1.83
  7. Washington, DC area · District of Columbia$176.31−$1.36

Other areas in New York first, then benchmark localities. Bars start at $0.

Every other payment area

95925 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$160.11—
Chicago, ILIllinois$155.02—
AlaskaAlaska$168.17—
AlabamaAlabama$134.28—
ArkansasArkansas$132.07—
ArizonaArizona$147.26—
Bakersfield, CACalifornia$163.86—
Chico, CACalifornia$163.68—

95925 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$132.07

$187.33

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95925 office rate range by state
State / territoryOffice rate rangeLocalities
AK$168.171
AL$134.281
AR$132.071
AZ$147.261
CA$163.68–$210.9729
CO$159.861
CT$162.571
DC$176.311
DE$149.941
FL$146.84–$160.113
GA$137.78–$154.212
GU$168.871
HI$168.871
IA$139.221
ID$140.031
IL$141.29–$156.874
IN$140.981
KS$137.981
KY$136.831
LA$136.38–$144.132
MA$158.51–$177.742
MD$153.24–$176.313
ME$140.33–$149.712
MI$140.42–$148.402
MN$154.061
MO$133.38–$145.313
MS$132.781
MT$151.641
NC$142.081
ND$150.451
NE$140.231
NH$156.801
NJ$164.68–$174.002
NM$141.091
NV$151.441
NY$144.45–$179.435
OH$140.181
OK$137.081
OR$150.52–$166.052
PA$140.71–$157.752
PR$153.061
RI$156.111
SC$141.311
SD$150.311
TN$138.711
TX$139.62–$159.108
UT$143.521
VA$148.81–$176.312
VI$153.061
VT$149.331
WA$158.38–$182.112
WI$144.711
WV$135.221
WY$151.121

See 95925 in every payment locality

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.

How the rate is built · 95925

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.53

0.53 RVUs× 1.000 GPCI

Practice expense3.95

3.95 RVUs× 1.000 GPCI

Malpractice0.06

0.06 RVUs× 1.000 GPCI

Adjusted RVUs

4.5400

Conversion factor

$33.4009

Medicare rate

$151.64

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,666

Code
95925
Physician work
0.53
Practice expense
3.95
Malpractice
0.06

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 95925 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work0.53× 1.0640.5639
Practice expense3.95× 1.1824.6689
Malpractice0.06× 1.4420.0865
Total RVUs5.3193
Conversion factor× 33.4009

Office rate, Queens, NY$177.67

Office: (0.53 × 1.064 + 3.95 × 1.182 + 0.06 × 1.442) × $33.4009 = $177.67

Open 95925 in the RVU calculator

Payment rules and modifiers for 95925

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

CMS payment indicators · 95925

Evoked potential, upper limbs

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

95925 without 26 · national office

$151.64

Evoked potential, upper limbs

95925-26 · Professional component

$27.39

Pays only the interpretation and report.

When to use modifier 26

Codes related to 95925

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

Codes related to 95925
CodeHow it relatesOffice range, Queens, NY
Same family
95926Somatosensory testing, lower-limb short latencyRelated short-latency somatosensory study for the lower limbs.$159.03
95927Somatosensory testing, trunk or headRelated short-latency somatosensory study for the trunk or head.$199.38
Used instead
95938Sensory evoked potentials, upper and lower limbsUsed for intraspinal somatosensory evoked potential monitoring rather than this diagnostic upper-limb study.$470.44
95928Motor evoked potentials, upper limbsEvaluates central motor evoked responses in the upper limbs rather than sensory pathway responses.$297.84

How 95925 has changed in Queens, NY

95925 · Office / nonfacility

$177.67

Effective 2026-10-01

The base rate is $1.61 higher than on 2025-10-01, moving from $176.06 to $177.67 (0.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $176.06changed to$177.67

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.54 changed to 0.53
    • Practice expense RVU 4.00 changed to 3.95
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $208.23changed to$176.06

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.68 changed to 4.00

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $204.83changed to$208.23

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $218.04changed to$204.83

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.70 changed to 4.68
    • Malpractice RVU 0.08 changed to 0.06
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462

  5. January 1, 2023

    RVU23A

    $234.06changed to$218.04

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.87 changed to 4.70
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $197.72changed to$234.06

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.02 changed to 4.87
    • Malpractice RVU 0.06 changed to 0.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $172.07changed to$197.72

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.36 changed to 4.02
    • Malpractice RVU 0.05 changed to 0.06
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $160.09changed to$172.07

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.14 changed to 3.36
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $161.21changed to$160.09

