Billing code 95926: Somatosensory testingMedicare rate & RVUs

Medicare pays $135.94 for 95926 nationally in the office. Local office rates run $118.70–$188.64.

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

What 95926 covers

This study evaluates sensory signal conduction from lower-limb peripheral nerves through the spinal cord toward the brain. A technologist applies electrical stimulation, commonly at a peripheral nerve, while recording responses at selected sites; a qualified physician interprets the waveforms and findings. Neurologists and other clinicians may use the results when assessing suspected sensory pathway dysfunction, including possible spinal cord disease, or during selected procedures requiring neurophysiologic monitoring.

Select this code when the documented study tests short-latency somatosensory responses from the lower limbs. The record should identify the nerves or sites stimulated, recording locations, waveforms obtained, and the physician’s interpretation. CMS recognizes separate professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service. The code is priced as bilateral, so modifier 50 does not increase payment.

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 95926 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

95926 rates by state

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

How the 95926 rate is calculated

Each of 95926’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 95926

The CMS indicators that decide how 95926 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

95926 compared with similar codes

How to choose

95925Evoked potential

Use 95925 for upper-limb sensory pathways; use 95926 for lower-limb pathways.

95927Somatosensory testing

95927 identifies testing recorded from spinal cord or subcortical structures, while 95926 is the lower-limb short-latency study.

95938Sensory evoked potentials

95938 describes a different somatosensory evoked-potential approach and covers upper and lower limbs; 95926 is the short-latency lower-limb study.

95929Motor evoked study

95929 evaluates central motor pathways in the lower limbs. Choose 95926 when the study evaluates sensory, rather than motor, pathway responses.

Codes related to 95926

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