Billing code 96004: Motion analysis reviewMedicare rate & RVUs
A physician reviews and interprets comprehensive computer-based motion-analysis findings, including video, and reports the clinical meaning of the test.
Medicare pays $106.21 for 96004 nationally in the office and $106.21 in a hospital or facility. Local office rates run $99.47–$141.08.
Medicare rate · 96004
Motion analysis review
Swap in your local Medicare rate.
- Work RVUs
- 2.09
- Total RVUs
- 3.18
- Global days
- XXX
National rate · 2026
$106.21
Office setting, before claim adjustments.
See every locality for 96004 → · 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 96004 covers
This service covers a physician’s review and interpretation of comprehensive computer-based motion-analysis findings, including video recordings. The physician evaluates recorded movement and test results to explain patterns relevant to a patient’s gait or other functional movement problem. It is typically performed by a physician involved in rehabilitation, orthopedics, neurology, or movement assessment after a motion-analysis laboratory has collected the test data.
Report 96004 for the physician’s interpretation and report, supported by documentation of the reviewed motion-analysis findings and the resulting clinical assessment. The technical portion is covered by a separate code when that testing is performed; do not treat this professional service as the equipment or data-acquisition service. The code is priced as bilateral, so modifier 50 does not increase payment when both sides are assessed.
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 96004 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
$99.47 to $141.08
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $100.22 | $100.22 |
| Alaska* | $141.08 | $141.08 |
| Arizona | $104.56 | $104.56 |
| Arkansas | $99.47 | $99.47 |
| Atlanta | $107.87 | $107.87 |
| Austin | $107.66 | $107.66 |
| Bakersfield | $108.76 | $108.76 |
| Baltimore/Surr. Cntys | $110.76 | $110.76 |
| Beaumont | $103.03 | $103.03 |
| Brazoria | $105.46 | $105.46 |
| Chicago | $112.92 | $112.92 |
| Chico | $108.28 | $108.28 |
| Colorado | $108.06 | $108.06 |
| Connecticut | $111.04 | $111.04 |
| Dallas | $106.05 | $106.05 |
| Dc + Md/Va Suburbs | $116.16 | $116.16 |
| Delaware | $105.71 | $105.71 |
| Detroit | $108.31 | $108.31 |
| East St. Louis | $108.42 | $108.42 |
| El Centro | $108.30 | $108.30 |
| Fort Lauderdale | $110.41 | $110.41 |
| Fort Worth | $105.80 | $105.80 |
| Fresno | $108.28 | $108.28 |
| Galveston | $105.75 | $105.75 |
| Hanford-Corcoran | $108.28 | $108.28 |
| Hawaii, Guam | $108.59 | $108.59 |
| Houston | $108.31 | $108.31 |
| Idaho | $101.21 | $101.21 |
| Indiana | $101.49 | $101.49 |
| Iowa | $100.70 | $100.70 |
| Kansas | $100.85 | $100.85 |
| Kentucky | $102.30 | $102.30 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $113.31 | $113.31 |
| Madera | $108.28 | $108.28 |
| Manhattan | $118.56 | $118.56 |
| Merced | $108.28 | $108.28 |
| Metropolitan Boston | $114.72 | $114.72 |
| Metropolitan Kansas City | $104.17 | $104.17 |
| Metropolitan Philadelphia | $109.67 | $109.67 |
| Metropolitan St. Louis | $104.70 | $104.70 |
| Miami | $114.67 | $114.67 |
| Minnesota | $103.84 | $103.84 |
| Mississippi | $100.58 | $100.58 |
| Modesto | $108.28 | $108.28 |
| Montana** | $106.21 | $106.21 |
| Napa | $118.40 | $118.40 |
| Nebraska | $100.86 | $100.86 |
| Nevada** | $105.47 | $105.47 |
| New Hampshire | $106.93 | $106.93 |
| New Mexico | $104.52 | $104.52 |
| New Orleans | $104.98 | $104.98 |
| North Carolina | $102.40 | $102.40 |
| North Dakota** | $103.44 | $103.44 |
| Northern Nj | $116.01 | $116.01 |
| Nyc Suburbs/Long Island | $120.69 | $120.69 |
| Ohio | $103.49 | $103.49 |
| Oklahoma | $101.78 | $101.78 |
| Oxnard-Thousand Oaks-Ventura | $112.18 | $112.18 |
| Portland | $109.66 | $109.66 |
| Poughkpsie/N Nyc Suburbs | $113.35 | $113.35 |
| Puerto Rico | $106.49 | $106.49 |
| Queens | $118.52 | $118.52 |
| Redding | $108.28 | $108.28 |
| Rest Of California | $108.28 | $108.28 |
| Rest Of Florida | $107.17 | $107.17 |
| Rest Of Georgia | $103.69 | $103.69 |
| Rest Of Illinois | $106.09 | $106.09 |
| Rest Of Louisiana | $102.37 | $102.37 |
| Rest Of Maine | $101.91 | $101.91 |
| Rest Of Maryland | $106.91 | $106.91 |
| Rest Of Massachusetts | $108.06 | $108.06 |
| Rest Of Michigan | $104.06 | $104.06 |
| Rest Of Missouri | $101.71 | $101.71 |
| Rest Of New Jersey | $112.38 | $112.38 |
| Rest Of New York | $103.24 | $103.24 |
| Rest Of Oregon | $104.70 | $104.70 |
| Rest Of Pennsylvania | $103.36 | $103.36 |
| Rest Of Texas | $104.14 | $104.14 |
| Rest Of Washington | $107.69 | $107.69 |
| Rhode Island | $108.08 | $108.08 |
| Riverside-San Bernardino-Ontario | $109.83 | $109.83 |
| Sacramento-Roseville-Folsom | $111.73 | $111.73 |
| Salinas | $111.25 | $111.25 |
| San Diego-Chula Vista-Carlsbad | $112.39 | $112.39 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $123.33 | $123.33 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $123.17 | $123.17 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $125.75 | $125.75 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $125.10 | $125.10 |
| San Luis Obispo-Paso Robles | $109.64 | $109.64 |
| Santa Cruz-Watsonville | $112.33 | $112.33 |
| Santa Maria-Santa Barbara | $111.27 | $111.27 |
| Santa Rosa-Petaluma | $113.37 | $113.37 |
| Seattle (King Cnty) | $116.05 | $116.05 |
| South Carolina | $103.10 | $103.10 |
| South Dakota** | $103.11 | $103.11 |
| Southern Maine | $104.20 | $104.20 |
| Stockton | $108.28 | $108.28 |
| Suburban Chicago | $111.17 | $111.17 |
| Tennessee | $101.16 | $101.16 |
| Utah | $103.83 | $103.83 |
| Vallejo | $118.17 | $118.17 |
| Vermont | $103.59 | $103.59 |
| Virgin Islands | $106.49 | $106.49 |
| Virginia | $104.30 | $104.30 |
| Visalia | $108.28 | $108.28 |
| West Virginia | $104.07 | $104.07 |
| Wisconsin | $101.65 | $101.65 |
| Wyoming** | $105.00 | $105.00 |
| Yuba City | $108.28 | $108.28 |
96004 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.
