$140.98
95925 evaluates somatosensory responses associated with upper-limb stimulation; 95930 evaluates responses along the visual pathway.
On this page
CMS RVU26D · Effective 2026-10-01
95930 Visual evoked potential Medicare reimbursement rates in Indiana
Reports visual evoked potential testing that records responses along the visual pathway to help evaluate suspected optic nerve or central visual pathway dysfunction. Compare 95930 office and facility rates across CMS payment localities in Indiana.
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 95930 in Indiana?
Indiana 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
$63.39
1 of 1 localities have a supported rate.
Payment area: Indiana
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.
Neurophysiology testing
About 95930: Visual evoked potential testing
Reports visual evoked potential testing that records responses along the visual pathway to help evaluate suspected optic nerve or central visual pathway dysfunction.
A visual evoked potential study records electrical responses generated as visual stimuli travel from the eyes through the optic nerves and central visual pathways. Pattern-reversal stimulation is commonly used. Neurologists, neuro-ophthalmologists, and ophthalmologists may order the test when evaluating suspected optic neuritis, demyelinating disease, or unexplained visual dysfunction. Testing is performed in an office or hospital setting using recording equipment and appropriately trained staff.
Report 95930 for the visual evoked potential service, including interpretation and report. The global service includes both the technical work, such as equipment and staff, and the professional interpretation; modifier 26 identifies the professional component, while modifier TC identifies the technical component. Documentation should support the visual stimulus and responses obtained, the interpretation, and the clinical question addressed. The code is priced as bilateral, so modifier 50 does not increase payment.
CMS billing rules for 95930
- 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 RVU0.34 · 17%
- Practice expense (office) RVU1.67 · 82%
- Malpractice RVU0.02 · 1%
29.9K
Medicare services in 2024 · #977 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.
95930 compared with similar codes
Office rates for Indiana, from the same CMS release.
$126.57
95926 evaluates somatosensory responses associated with lower-limb stimulation. Choose 95930 when the study tests visual pathway responses.
$239.72
95928 evaluates central motor responses involving the upper limbs, rather than responses to visual stimulation reported with 95930.
Compare 95930 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
Indiana →
Office / nonfacility
$63.39
Facility
Unavailable
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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 95930 in Indiana.
PPRRVU2026_Oct_nonQPP.csv
12,681
- Code
- 95930
- Physician work
- 0.34
- Practice expense
- 1.67
- Malpractice
- 0.02
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.34 | × 1.000 | 0.3400 |
| Practice expense | 1.67 | × 0.927 | 1.5481 |
| Malpractice | 0.02 | × 0.486 | 0.0097 |
| Total RVUs | 1.8978 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Indiana$63.39
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.34 | 1 |
| Practice expense | 1.67 | 0.927 |
| Malpractice | 0.02 | 0.486 |
(0.34 × 1 + 1.67 × 0.927 + 0.02 × 0.486) × $33.4009 = $63.39
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.
95930 billing questions
When should 95930 be chosen over somatosensory evoked potential codes?
Use 95930 for testing visual pathway responses. Somatosensory evoked potential codes assess responses to stimulation of peripheral nerves, skin sites, or dermatomes.
What is included in the global service?
The global service combines the technical work, including equipment and staff, with the professional interpretation. Bill modifier 26 for the professional component or TC for the technical component when reporting a component.
Should modifier 50 be appended for testing both eyes?
The code is priced as bilateral, and modifier 50 does not increase payment.
What documentation supports 95930?
Document the visual stimulation and responses recorded, the interpretation and report, and the clinical concern prompting the study, such as suspected optic nerve or central visual pathway dysfunction.
Can the technical and professional components be billed separately?
Yes. Modifier TC identifies the technical component, and modifier 26 identifies the professional interpretation. Billing without either modifier represents the global service.
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.
12,67895929,,C motor evoked lwr limbs,A,,1.46,5.94,,5.94,NA,0.09,7.49,7.49,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,67995929,26,C motor evoked lwr limbs,A,,1.46,0.82,,0.82,,0.07,2.35,2.35,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,68095929,TC,C motor evoked lwr limbs,A,,0.00,5.12,,5.12,NA,0.02,5.14,5.14,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,68195930,,Visual ep test cns w/i&r,A,,0.34,1.67,,1.67,NA,0.02,2.03,2.03,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,68295930,26,Visual ep test cns w/i&r,A,,0.34,0.19,,0.19,,0.01,0.54,0.54,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,68395930,TC,Visual ep test cns w/i&r,A,,0.00,1.48,,1.48,NA,0.01,1.49,1.49,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,68495933,,Blink reflex test,A,,0.58,1.94,,1.94,NA,0.04,2.56,2.56,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915