CPT code 95928: Motor evoked potentials, upper limbs2026 Medicare rate & RVUs

Reports central motor pathway testing that records evoked responses from upper-limb muscles, including during procedures that place motor pathways at risk.

CMS RVU26DEffective Oct 1, 2026109 payment localities362 Medicare services in 2024

Medicare pays $256.18 for 95928 nationally in the office. Local office rates run $225.90–$350.51.

Medicare rate · 95928

Motor evoked potentials, upper limbs

Office or facility?

Work RVUs
1.46
Total RVUs
7.67
Global days
XXX

National rate · 2026

$256.18

Office setting, before claim adjustments.

See every locality for 95928 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 95928 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 95928 covers

This study evaluates motor pathway conduction from the brain to upper-limb muscles by stimulating the motor system and recording the resulting responses. It is commonly used during procedures such as cervical spine surgery when the team needs to monitor motor pathway function. A neurophysiology professional interprets the responses, while trained technical staff may perform the acquisition in an operating room or diagnostic setting.

Select 95928 for upper-limb motor evoked potential testing; use the code for the bilateral service rather than adding modifier 50 to increase payment. Documentation should identify the tested limbs, stimulation and recording performed, results, and the interpretation. Medicare recognizes professional and technical components: modifier 26 reports interpretation, modifier TC reports equipment and staff, and no component modifier represents the global service. The components are separately priced.

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 95928 pays more and less

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

109 payment localities

$225.90 to $350.51

$225.90$288.20$350.51
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

95928 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$229.33Unavailable
Alaska$292.50Unavailable
Arizona$249.42Unavailable
Arkansas$225.90Unavailable
Atlanta, GA$260.21Unavailable
Austin, TX$267.80Unavailable
Bakersfield, CA$275.56Unavailable
Baltimore area, MD$272.60Unavailable
Beaumont, TX$237.57Unavailable
Brazoria, TX$254.07Unavailable

95928 rates by state

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

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.

$225.90

$312.88

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

View every state and territory as a table
95928 office rate range by state
State / territoryOffice rate rangeLocalities
AK$292.501
AL$229.331
AR$225.901
AZ$249.421
CA$275.24–$350.5129
CO$269.191
CT$273.531
DC$295.541
DE$253.671
FL$248.70–$269.163
GA$234.69–$260.212
GU$282.921
HI$282.921
IA$237.001
ID$238.251
IL$240.09–$264.374
IN$239.721
KS$235.071
KY$233.241
LA$232.55–$244.532
MA$267.19–$297.512
MD$258.88–$295.543
ME$238.70–$253.242
MI$238.79–$251.092
MN$260.001
MO$227.90–$246.383
MS$226.991
MT$256.181
NC$241.401
ND$254.401
NE$238.581
NH$264.191
NJ$277.23–$292.172
NM$239.821
NV$255.891
NY$245.07–$300.525
OH$238.421
OK$233.641
OR$254.47–$278.892
PA$239.26–$266.022
PR$258.391
RI$263.531
SC$240.201
SD$254.191
TN$236.191
TX$237.57–$267.808
UT$243.611
VA$251.83–$295.542
VI$258.391
VT$252.661
WA$266.93–$304.472
WI$245.521
WV$230.701
WY$255.401

How the 95928 rate is calculated

Each of 95928’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 · 95928

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.46

1.46 RVUs× 1.000 GPCI

Practice expense6.12

6.12 RVUs× 1.000 GPCI

Malpractice0.09

0.09 RVUs× 1.000 GPCI

Adjusted RVUs

7.6700

Conversion factor

$33.4009

Medicare rate

$256.18

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

Payment rules and modifiers for 95928

The CMS indicators that decide how 95928 is paid alongside other services.

CMS payment indicators · 95928

Motor evoked potentials, 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

95928 without 26 · national office

$256.18

Motor evoked potentials, upper limbs

95928-26 · Professional component

$79.16

Pays only the interpretation and report.

When to use modifier 26

95928 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 95928

    Motor evoked potentials, upper limbs1.46 wRVU

    $256.18

  • 95929

    Motor evoked study, lower limbs1.46 wRVU

    $250.17−$6.01

  • 95939

    Motor evoked potentials, upper and lower limbs2.19 wRVU

    $589.19+$333.01

  • 95925

    Evoked potential, upper limbs0.53 wRVU

    $151.64−$104.54

  • 95938

    Sensory evoked potentials, upper and lower limbs0.84 wRVU

    $400.14+$143.96

How to choose

95929Motor evoked studyLower limbs
95929 is for lower-limb central motor evoked potential testing; 95928 is for upper limbs.
95939Motor evoked potentialsUpper and lower limbs
95939 covers central motor evoked potential testing of both upper and lower limbs, rather than upper limbs alone.
95925Evoked potentialUpper limbs
95925 evaluates somatosensory responses in the upper limbs. Choose 95928 for central motor pathway responses.
95938Sensory evoked potentialsUpper and lower limbs
95938 evaluates somatosensory responses in upper and lower limbs; 95928 evaluates motor responses in the upper limbs.

95928 billing questions

When should 95928 be selected instead of 95929?

Use 95928 for central motor evoked potential testing of the upper limbs. Code 95929 is the lower-limb counterpart.

Does 95928 include testing on both sides?

Yes. CMS prices the code as bilateral, and modifier 50 does not increase payment.

How should the professional and technical work be billed?

Use modifier 26 for the professional interpretation or TC for the technical service. Without either modifier, the claim represents the global service.

Can 95928 be reported with somatosensory evoked potential testing?

The motor study evaluates motor pathway responses, while somatosensory testing evaluates sensory pathways. Report somatosensory testing only when that distinct study was also performed and documented.

What documentation supports 95928?

Document the upper-limb testing performed, the responses obtained, and the interpretation. For a component claim, the record should support the professional interpretation or the technical work reported.

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 95928PPRRVU2026_Oct_nonQPP.csv, line 12,675 (RVU26D)

Open CMS sourceHow we calculate rates

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