Billing code 95851: Range of motionMedicare rate & RVUs
Reports formal range-of-motion measurements for an extremity other than the hand or a spinal trunk section, supported by documented findings.
Medicare pays $26.05 for 95851 nationally in the office and $6.68 in a hospital or facility. Local office rates run $23.02–$35.49.
Medicare rate · 95851
Range of motion
Swap in your local Medicare rate.
- Work RVUs
- 0.16
- Total RVUs
- 0.78
- Global days
- XXX
National rate · 2026
$26.05
Office setting, before claim adjustments.
See every locality for 95851 → · 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.
On this page 10 sections
What 95851 covers
A clinician measures and reports how far a joint or spinal section moves, commonly using a goniometer or similar measuring tool. Examples include documenting shoulder or knee motion after an injury or procedure, or measuring cervical or lumbar spine mobility. Physical therapists, physicians, and other qualified clinicians may perform this assessment in outpatient rehabilitation, orthopedic, or other clinical settings.
Select the code by the body area measured: each extremity other than the hand, or a trunk section of the spine. The hand is reported separately with 95852. Record the specific side or spinal section and the measured motion, such as degrees of flexion or extension, in the report. This code represents a discrete measurement and report, not merely a brief observation of movement during a routine examination or treatment session.
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 95851 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
$23.02 to $35.49
109 of 109 payment localities
95851 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.
$23.02
$31.72
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $29.90 | 1 |
| AL | $23.36 | 1 |
| AR | $23.02 | 1 |
| AZ | $25.37 | 1 |
| CA | $27.94–$35.49 | 29 |
| CO | $27.35 | 1 |
| CT | $27.80 | 1 |
| DC | $30.01 | 1 |
| DE | $25.80 | 1 |
| FL | $25.32–$27.40 | 3 |
| GA | $23.92–$26.46 | 2 |
| GU | $28.70 | 1 |
| HI | $28.70 | 1 |
| IA | $24.12 | 1 |
| ID | $24.25 | 1 |
| IL | $24.47–$26.90 | 4 |
| IN | $24.39 | 1 |
| KS | $23.93 | 1 |
| KY | $23.76 | 1 |
| LA | $23.70–$24.90 | 2 |
| MA | $27.15–$30.19 | 2 |
| MD | $26.32–$30.01 | 3 |
| ME | $24.30–$25.75 | 2 |
| MI | $24.32–$25.57 | 2 |
| MN | $26.41 | 1 |
| MO | $23.23–$25.08 | 3 |
| MS | $23.13 | 1 |
| MT | $26.05 | 1 |
| NC | $24.57 | 1 |
| ND | $25.85 | 1 |
| NE | $24.28 | 1 |
| NH | $26.85 | 1 |
| NJ | $28.17–$29.67 | 2 |
| NM | $24.43 | 1 |
| NV | $26.02 | 1 |
| NY | $24.93–$30.53 | 5 |
| OH | $24.28 | 1 |
| OK | $23.80 | 1 |
| OR | $25.87–$28.31 | 2 |
| PA | $24.36–$27.05 | 2 |
| PR | $26.27 | 1 |
| RI | $26.79 | 1 |
| SC | $24.45 | 1 |
| SD | $25.83 | 1 |
| TN | $24.04 | 1 |
| TX | $24.20–$27.21 | 8 |
| UT | $24.80 | 1 |
| VA | $25.61–$30.01 | 2 |
| VI | $26.27 | 1 |
| VT | $25.68 | 1 |
| WA | $27.12–$30.88 | 2 |
| WI | $24.97 | 1 |
| WV | $23.53 | 1 |
| WY | $25.97 | 1 |
How the 95851 rate is calculated
Each of 95851’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 · 95851
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.16Practice expense 0.61Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95851
95851 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 · 95851
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$26.05
The facility rate would be $6.68 (+$19.37). In a facility, the facility bills its own costs separately.
95851 compared with similar codes
Compare codes
95851 vs 95852 vs 97750 vs 97164: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 95852ROM measurement
- 95851 covers extremities other than the hand and spinal trunk sections. 95852 is for hand measurements.
- 97750Performance test
- 95851 reports range-of-motion findings for specified anatomy. 97750 describes broader physical performance testing or measurement with a written report.
- 97164PT re-evaluation
- 95851 is a discrete range-of-motion measurement service. 97164 is a physical therapy reevaluation of the patient's plan of care.
95851 billing questions
When should 95851 be used instead of 95852?
Use 95851 for an extremity other than the hand or for a spinal trunk section. Use 95852 for hand range-of-motion measurements.
How are units counted?
Count each measured extremity other than the hand or each measured spinal trunk section. Identify the side or section in the documentation.
Does a routine range-of-motion check during an exam support this code?
A brief observation as part of an examination or treatment is not the discrete measurement-and-report service represented by 95851. Document the measured body area and findings.
Can 95851 and 95852 be reported for the same patient?
They describe different body areas, so both may be relevant when non-hand extremity or spinal measurements and hand measurements are each performed and documented.
Are therapeutic exercises included in this service?
No. Measuring and reporting motion is distinct from performing exercises to improve strength, flexibility, or mobility.
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
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