$99.47
$141.08
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 | $141.08 | 1 |
| AL | $100.22 | 1 |
| AR | $99.47 | 1 |
| AZ | $104.56 | 1 |
| CA | $108.28–$125.75 | 29 |
| CO | $108.06 | 1 |
| CT | $111.04 | 1 |
| DC | $116.16 | 1 |
| DE | $105.71 | 1 |
| FL | $107.17–$114.67 | 3 |
| GA | $103.69–$107.87 | 2 |
| GU | $108.59 | 1 |
| HI | $108.59 | 1 |
| IA | $100.70 | 1 |
| ID | $101.21 | 1 |
| IL | $106.09–$112.92 | 4 |
| IN | $101.49 | 1 |
| KS | $100.85 | 1 |
| KY | $102.30 | 1 |
| LA | $102.37–$104.98 | 2 |
| MA | $108.06–$114.72 | 2 |
| MD | $106.91–$116.16 | 3 |
| ME | $101.91–$104.20 | 2 |
| MI | $104.06–$108.31 | 2 |
| MN | $103.84 | 1 |
| MO | $101.71–$104.70 | 3 |
| MS | $100.58 | 1 |
| MT | $106.21 | 1 |
| NC | $102.40 | 1 |
| ND | $103.44 | 1 |
| NE | $100.86 | 1 |
| NH | $106.93 | 1 |
| NJ | $112.38–$116.01 | 2 |
| NM | $104.52 | 1 |
| NV | $105.47 | 1 |
| NY | $103.24–$120.69 | 5 |
| OH | $103.49 | 1 |
| OK | $101.78 | 1 |
| OR | $104.70–$109.66 | 2 |
| PA | $103.36–$109.67 | 2 |
| PR | $106.49 | 1 |
| RI | $108.08 | 1 |
| SC | $103.10 | 1 |
| SD | $103.11 | 1 |
| TN | $101.16 | 1 |
| TX | $103.03–$108.31 | 8 |
| UT | $103.83 | 1 |
| VA | $104.30–$116.16 | 2 |
| VI | $106.49 | 1 |
| VT | $103.59 | 1 |
| WA | $107.69–$116.05 | 2 |
| WI | $101.65 | 1 |
| WV | $104.07 | 1 |
| WY | $105.00 | 1 |
How the 96004 rate is calculated
Each of 96004’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 · 96004
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.09Practice expense 0.95Malpractice 0.14
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 96004
The CMS indicators that decide how 96004 is paid alongside other services.
CMS payment indicators · 96004
Motion analysis review
| 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) | 2 | Already bilateral by definition: paid once at 100%. |
| 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 | 2 | Professional component only. |
96004 compared with similar codes
Compare codes
96004 vs 96000 vs 96001 vs 96002: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 96000Motion analysis
- 96000 represents technical computerized motion analysis. Choose 96004 for the physician’s interpretation and report of comprehensive motion-analysis findings.
- 96001Motion analysis
- 96001 covers technical motion testing with force-platform measurements; 96004 covers physician review and interpretation.
- 96002Surface EMG
- 96002 represents dynamic surface EMG testing during movement. 96004 is the physician’s interpretation service, not EMG data acquisition.
96004 billing questions
How is 96004 different from 96000?
96004 is the physician’s review and interpretation of comprehensive motion-analysis findings, including video. 96000 covers the technical computerized motion analysis.
Can the technical motion-analysis service be reported separately?
Yes. CMS identifies a separate code for the technical portion; 96004 represents the physician’s interpretation and report.
Should modifier 50 be appended when both sides are analyzed?
No. The code is already priced as bilateral, and modifier 50 does not increase payment.
What documentation supports 96004?
Document the motion-analysis material reviewed, the physician’s interpretation of the findings, and the resulting report. The record should distinguish the interpretation from technical test acquisition.
Is 96004 reported for force-platform measurements or surface EMG acquisition?
96004 reports the physician’s interpretation of comprehensive motion-analysis findings. Force-platform measurements and dynamic surface EMG are represented by separate motion-analysis testing codes when 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
Show the CMS file lines behind this rate
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