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.17 changed to 3.14

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $167.66changed to$161.21

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.33 changed to 3.17
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $187.81changed to$167.66

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.81 changed to 3.33
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $189.78changed to$187.81

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.84 changed to 3.81

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $188.83changed to$189.78

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $206.57changed to$188.83

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 4.31 changed to 3.84
    • Malpractice RVU 0.02 changed to 0.05
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $233.16changed to$206.57

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.23 changed to 4.31
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $233.16

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$177.67Not available in this settingRVU26D
2026-07-01$177.67Not available in this settingRVU26C
2026-04-01$177.67Not available in this settingRVU26B
2026-01-01$177.67Not available in this settingRVU26A
2025-10-01$176.06Not available in this settingRVU25D
2025-07-01$176.06Not available in this settingRVU25C
2025-04-01$176.06Not available in this settingRVU25B
2025-01-01$176.06Not available in this settingRVU25A
2024-10-01$208.23Not available in this settingRVU24D
2024-07-01$208.23Not available in this settingRVU24C
2024-04-01$208.23Not available in this settingRVU24B
2024-03-09$208.23Not available in this settingRVU24AR
2024-01-01$204.83Not available in this settingRVU24A
2023-10-01$218.04Not available in this settingRVU23D
2023-07-01$218.04Not available in this settingRVU23C
2023-04-01$218.04Not available in this settingRVU23B
2023-01-01$218.04Not available in this settingRVU23A
2022-10-01$234.06Not available in this settingRVU22D
2022-07-01$234.06Not available in this settingRVU22C
2022-04-01$234.06Not available in this settingRVU22B
2022-01-01$234.06Not available in this settingRVU22A
2021-10-01$197.72Not available in this settingRVU21D
2021-07-01$197.72Not available in this settingRVU21C
2021-04-01$197.72Not available in this settingRVU21B
2021-01-01$197.72Not available in this settingRVU21A
2020-10-01$172.07Not available in this settingRVU20D
2020-07-01$172.07Not available in this settingRVU20C
2020-04-01$172.07Not available in this settingRVU20B
2020-01-01$172.07Not available in this settingRVU20A
2019-10-01$160.09Not available in this settingRVU19D
2019-07-01$160.09Not available in this settingRVU19C
2019-04-01$160.09Not available in this settingRVU19B
2019-01-01$160.09Not available in this settingRVU19A
2018-10-01$161.21Not available in this settingRVU18D
2018-07-01$161.21Not available in this settingRVU18C
2018-04-01$161.21Not available in this settingRVU18B
2018-01-01$161.21Not available in this settingRVU18AR1
2017-10-01$167.66Not available in this settingRVU17D
2017-07-01$167.66Not available in this settingRVU17C
2017-04-01$167.66Not available in this settingRVU17B
2017-01-01$167.66Not available in this settingRVU17A
2016-10-01$187.81Not available in this settingRVU16D
2016-07-01$187.81Not available in this settingRVU16C
2016-04-01$187.81Not available in this settingRVU16B
2016-01-01$187.81Not available in this settingRVU16A
2015-10-01$189.78Not available in this settingRVU15D
2015-07-01$189.78Not available in this settingRVU15C
2015-04-01$188.83Not available in this settingRVU15B
2015-01-01$188.83Not available in this settingRVU15A
2014-10-01$206.57Not available in this settingRVU14D
2014-07-01$206.57Not available in this settingRVU14C
2014-04-01$206.57Not available in this settingRVU14B
2014-01-01$206.57Not available in this settingRVU14A
2013-10-01$233.16Not available in this settingRVU13D
2013-07-01$233.16Not available in this settingRVU13C
2013-04-01$233.16Not available in this settingRVU13B
2013-01-01$233.16Not available in this settingRVU13AR

Price 95925 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

95925 billing questions

How does this differ from 95926?

95925 is for short-latency somatosensory testing of the upper limbs. Code 95926 identifies the lower-limb study.

Should modifier 50 be added when both arms are tested?

No. CMS prices 95925 as bilateral, and modifier 50 does not increase payment.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation or modifier TC for the technical service. Report without either modifier for the global service.

What documentation supports the study?

Document the upper-limb sensory stimulation, recorded evoked responses, and the interpreting professional’s findings and report.

Is this the code for intraoperative sensory monitoring?

No. Code 95925 describes an upper-limb diagnostic study; code 95938 is associated with intraspinal somatosensory evoked potential monitoring.

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

Show the CMS file lines behind this rate
RVUs for 95925PPRRVU2026_Oct_nonQPP.csv, line 12,666 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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