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CMS RVU26D · Effective 2026-10-01

95909 in El Centro

Office / nonfacility

$150.43

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Neurology testing

About 95909: Nerve conduction study, five to six studies

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

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.

CMS billing rules for 95909

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU1.46 · 34%
  • Practice expense (office) RVU2.72 · 64%
  • Malpractice RVU0.07 · 2%

103.2K

Medicare services in 2024 · #546 by national volume

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.

95909 compared with similar codes

Office rates for El Centro, from the same CMS release.

95908

Nerve conduction

Three to four studies

$125.26

Use 95908 for three or four qualifying nerve conduction studies; use 95909 when the documented count is five or six.

95910

Nerve conduction study

7-8 studies

$195.81

95910 represents seven or eight studies. Do not select it for a five- or six-study encounter.

95905

Nerve conduction test

Automated device, 1-2 studies

$36.10

95905 describes automated nerve conduction testing, a different testing method. 95909 is selected by the count of qualifying studies.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 95909 is $150.69—$0.26 higher than the $150.43 rate in El Centro. Both use the same code, release and participation basis.

95909 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $150.43

  2. Bakersfield

    $150.69

    $0.26 higher than El Centro

  3. Chico

    $150.42

    $0.01 lower than El Centro

  4. Fresno

    $150.42

    $0.01 lower than El Centro

  5. Hanford-Corcoran

    $150.42

    $0.01 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $159.79

    $9.36 higher than El Centro

  7. Madera

    $150.42

    $0.01 lower than El Centro

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 95909 ranges from $128.01 in Arkansas to $186.39 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Merced

    California · 95909

    Office

    $150.42

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Modesto

    California · 95909

    Office

    $150.42

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Napa

    California · 95909

    Office

    $172.77

    Facility

    Unavailable

    $22.34 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 95909

    Office

    $158.97

    Facility

    Unavailable

    $8.54 higher than El Centro for the office setting.

  • Redding

    California · 95909

    Office

    $150.42

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Rest Of California

    California · 95909

    Office

    $150.42

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 95909

    Office

    $151.21

    Facility

    Unavailable

    $0.78 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 95909

    Office

    $157.43

    Facility

    Unavailable

    $7.00 higher than El Centro for the office setting.

  • Salinas

    California · 95909

    Office

    $156.83

    Facility

    Unavailable

    $6.40 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 95909

    Office

    $160.15

    Facility

    Unavailable

    $9.72 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 95909

    Office

    $182.57

    Facility

    Unavailable

    $32.14 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 95909

    Office

    $182.49

    Facility

    Unavailable

    $32.06 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 95909

    Office

    $186.39

    Facility

    Unavailable

    $35.96 higher than El Centro for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 95909

    Office

    $186.06

    Facility

    Unavailable

    $35.63 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 95909

    Office

    $154.33

    Facility

    Unavailable

    $3.90 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 95909

    Office

    $161.43

    Facility

    Unavailable

    $11.00 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 95909

    Office

    $157.32

    Facility

    Unavailable

    $6.89 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 95909

    Office

    $163.05

    Facility

    Unavailable

    $12.62 higher than El Centro for the office setting.

  • Stockton

    California · 95909

    Office

    $150.42

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Vallejo

    California · 95909

    Office

    $172.65

    Facility

    Unavailable

    $22.22 higher than El Centro for the office setting.

  • Visalia

    California · 95909

    Office

    $150.42

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Yuba City

    California · 95909

    Office

    $150.42

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 95909

    Office

    $161.02

    Facility

    Unavailable

    $10.59 higher than El Centro for the office setting.

  • Miami

    Florida · 95909

    Office

    $149.25

    Facility

    Unavailable

    $1.18 lower than El Centro for the office setting.

  • Chicago

    Illinois · 95909

    Office

    $145.78

    Facility

    Unavailable

    $4.65 lower than El Centro for the office setting.

  • Manhattan

    New York · 95909

    Office

    $161.16

    Facility

    Unavailable

    $10.73 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 95909

    Office

    $171.19

    Facility

    Unavailable

    $20.76 higher than El Centro for the office setting.

  • Alabama

    Alabama · 95909

    Office

    $129.58

    Facility

    Unavailable

    $20.85 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 95909

    Office

    $128.01

    Facility

    Unavailable

    $22.42 lower than El Centro for the office setting.

  • Arizona

    Arizona · 95909

    Office

    $138.80

    Facility

    Unavailable

    $11.63 lower than El Centro for the office setting.

