Billing code 95913: Nerve conductionMedicare rate & RVUs in Delaware
Report this code for a nerve conduction testing service with 13 or more studies, commonly used to evaluate suspected peripheral neuropathy or focal nerve entrapment.
Medicare pays $297.84 for 95913 in the office in Delaware (Delaware). Which amount applies depends on the service address.
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 9 sections
What 95913 covers
This code represents a nerve conduction testing service involving at least 13 studies. The clinician applies electrical stimulation and records responses to assess how peripheral nerves conduct signals. Testing may help evaluate symptoms such as numbness, tingling, or weakness when conditions such as generalized neuropathy or focal entrapment, including carpal tunnel syndrome, are suspected. A physician or other qualified clinician performs or interprets the test, with equipment and staff supporting the technical work in an office or facility setting.
Select this code based on the total number of nerve conduction studies performed, not simply the number of nerves or limbs tested. The report should identify the studies performed, clinical indication, findings, and interpretation, with documentation supporting the count. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and billing without either modifier represents the global service.
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.
95913 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $297.84 | Unavailable |
How the 95913 rate is calculated
Each of 95913’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 · 95913
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 3.47Practice expense 5.35Malpractice 0.16
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95913
The CMS indicators that decide how 95913 is paid alongside other services.
CMS payment indicators · 95913
Nerve conduction
| 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
95913 without 26 · national office
$299.94
Nerve conduction
95913-26 · Professional component
$187.71
Pays only the interpretation and report.
95913 compared with similar codes
Compare codes
95913 vs 95912 vs 95911 vs 95905: national Medicare rates
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How to choose
- 95912Nerve conduction study
- Both describe nerve conduction testing, but 95912 is for 11 or 12 studies; 95913 is for 13 or more.
- 95911Nerve conduction study
- Use 95911 for 9 or 10 nerve conduction studies. Use 95913 when the documented count reaches 13 or more.
- 95905Nerve conduction test
- Code 95905 describes an automated nerve conduction testing method, rather than selecting a code based on the 13-or-more study count.
95913 billing questions
When should 95913 be selected instead of 95912?
Use 95913 when the nerve conduction service includes 13 or more studies. Use 95912 when it includes 11 or 12.
Is the count based on the number of nerves or limbs tested?
No. Choose the code using the number of nerve conduction studies performed, rather than counting nerves or limbs alone. Documentation should support the reported study count.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports reporting 95913?
Document the clinical indication, the individual studies performed, the findings, and the interpretation. The record should support that the service reached the 13-study threshold.
Is 95913 the same as the automated nerve conduction code 95905?
No. Code 95913 is selected by the count of studies in the nerve conduction service. Code 95905 describes a distinct automated nerve conduction testing method.
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
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