CPT code 95940: Intraoperative monitoring, one-on-one, in operating room2026 Medicare rate & RVUs

Reports one-on-one neurophysiologic monitoring by a physician or qualified professional who attends a patient in the operating room, in 15-minute units.

CMS RVU26DEffective Oct 1, 2026109 payment localities14.6K Medicare services in 2024

Medicare pays $26.72 for 95940 nationally in a facility.

Medicare rate · 95940

Intraoperative monitoring, one-on-one, in operating room

Office or facility?

Work RVUs
0.6
Total RVUs
0.80
Global days
XXX

National rate · 2026

$26.72

Facility setting, before claim adjustments.

See every locality for 95940 →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 95940 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 95940 covers

This service covers a physician’s or qualified health care professional’s personal, one-on-one attention to neurophysiologic monitoring during an operation in the operating room. Monitoring may include signals such as somatosensory or motor evoked potentials, EEG, or EMG. It is commonly used during spine procedures, including decompression and fusion, when changes in neural signals may alert the surgical team to potential injury. The monitoring professional observes the signals and communicates relevant changes to the operative team; the surgeon’s procedure itself is not the monitoring service.

Report the time spent providing this dedicated monitoring in 15-minute units. The record should identify the patient and operation, monitoring modalities, the monitoring professional, start and stop times, interruptions, and significant findings or communications. The operative report alone may not establish the monitoring time, so retain documentation from the professional who performed or supervised the service. Select this code for one-patient, personally attended monitoring in the operating room; monitoring from outside the room or involving more than one case has a different reporting circumstance.

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 95940 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

95940 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$25.58
AlaskaUnavailable$36.66
ArizonaUnavailable$26.40
ArkansasUnavailable$25.43
Atlanta, GAUnavailable$27.07
Austin, TXUnavailable$26.98
Bakersfield, CAUnavailable$27.25
Baltimore area, MDUnavailable$27.69
Beaumont, TXUnavailable$26.14
Brazoria, TXUnavailable$26.61

95940 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.

View every state and territory as a table
95940 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 95940 rate is calculated

Each of 95940’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 · 95940

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.60

0.60 RVUs× 1.000 GPCI

Practice expense0.17

0.17 RVUs× 1.000 GPCI

Malpractice0.03

0.03 RVUs× 1.000 GPCI

Adjusted RVUs

0.8000

Conversion factor

$33.4009

Medicare rate

$26.72

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

Payment rules and modifiers for 95940

95940 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 95940

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

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95940 isn’t priced in this setting.

95940 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 95940

    Intraoperative monitoring, one-on-one, in operating room0.6 wRVU

    Not priced

  • 95941

    Remote IONM, hourly or multiple-patient0 wRVU

    Not priced

  • 95925

    Evoked potential, upper limbs0.53 wRVU

    $151.64

  • 95928

    Motor evoked potentials, upper limbs1.46 wRVU

    $256.18

  • 95955

    Intraoperative EEG, during surgery0.98 wRVU

    $197.73

How to choose

95941Remote IONMHourly or multiple-patient
Choose 95940 for one-on-one, personally attended monitoring in the operating room in 15-minute units. 95941 describes outside-room monitoring or monitoring of more than one case, reported hourly.
95925Evoked potentialUpper limbs
95925 represents somatosensory evoked-potential testing. 95940 reports the time-based, attended monitoring service during an operation rather than a specific evoked-potential study.
95928Motor evoked potentialsUpper limbs
95928 represents central motor evoked-potential testing for upper limbs. 95940 identifies the one-on-one intraoperative monitoring service, not that specific modality or limb group.
95955Intraoperative EEGDuring surgery
95955 is an EEG service during surgery. 95940 covers attended intraoperative neurophysiology monitoring and is not limited to EEG.

95940 billing questions

How does 95940 differ from 95941?

95940 describes one-on-one monitoring with personal attendance in the operating room, reported in 15-minute units. 95941 addresses monitoring from outside the room or monitoring more than one case, with an hourly basis.

How are the units determined?

The code is reported in 15-minute units for the time spent providing the qualifying monitoring service. Keep start and stop times and note interruptions in the monitoring record.

What documentation supports the service?

Document the operation, monitoring modalities, the professional providing the service, the monitoring interval, interruptions, signal changes, and communications with the surgical team.

Does 95940 represent the spine operation itself?

No. It represents attended intraoperative neurophysiology monitoring, not the decompression, fusion, or other surgical work.

Can the code be used when the monitor watches multiple cases?

95940 is for attention directed exclusively to one patient in the operating room. Monitoring more than one case has a different reporting circumstance.

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 95940PPRRVU2026_Oct_nonQPP.csv, line 12,696 (RVU26D)

Open CMS sourceHow we calculate rates

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