Billing code 95933: Blink reflexMedicare rate & RVUs
Reports electrical stimulation and bilateral eye-muscle recordings used to evaluate trigeminal and facial nerve pathways and related brainstem reflex activity.
Medicare pays $85.51 for 95933 nationally in the office. Local office rates run $75.72–$115.66.
Medicare rate · 95933
Blink reflex
Swap in your local Medicare rate.
- Work RVUs
- 0.58
- Total RVUs
- 2.56
- Global days
- XXX
National rate · 2026
$85.51
Office setting, before claim adjustments.
See every locality for 95933 → · 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 95933 covers
The study electrically stimulates the supraorbital branch of the trigeminal nerve and records reflex activity from the orbicularis oculi muscles on both sides. The responses help assess the sensory trigeminal pathway, brainstem connections, and facial nerve output. Neurologists and other clinicians trained in electrodiagnostic testing commonly use it when evaluating facial weakness, facial sensory symptoms, or suspected brainstem involvement. Testing is generally performed in an outpatient electrodiagnostic laboratory or a hospital setting.
Report 95933 for the blink-reflex study itself, rather than selecting a nerve-conduction code based on the number of nerve-conduction studies. The record should support that stimulation and bilateral recordings were performed and include the clinician’s interpretation of the responses. CMS recognizes professional and technical components: append modifier 26 for the interpretation, modifier TC for the equipment and staff, or report the global service without either modifier when one entity provides both 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 95933 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
$75.72 to $115.66
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $76.83 | Unavailable |
| Alaska* | $98.80 | Unavailable |
| Arizona | $83.31 | Unavailable |
| Arkansas | $75.72 | Unavailable |
| Atlanta | $86.87 | Unavailable |
| Austin | $89.15 | Unavailable |
| Bakersfield | $91.57 | Unavailable |
| Baltimore/Surr. Cntys | $90.86 | Unavailable |
| Beaumont | $79.58 | Unavailable |
| Brazoria | $84.78 | Unavailable |
| Chicago | $87.70 | Unavailable |
| Chico | $91.44 | Unavailable |
| Colorado | $89.59 | Unavailable |
| Connecticut | $91.16 | Unavailable |
| Dallas | $85.23 | Unavailable |
| Dc + Md/Va Suburbs | $98.24 | Unavailable |
| Delaware | $84.69 | Unavailable |
| Detroit | $84.15 | Unavailable |
| East St. Louis | $81.68 | Unavailable |
| El Centro | $91.44 | Unavailable |
| Fort Lauderdale | $87.43 | Unavailable |
| Fort Worth | $84.60 | Unavailable |
| Fresno | $91.44 | Unavailable |
| Galveston | $84.98 | Unavailable |
| Hanford-Corcoran | $91.44 | Unavailable |
| Hawaii, Guam | $93.82 | Unavailable |
| Houston | $85.71 | Unavailable |
| Idaho | $79.62 | Unavailable |
| Indiana | $80.09 | Unavailable |
| Iowa | $79.19 | Unavailable |
| Kansas | $78.62 | Unavailable |
| Kentucky | $78.20 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $97.71 | Unavailable |
| Madera | $91.44 | Unavailable |
| Manhattan | $98.03 | Unavailable |
| Merced | $91.44 | Unavailable |
| Metropolitan Boston | $98.72 | Unavailable |
| Metropolitan Kansas City | $81.52 | Unavailable |
| Metropolitan Philadelphia | $88.77 | Unavailable |
| Metropolitan St. Louis | $82.40 | Unavailable |
| Miami | $90.21 | Unavailable |
| Minnesota | $86.44 | Unavailable |
| Mississippi | $76.15 | Unavailable |
| Modesto | $91.44 | Unavailable |
| Montana** | $85.50 | Unavailable |
| Napa | $106.68 | Unavailable |
| Nebraska | $79.69 | Unavailable |
| Nevada** | $85.35 | Unavailable |
| New Hampshire | $88.00 | Unavailable |
| New Mexico | $80.40 | Unavailable |
| New Orleans | $81.86 | Unavailable |
| North Carolina | $80.68 | Unavailable |
| North Dakota** | $84.71 | Unavailable |
| Northern Nj | $97.19 | Unavailable |
| Nyc Suburbs/Long Island | $100.14 | Unavailable |
| Ohio | $79.88 | Unavailable |
| Oklahoma | $78.28 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $97.34 | Unavailable |
| Portland | $92.67 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $92.81 | Unavailable |
| Puerto Rico | $86.20 | Unavailable |
| Queens | $99.13 | Unavailable |
| Redding | $91.44 | Unavailable |
| Rest Of California | $91.44 | Unavailable |
| Rest Of Florida | $83.33 | Unavailable |
| Rest Of Georgia | $78.76 | Unavailable |
| Rest Of Illinois | $80.62 | Unavailable |
| Rest Of Louisiana | $78.00 | Unavailable |
| Rest Of Maine | $79.82 | Unavailable |
| Rest Of Maryland | $86.37 | Unavailable |
| Rest Of Massachusetts | $88.98 | Unavailable |
| Rest Of Michigan | $80.04 | Unavailable |
| Rest Of Missouri | $76.53 | Unavailable |
| Rest Of New Jersey | $92.37 | Unavailable |
| Rest Of New York | $81.87 | Unavailable |
| Rest Of Oregon | $84.85 | Unavailable |
| Rest Of Pennsylvania | $80.12 | Unavailable |
| Rest Of Texas | $82.07 | Unavailable |
| Rest Of Washington | $88.87 | Unavailable |
| Rhode Island | $87.87 | Unavailable |
| Riverside-San Bernardino-Ontario | $91.88 | Unavailable |
| Sacramento-Roseville-Folsom | $96.15 | Unavailable |
| Salinas | $95.79 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $98.18 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $113.19 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $113.15 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $115.66 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $115.47 | Unavailable |
| San Luis Obispo-Paso Robles | $94.22 | Unavailable |
| Santa Cruz-Watsonville | $99.22 | Unavailable |
| Santa Maria-Santa Barbara | $96.19 | Unavailable |
| Santa Rosa-Petaluma | $100.24 | Unavailable |
| Seattle (King Cnty) | $100.94 | Unavailable |
| South Carolina | $80.38 | Unavailable |
| South Dakota** | $84.62 | Unavailable |
| Southern Maine | $84.43 | Unavailable |
| Stockton | $91.44 | Unavailable |
| Suburban Chicago | $88.42 | Unavailable |
| Tennessee | $78.99 | Unavailable |
| Utah | $81.48 | Unavailable |
| Vallejo | $106.61 | Unavailable |
| Vermont | $84.20 | Unavailable |
| Virgin Islands | $86.20 | Unavailable |
| Virginia | $84.01 | Unavailable |
| Visalia | $91.44 | Unavailable |
| West Virginia | $77.59 | Unavailable |
| Wisconsin | $81.86 | Unavailable |
| Wyoming** | $85.16 | Unavailable |
| Yuba City | $91.44 | Unavailable |
95933 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.
