$107.93
Use 95908 for three or four qualifying nerve conduction studies; use 95909 when the documented count is five or six.
On this page
CMS RVU26D · Effective 2026-10-01
95909 Nerve conduction Medicare reimbursement rates in Alabama
Reports nerve conduction testing comprising five or six studies to evaluate peripheral nerve function, commonly during evaluation of suspected neuropathy or focal nerve injury. Compare 95909 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 95909 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$129.58
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Alabama, from the same CMS release.
$168.93
95910 represents seven or eight studies. Do not select it for a five- or six-study encounter.
$29.23
95905 describes automated nerve conduction testing, a different testing method. 95909 is selected by the count of qualifying studies.
Compare 95909 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$129.58
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 Alabama.
PPRRVU2026_Oct_nonQPP.csv
12,636
- Code
- 95909
- Physician work
- 1.46
- Practice expense
- 2.72
- Malpractice
- 0.07
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.46 | × 1.000 | 1.4600 |
| Practice expense | 2.72 | × 0.875 | 2.3800 |
| Malpractice | 0.07 | × 0.566 | 0.0396 |
| Total RVUs | 3.8796 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$129.58
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.46 | 1 |
| Practice expense | 2.72 | 0.875 |
| Malpractice | 0.07 | 0.566 |
(1.46 × 1 + 2.72 × 0.875 + 0.07 × 0.566) × $33.4009 = $129.58
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.
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.
12,63395908,,Nrv cndj tst 3-4 studies,A,,1.22,2.26,,2.26,NA,0.06,3.54,3.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,63495908,26,Nrv cndj tst 3-4 studies,A,,1.22,0.74,,0.74,,0.05,2.01,2.01,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,63595908,TC,Nrv cndj tst 3-4 studies,A,,0.00,1.52,,1.52,NA,0.01,1.53,1.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,63695909,,Nrv cndj tst 5-6 studies,A,,1.46,2.72,,2.72,NA,0.07,4.25,4.25,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,63795909,26,Nrv cndj tst 5-6 studies,A,,1.46,0.88,,0.88,,0.06,2.40,2.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,63895909,TC,Nrv cndj tst 5-6 studies,A,,0.00,1.84,,1.84,NA,0.01,1.85,1.85,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,63995910,,Nrv cndj test 7-8 studies,A,,1.95,3.50,,3.50,NA,0.08,5.53,5.53,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515