  • Colorado

    Colorado · 95909

    Office

    $147.84

    Facility

    Unavailable

    $2.59 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 95909

    Office

    $150.42

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Delaware

    Delaware · 95909

    Office

    $140.87

    Facility

    Unavailable

    $9.56 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 95909

    Office

    $145.02

    Facility

    Unavailable

    $5.41 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 95909

    Office

    $139.13

    Facility

    Unavailable

    $11.30 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 95909

    Office

    $144.02

    Facility

    Unavailable

    $6.41 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 95909

    Office

    $132.59

    Facility

    Unavailable

    $17.84 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 95909

    Office

    $153.42

    Facility

    Unavailable

    $2.99 higher than El Centro for the office setting.

  • Iowa

    Iowa · 95909

    Office

    $132.82

    Facility

    Unavailable

    $17.61 lower than El Centro for the office setting.

  • Idaho

    Idaho · 95909

    Office

    $133.45

    Facility

    Unavailable

    $16.98 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 95909

    Office

    $137.06

    Facility

    Unavailable

    $13.37 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 95909

    Office

    $135.37

    Facility

    Unavailable

    $15.06 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 95909

    Office

    $146.55

    Facility

    Unavailable

    $3.88 lower than El Centro for the office setting.

  • Indiana

    Indiana · 95909

    Office

    $134.12

    Facility

    Unavailable

    $16.31 lower than El Centro for the office setting.

  • Kansas

    Kansas · 95909

    Office

    $132.07

    Facility

    Unavailable

    $18.36 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 95909

    Office

    $131.67

    Facility

    Unavailable

    $18.76 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 95909

    Office

    $136.91

    Facility

    Unavailable

    $13.52 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 95909

    Office

    $131.41

    Facility

    Unavailable

    $19.02 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 95909

    Office

    $161.32

    Facility

    Unavailable

    $10.89 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 95909

    Office

    $147.07

    Facility

    Unavailable

    $3.36 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 95909

    Office

    $149.92

    Facility

    Unavailable

    $0.51 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 95909

    Office

    $143.34

    Facility

    Unavailable

    $7.09 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 95909

    Office

    $133.80

    Facility

    Unavailable

    $16.63 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 95909

    Office

    $140.27

    Facility

    Unavailable

    $10.16 lower than El Centro for the office setting.

  • Detroit

    Michigan · 95909

    Office

    $140.38

    Facility

    Unavailable

    $10.05 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 95909

    Office

    $134.35

    Facility

    Unavailable

    $16.08 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 95909

    Office

    $142.94

    Facility

    Unavailable

    $7.49 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 95909

    Office

    $136.36

    Facility

    Unavailable

    $14.07 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 95909

    Office

    $137.60

    Facility

    Unavailable

    $12.83 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 95909

    Office

    $129.36

    Facility

    Unavailable

    $21.07 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 95909

    Office

    $128.72

    Facility

    Unavailable

    $21.71 lower than El Centro for the office setting.

  • Montana**

    Montana · 95909

    Office

    $141.95

    Facility

    Unavailable

    $8.48 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 95909

    Office

    $135.02

    Facility

    Unavailable

    $15.41 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 95909

    Office

    $140.57

    Facility

    Unavailable

    $9.86 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 95909

    Office

    $133.50

    Facility

    Unavailable

    $16.93 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 95909

    Office

    $145.39

    Facility

    Unavailable

    $5.04 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 95909

    Office

    $159.72

    Facility

    Unavailable

    $9.29 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 95909

    Office

    $152.49

    Facility

    Unavailable

    $2.06 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 95909

    Office

    $134.88

    Facility

    Unavailable

    $15.55 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 95909

    Office

    $141.65

    Facility

    Unavailable

    $8.78 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 95909

    Office

    $164.25

    Facility

    Unavailable

    $13.82 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 95909

    Office

    $153.27

    Facility

    Unavailable

    $2.84 higher than El Centro for the office setting.

  • Queens

    New York · 95909

    Office

    $162.64

    Facility

    Unavailable

    $12.21 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 95909

    Office

    $136.72

    Facility

    Unavailable

    $13.71 lower than El Centro for the office setting.

  • Ohio

    Ohio · 95909

    Office

    $134.07

    Facility

    Unavailable

    $16.36 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 95909

    Office

    $131.71

    Facility

    Unavailable

    $18.72 lower than El Centro for the office setting.

