Billing code 95852: ROM measurementMedicare rate & RVUs
Reports measured range of motion of the hand, with or without comparison to normal values, when a hand-specific assessment is performed and documented.
Medicare pays $21.38 for 95852 nationally in the office and $5.01 in a hospital or facility. Local office rates run $18.77–$29.30.
Medicare rate · 95852
ROM measurement
Swap in your local Medicare rate.
- Work RVUs
- 0.11
- Total RVUs
- 0.64
- Global days
- XXX
National rate · 2026
$21.38
Office setting, before claim adjustments.
See every locality for 95852 → · 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 95852 covers
This service records and reports hand range of motion, such as measured movement at the wrist or finger joints. A physician or other qualified clinician may perform it during an evaluation of stiffness, restricted motion, or recovery after a hand injury or procedure. The record should identify the hand assessed and include the measurements and findings that support the assessment; a general statement that motion is limited does not show the measurement service performed.
Use 95852 for hand measurements rather than 95851, which covers other extremities or trunk sections. The documentation should make clear that the service was a measured assessment with a report, not simply an observation made during treatment or a set of therapeutic exercises. Identify the side and the relevant motions or joints measured. CMS lists no special payment rule for this code in the supplied facts; its physician fee schedule valuation includes work and practice expense components.
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 95852 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
$18.77 to $29.30
109 of 109 payment localities
95852 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.
$18.77
$26.13
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 | $24.19 | 1 |
| AL | $19.06 | 1 |
| AR | $18.77 | 1 |
| AZ | $20.79 | 1 |
| CA | $22.95–$29.30 | 29 |
| CO | $22.46 | 1 |
| CT | $22.86 | 1 |
| DC | $24.70 | 1 |
| DE | $21.15 | 1 |
| FL | $20.78–$22.60 | 3 |
| GA | $19.56–$21.73 | 2 |
| GU | $23.62 | 1 |
| HI | $23.62 | 1 |
| IA | $19.70 | 1 |
| ID | $19.81 | 1 |
| IL | $20.05–$22.13 | 4 |
| IN | $19.94 | 1 |
| KS | $19.54 | 1 |
| KY | $19.42 | 1 |
| LA | $19.37–$20.40 | 2 |
| MA | $22.29–$24.86 | 2 |
| MD | $21.59–$24.70 | 3 |
| ME | $19.86–$21.10 | 2 |
| MI | $19.91–$21.00 | 2 |
| MN | $21.65 | 1 |
| MO | $18.97–$20.54 | 3 |
| MS | $18.88 | 1 |
| MT | $21.38 | 1 |
| NC | $20.09 | 1 |
| ND | $21.18 | 1 |
| NE | $19.83 | 1 |
| NH | $22.05 | 1 |
| NJ | $23.15–$24.41 | 2 |
| NM | $20.00 | 1 |
| NV | $21.34 | 1 |
| NY | $20.41–$25.18 | 5 |
| OH | $19.87 | 1 |
| OK | $19.44 | 1 |
| OR | $21.21–$23.28 | 2 |
| PA | $19.93–$22.22 | 2 |
| PR | $21.56 | 1 |
| RI | $21.98 | 1 |
| SC | $20.01 | 1 |
| SD | $21.15 | 1 |
| TN | $19.64 | 1 |
| TX | $19.79–$22.35 | 8 |
| UT | $20.30 | 1 |
| VA | $20.98–$24.70 | 2 |
| VI | $21.56 | 1 |
| VT | $21.04 | 1 |
| WA | $22.27–$25.44 | 2 |
| WI | $20.42 | 1 |
| WV | $19.25 | 1 |
| WY | $21.29 | 1 |
How the 95852 rate is calculated
Each of 95852’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 · 95852
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.11Practice expense 0.52Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95852
95852 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 · 95852
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$21.38
The facility rate would be $5.01 (+$16.37). In a facility, the facility bills its own costs separately.
95852 compared with similar codes
Compare codes
95852 vs 95851 vs 97750 vs 97110: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 95851Range of motion
- Choose 95852 for the hand. Code 95851 covers other extremities or trunk sections.
- 97750Performance test
- Code 95852 is specific to hand range-of-motion measurement; 97750 is for physical performance testing or measurement with a written report.
- 97110Therapeutic exercise
- Code 95852 reports measured hand motion. Code 97110 reports therapeutic exercise, not the measurement itself.
95852 billing questions
When should 95852 be used instead of 95851?
Use 95852 for measured hand range of motion. Code 95851 describes measurements of other extremities or trunk sections.
Does performing hand exercises support 95852?
Not by itself. The record should show that hand motion was measured and reported, rather than only treated with exercises.
What should the note include?
Identify the hand assessed and document the range-of-motion findings. Include the movements or joints measured so the record supports a hand-specific measurement service.
Can 95852 be reported with 95851?
The codes describe different measurement areas: 95852 covers the hand, while 95851 covers other extremities or trunk sections. Document the distinct areas assessed.
Is 95852 a therapy exercise code?
No. It describes measurement and reporting of hand range of motion; 97110 describes therapeutic exercise.
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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