Billing code 95909: Nerve conductionMedicare rate & RVUs

Reports nerve conduction testing comprising five or six studies to evaluate peripheral nerve function, commonly during evaluation of suspected neuropathy or focal nerve injury.

CMS RVU26DEffective Oct 1, 2026109 payment localities103.2K Medicare services in 2024

Medicare pays $141.95 for 95909 nationally in the office. Local office rates run $128.01–$186.39.

Medicare rate · 95909

Nerve conduction

Work RVUs
1.46
Total RVUs
4.25
Global days
XXX

National rate · 2026

$141.95

Office setting, before claim adjustments.

See every locality for 95909 →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
  1. Medicare rate
  2. What 95909 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 95909 covers

Nerve conduction testing measures how electrical signals travel through peripheral nerves. A clinician stimulates selected nerves and records responses with electrodes to assess findings such as slowed conduction or reduced response amplitude. Neurologists and physical medicine and rehabilitation physicians commonly perform or interpret these studies in office and hospital settings when evaluating suspected polyneuropathy, entrapment neuropathy, or nerve injury. This code represents a study count of five or six; it is not selected by the number of diagnoses or limbs alone.

Select the code from the number of qualifying nerve conduction studies performed and documented for the encounter. The record should identify the nerves and study components tested and support the reported count and clinical purpose. Needle electromyography may be performed and reported separately when indicated and documented. Medicare recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service. The professional and technical portions may be separately priced when reported with those modifiers.

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 95909 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

$128.01 to $186.39

$128.01$157.20$186.39
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

95909 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$129.58Unavailable
Alaska*$171.19Unavailable
Arizona$138.80Unavailable
Arkansas$128.01Unavailable
Atlanta$144.02Unavailable
Austin$147.05Unavailable
Bakersfield$150.69Unavailable
Baltimore/Surr. Cntys$149.92Unavailable
Beaumont$133.61Unavailable
Brazoria$141.01Unavailable

95909 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.

$128.01

$171.19

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

View every state and territory as a table
95909 office rate range by state
State / territoryOffice rate rangeLocalities
AK$171.191
AL$129.581
AR$128.011
AZ$138.801
CA$150.42–$186.3929
CO$147.841
CT$150.421
DC$161.021
DE$140.871
FL$139.13–$149.253
GA$132.59–$144.022
GU$153.421
HI$153.421
IA$132.821
ID$133.451
IL$135.37–$146.554
IN$134.121
KS$132.071
KY$131.671
LA$131.41–$136.912
MA$147.07–$161.322
MD$143.34–$161.023
ME$133.80–$140.272
MI$134.35–$140.382
MN$142.941
MO$129.36–$137.603
MS$128.721
MT$141.951
NC$135.021
ND$140.571
NE$133.501
NH$145.391
NJ$152.49–$159.722
NM$134.881
NV$141.651
NY$136.72–$164.255
OH$134.071
OK$131.711
OR$140.90–$152.222
PA$134.38–$147.012
PR$142.921
RI$145.631
SC$134.701
SD$140.401
TN$132.601
TX$133.61–$147.058
UT$136.261
VA$139.72–$161.022
VI$142.921
VT$139.891
WA$146.84–$164.592
WI$136.521
WV$131.061
WY$141.351

How the 95909 rate is calculated

Each of 95909’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 · 95909

RVUs × geographic indexes × conversion factor

Work1.46

1.46 RVUs× 1.000 GPCI

Practice expense2.72

2.72 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

4.2500

Conversion factor

$33.4009

Medicare rate

$141.95

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

Payment rules and modifiers for 95909

The CMS indicators that decide how 95909 is paid alongside other services.

CMS payment indicators · 95909

Nerve conduction

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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

95909 without 26 · national office

$141.95

Nerve conduction

95909-26 · Professional component

$80.16

Pays only the interpretation and report.

When to use modifier 26

95909 compared with similar codes

Compare codes · National

4 codes, side by side

  • 95909

    Nerve conduction1.46 wRVU

    $141.95

  • 95908

    Nerve conduction1.22 wRVU

    $118.24−$23.71

  • 95910

    Nerve conduction study1.95 wRVU

    $184.71+$42.76

  • 95905

    Nerve conduction test0.05 wRVU

    $33.40−$108.55

How to choose

95908Nerve conduction
Use 95908 for three or four qualifying nerve conduction studies; use 95909 when the documented count is five or six.
95910Nerve conduction study
95910 represents seven or eight studies. Do not select it for a five- or six-study encounter.
95905Nerve conduction test
95905 describes automated nerve conduction testing, a different testing method. 95909 is selected by the count of qualifying studies.

95909 billing questions

When should 95909 be used instead?

Use 95909 when the documented encounter includes five or six qualifying nerve conduction studies. The adjacent count-based codes represent different study totals.

How is the study count determined?

Base the selection on the qualifying studies actually performed, not simply the number of nerves, limbs, or diagnoses mentioned. Document the nerves and testing components that support the count.

Can needle EMG be reported with 95909?

Yes, when a distinct needle electromyography service is performed and documented. Nerve conduction testing and needle EMG assess related but different aspects of neuromuscular function.

When should modifier 26 or TC be appended?

Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

Is 95909 reported once per nerve or limb?

The code represents five or six studies for the service, rather than a separate unit for each limb or each diagnosis. The documentation should support the total study count.

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 95909PPRRVU2026_Oct_nonQPP.csv, line 12,636 (RVU26D)

Open CMS sourceHow we calculate rates

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