CPT code 95927: Somatosensory testing, trunk or head2026 Medicare rate & RVUs in Florida
Reports a somatosensory evoked potential study assessing central sensory pathway responses to stimulation associated with the trunk or head.
Medicare pays $164.41–$179.24 for 95927 in the office in Florida, from Rest of Florida to Miami, FL. 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 95927 covers
This neurodiagnostic study assesses sensory pathway responses by stimulating peripheral sites associated with the trunk or head and recording the resulting electrical signals from the central nervous system. It may be performed in a neurology or neurophysiology setting by trained technical staff, with a qualified physician interpreting the recordings. The study helps evaluate suspected dysfunction along central sensory pathways; it is distinct from testing focused on upper or lower limb pathways.
Select this code when the documented study covers the trunk or head, rather than the upper or lower limbs. The report should identify the stimulation and recording sites, the responses obtained, and the physician’s interpretation. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or no component modifier for 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 95927 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$164.41 to $179.24
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | $173.58 | Unavailable |
| Miami, FL | $179.24 | Unavailable |
| Rest of Florida | $164.41 | Unavailable |
How the 95927 rate is calculated
Each of 95927’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 · 95927
RVUs × geographic indexes × conversion factor
Work0.53
0.53 RVUs× 1.000 GPCI
Practice expense4.50
4.50 RVUs× 1.000 GPCI
Malpractice0.06
0.06 RVUs× 1.000 GPCI
Adjusted RVUs
5.0900
Conversion factor
$33.4009
Medicare rate
$170.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95927
The CMS indicators that decide how 95927 is paid alongside other services.
CMS payment indicators · 95927
Somatosensory testing, trunk or head
| 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
95927 without 26 · national office
$170.01
Somatosensory testing, trunk or head
95927-26 · Professional component
$27.05
Pays only the interpretation and report.
95927 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 95925Evoked potentialUpper limbs
- Choose 95925 when the study focuses on upper limb sensory pathways; 95927 identifies trunk or head testing.
- 95926Somatosensory testingLower-limb short latency
- Choose 95926 for lower limb sensory pathway testing. Use 95927 for a study involving the trunk or head.
- 95938Sensory evoked potentialsUpper and lower limbs
- 95938 describes a complete study involving upper and lower limbs, while 95927 identifies trunk or head testing.
- 95928Motor evoked potentialsUpper limbs
- 95928 evaluates central motor pathways in the upper limbs. Code 95927 evaluates sensory pathway responses involving the trunk or head.
95927 billing questions
When should this code be selected instead of 95925 or 95926?
Use 95927 for a study involving the trunk or head. Codes 95925 and 95926 identify studies focused on upper and lower limbs, respectively.
How are the professional and technical services reported?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service using equipment and staff. Report the code without either modifier for the global service.
What should the study documentation identify?
Document the stimulation and recording sites, the responses recorded, and the physician’s interpretation supporting assessment of the central sensory pathway.
How does this differ from code 95938?
Code 95927 is for trunk or head testing. Code 95938 represents a complete somatosensory study involving upper and lower limbs.
Is this a motor evoked potential study?
No. This code concerns sensory pathway responses; central motor evoked potential studies use a different code family.
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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