$75.72
$103.55
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 | $98.80 | 1 |
| AL | $76.83 | 1 |
| AR | $75.72 | 1 |
| AZ | $83.31 | 1 |
| CA | $91.44–$115.66 | 29 |
| CO | $89.59 | 1 |
| CT | $91.16 | 1 |
| DC | $98.24 | 1 |
| DE | $84.69 | 1 |
| FL | $83.33–$90.21 | 3 |
| GA | $78.76–$86.87 | 2 |
| GU | $93.82 | 1 |
| HI | $93.82 | 1 |
| IA | $79.19 | 1 |
| ID | $79.62 | 1 |
| IL | $80.62–$88.42 | 4 |
| IN | $80.09 | 1 |
| KS | $78.62 | 1 |
| KY | $78.20 | 1 |
| LA | $78.00–$81.86 | 2 |
| MA | $88.98–$98.72 | 2 |
| MD | $86.37–$98.24 | 3 |
| ME | $79.82–$84.43 | 2 |
| MI | $80.04–$84.15 | 2 |
| MN | $86.44 | 1 |
| MO | $76.53–$82.40 | 3 |
| MS | $76.15 | 1 |
| MT | $85.50 | 1 |
| NC | $80.68 | 1 |
| ND | $84.71 | 1 |
| NE | $79.69 | 1 |
| NH | $88.00 | 1 |
| NJ | $92.37–$97.19 | 2 |
| NM | $80.40 | 1 |
| NV | $85.35 | 1 |
| NY | $81.87–$100.14 | 5 |
| OH | $79.88 | 1 |
| OK | $78.28 | 1 |
| OR | $84.85–$92.67 | 2 |
| PA | $80.12–$88.77 | 2 |
| PR | $86.20 | 1 |
| RI | $87.87 | 1 |
| SC | $80.38 | 1 |
| SD | $84.62 | 1 |
| TN | $78.99 | 1 |
| TX | $79.58–$89.15 | 8 |
| UT | $81.48 | 1 |
| VA | $84.01–$98.24 | 2 |
| VI | $86.20 | 1 |
| VT | $84.20 | 1 |
| WA | $88.87–$100.94 | 2 |
| WI | $81.86 | 1 |
| WV | $77.59 | 1 |
| WY | $85.16 | 1 |
How the 95933 rate is calculated
Each of 95933’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 · 95933
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.58Practice expense 1.94Malpractice 0.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95933
The CMS indicators that decide how 95933 is paid alongside other services.
CMS payment indicators · 95933
Blink reflex
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
95933 without 26 · national office
$85.51
Blink reflex
95933-26 · Professional component
$31.73
Pays only the interpretation and report.
95933 compared with similar codes
Compare codes
95933 vs 95910 vs 95937 vs 95930: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 95910Nerve conduction study
- 95910 represents nerve-conduction testing selected by the number of studies performed. Use 95933 for the blink-reflex evaluation, not as a substitute for that count-based service.
- 95937NMJ testing
- 95937 evaluates neuromuscular transmission with nerve stimulation and related testing. Code 95933 instead evaluates the trigeminal-to-facial blink-reflex pathway.
- 95930Visual evoked potential
- 95930 evaluates visual pathway responses to visual stimulation. Code 95933 uses electrical stimulation of the supraorbital nerve and records eye-muscle reflex responses.
95933 billing questions
How is 95933 different from a nerve-conduction study code such as 95910?
95933 reports the electrically elicited blink-reflex evaluation with recordings from the eye muscles. Code 95910 is selected according to the number of nerve-conduction studies performed.
Can 95933 be reported with nerve-conduction studies on the same date?
Yes, when the blink-reflex study and the nerve-conduction studies are both performed and documented as distinct services. The nerve-conduction code is selected by its own study-count criteria.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service. Report without either modifier when billing the global service.
What documentation supports 95933?
Document the stimulation and bilateral orbicularis oculi recordings, the responses obtained, and the interpretation relevant to the suspected trigeminal, facial, or brainstem pathway problem.
Does 95933 represent one side or both sides?
The blink-reflex study includes recordings from both sides. The service is not selected by counting each eye as a separate nerve-conduction study.
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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