  • Portland

    Oregon · 95909

    Office

    $152.22

    Facility

    Unavailable

    $1.79 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 95909

    Office

    $140.90

    Facility

    Unavailable

    $9.53 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 95909

    Office

    $147.01

    Facility

    Unavailable

    $3.42 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 95909

    Office

    $134.38

    Facility

    Unavailable

    $16.05 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 95909

    Office

    $142.92

    Facility

    Unavailable

    $7.51 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 95909

    Office

    $145.63

    Facility

    Unavailable

    $4.80 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 95909

    Office

    $134.70

    Facility

    Unavailable

    $15.73 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 95909

    Office

    $140.40

    Facility

    Unavailable

    $10.03 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 95909

    Office

    $132.60

    Facility

    Unavailable

    $17.83 lower than El Centro for the office setting.

  • Austin

    Texas · 95909

    Office

    $147.05

    Facility

    Unavailable

    $3.38 lower than El Centro for the office setting.

  • Beaumont

    Texas · 95909

    Office

    $133.61

    Facility

    Unavailable

    $16.82 lower than El Centro for the office setting.

  • Brazoria

    Texas · 95909

    Office

    $141.01

    Facility

    Unavailable

    $9.42 lower than El Centro for the office setting.

  • Dallas

    Texas · 95909

    Office

    $141.70

    Facility

    Unavailable

    $8.73 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 95909

    Office

    $140.82

    Facility

    Unavailable

    $9.61 lower than El Centro for the office setting.

  • Galveston

    Texas · 95909

    Office

    $141.31

    Facility

    Unavailable

    $9.12 lower than El Centro for the office setting.

  • Houston

    Texas · 95909

    Office

    $142.59

    Facility

    Unavailable

    $7.84 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 95909

    Office

    $137.09

    Facility

    Unavailable

    $13.34 lower than El Centro for the office setting.

  • Utah

    Utah · 95909

    Office

    $136.26

    Facility

    Unavailable

    $14.17 lower than El Centro for the office setting.

  • Virginia

    Virginia · 95909

    Office

    $139.72

    Facility

    Unavailable

    $10.71 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 95909

    Office

    $142.92

    Facility

    Unavailable

    $7.51 lower than El Centro for the office setting.

  • Vermont

    Vermont · 95909

    Office

    $139.89

    Facility

    Unavailable

    $10.54 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 95909

    Office

    $146.84

    Facility

    Unavailable

    $3.59 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 95909

    Office

    $164.59

    Facility

    Unavailable

    $14.16 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 95909

    Office

    $136.52

    Facility

    Unavailable

    $13.91 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 95909

    Office

    $131.06

    Facility

    Unavailable

    $19.37 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 95909

    Office

    $141.35

    Facility

    Unavailable

    $9.08 lower than El Centro for the office setting.

See how rates vary across the country

95909 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 all state and territory rates as a table
State / territoryRate 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

Explore 95909 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 95909 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$165.47

$150.43 × 110% = $165.47

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 95909 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

12,636

Code
95909
Physician work
1.46
Practice expense
2.72
Malpractice
0.07

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 95909 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0171.4848
Practice expense2.72× 1.0962.9811
Malpractice0.07× 0.5410.0379
Total RVUs4.5038
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$150.43

Open 95909 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.461.017
Practice expense2.721.096
Malpractice0.070.541

(1.46 × 1.017 + 2.72 × 1.096 + 0.07 × 0.541) × $33.4009 = $150.43

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

95909 · Office / nonfacility

$150.43

Effective 2026-10-01

The base rate is $14.92 higher than on 2025-10-01, moving from $135.51 to $150.43 (11.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $135.51changed to$150.43

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.50 changed to 1.46
    • Practice expense RVU 2.41 changed to 2.72
    • Malpractice RVU 0.06 changed to 0.07
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $135.51

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$150.43Not available in this settingRVU26D
2026-07-01$150.43Not available in this settingRVU26C
2026-04-01$150.43Not available in this settingRVU26B
2026-01-01$150.43Not available in this settingRVU26A
2025-10-01$135.51Not available in this settingRVU25D
2025-07-01$135.51Not available in this settingRVU25C
2025-04-01$135.51Not available in this settingRVU25B
2025-01-01$135.51Not available in this settingRVU25A

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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 95909PPRRVU2026_Oct_nonQPP.csv, line 12,636 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet