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CMS RVU26D · Effective 2026-10-01

95925 Evoked potential Medicare reimbursement rates in Georgia

Reports short-latency sensory pathway testing from the upper limbs, recording evoked responses to assess conduction toward the central nervous system. Compare 95925 office and facility rates across CMS payment localities in Georgia.

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 95925 in Georgia?

Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.

Office / nonfacility

$137.78–$154.21

2 of 2 localities have a supported rate.

Lowest: Rest Of Georgia

Highest: Atlanta

A spread of $16.43 per service.

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.

Find 95925 in your payment locality →

Neurodiagnostic testing

About 95925: Upper-limb somatosensory evoked potential study

Reports short-latency sensory pathway testing from the upper limbs, recording evoked responses to assess conduction toward the central nervous system.

This study electrically stimulates peripheral sensory nerves in the upper limbs and records the resulting responses along sensory pathways toward the central nervous system. Neurologists and other qualified neurodiagnostic professionals use it to evaluate suspected sensory pathway dysfunction, including in patients with possible spinal cord or central nervous system disease. Testing may take place in an office or facility with the equipment and trained staff needed to stimulate nerves and record responses.

Report the upper-limb study when that is the tested pathway, and retain documentation of the stimulation, recorded responses, interpretation, and report. The code is priced bilaterally, so modifier 50 does not increase payment. CMS recognizes separate professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service.

CMS billing rules for 95925

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.
Bilateral procedures
The code is already priced as bilateral; modifier 50 does not increase payment.

Where the value comes from

  • Work RVU0.53 · 12%
  • Practice expense (office) RVU3.95 · 87%
  • Malpractice RVU0.06 · 1%

9K

Medicare services in 2024 · #1533 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.

95925 compared with similar codes

Office rates for Georgia, from the same CMS release.

95926

Somatosensory testing

Lower-limb short latency

$123.67–$138.20

Choose 95925 for upper-limb sensory pathways and 95926 for lower-limb sensory pathways.

95927

Somatosensory testing

Trunk or head

$154.16–$172.87

95927 covers short-latency sensory testing of the trunk or head, not the upper limbs.

95928

Motor evoked potentials

Upper limbs

$234.69–$260.21

95928 evaluates central motor evoked responses in the upper limbs; 95925 evaluates sensory pathway responses.

95938

Sensory evoked potentials

Upper and lower limbs

$360.86–$406.74

95938 is associated with intraspinal SSEP monitoring, while 95925 describes diagnostic upper-limb SSEP testing.

Compare 95925 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.

2 of 2 payment localities

Office and facility base rates · shared scale starting at $0

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95925 billing questions

How does this differ from 95926?

95925 is for short-latency somatosensory testing of the upper limbs. Code 95926 identifies the lower-limb study.

Should modifier 50 be added when both arms are tested?

No. CMS prices 95925 as bilateral, and modifier 50 does not increase payment.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation or modifier TC for the technical service. Report without either modifier for the global service.

What documentation supports the study?

Document the upper-limb sensory stimulation, recorded evoked responses, and the interpreting professional’s findings and report.

Is this the code for intraoperative sensory monitoring?

No. Code 95925 describes an upper-limb diagnostic study; code 95938 is associated with intraspinal somatosensory evoked potential monitoring.

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 95925PPRRVU2026_Oct_nonQPP.csv, line 12,666 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet