Billing code 95911: Nerve conduction studyMedicare rate & RVUs

Medicare pays $220.11 for 95911 nationally in the office. Local office rates run $199.42–$287.32.

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

What 95911 covers

A physician or qualified clinician uses surface electrodes and electrical stimulation to measure how signals travel through peripheral nerves. The results can help assess conditions such as suspected carpal tunnel syndrome, ulnar neuropathy, or generalized peripheral neuropathy. Neurologists and physical medicine and rehabilitation physicians commonly perform or interpret these tests in office and hospital settings. The study may be part of an electrodiagnostic evaluation that also includes needle electromyography.

Select this code when the documented examination comprises nine or ten nerve conduction studies; the count is based on the studies performed, not the diagnosis or number of body regions evaluated. Keep a record of the nerves and tests performed, along with the findings and interpretation. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service.

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 95911 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

95911 rates by state

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

How the 95911 rate is calculated

Each of 95911’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.

Payment rules and modifiers for 95911

The CMS indicators that decide how 95911 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

95911 compared with similar codes

How to choose

95910Nerve conduction study

Use 95910 when the examination includes seven or eight nerve conduction studies; use 95911 for nine or ten.

95912Nerve conduction study

Use 95912 when the examination includes eleven or twelve nerve conduction studies; use 95911 for nine or ten.

95905Nerve conduction test

95905 describes testing performed with an automated nerve conduction device. Code 95911 represents conventional testing selected by study count.

95886Needle EMG add-on

95886 is for needle electromyography of an extremity. Code 95911 reports nerve conduction testing; both may be appropriate when both services are performed.

Codes related to 95911

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates