$139.22
Choose 95925 when the study focuses on upper limb sensory pathways; 95927 identifies trunk or head testing.
On this page
CMS RVU26D · Effective 2026-10-01
95927 Somatosensory testing Medicare reimbursement rates in Iowa
Reports a somatosensory evoked potential study assessing central sensory pathway responses to stimulation associated with the trunk or head. Compare 95927 office and facility rates across CMS payment localities in Iowa.
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 95927 in Iowa?
Iowa 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
$156.03
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Neurodiagnostic testing
About 95927: Trunk or head somatosensory evoked potential study
Reports a somatosensory evoked potential study assessing central sensory pathway responses to stimulation associated with the trunk or head.
This neurodiagnostic study assesses sensory pathway responses by stimulating peripheral sites associated with the trunk or head and recording the resulting electrical signals from the central nervous system. It may be performed in a neurology or neurophysiology setting by trained technical staff, with a qualified physician interpreting the recordings. The study helps evaluate suspected dysfunction along central sensory pathways; it is distinct from testing focused on upper or lower limb pathways.
Select this code when the documented study covers the trunk or head, rather than the upper or lower limbs. The report should identify the stimulation and recording sites, the responses obtained, and the physician’s interpretation. CMS recognizes professional and technical components: report modifier 26 for interpretation, modifier TC for equipment and staff, or no component modifier for the global service.
CMS billing rules for 95927
- 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 RVU0.53 · 10%
- Practice expense (office) RVU4.50 · 88%
- Malpractice RVU0.06 · 1%
2.1K
Medicare services in 2024 · #2434 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.
95927 compared with similar codes
Office rates for Iowa, from the same CMS release.
$125.03
Choose 95926 for lower limb sensory pathway testing. Use 95927 for a study involving the trunk or head.
$366.96
95938 describes a complete study involving upper and lower limbs, while 95927 identifies trunk or head testing.
$237.00
95928 evaluates central motor pathways in the upper limbs. Code 95927 evaluates sensory pathway responses involving the trunk or head.
Compare 95927 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
Iowa →
Office / nonfacility
$156.03
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 95927 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
12,672
- Code
- 95927
- Physician work
- 0.53
- Practice expense
- 4.50
- Malpractice
- 0.06
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.53 | × 1.000 | 0.5300 |
| Practice expense | 4.50 | × 0.915 | 4.1175 |
| Malpractice | 0.06 | × 0.397 | 0.0238 |
| Total RVUs | 4.6713 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$156.03
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.53 | 1 |
| Practice expense | 4.5 | 0.915 |
| Malpractice | 0.06 | 0.397 |
(0.53 × 1 + 4.5 × 0.915 + 0.06 × 0.397) × $33.4009 = $156.03
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.
95927 billing questions
When should this code be selected instead of 95925 or 95926?
Use 95927 for a study involving the trunk or head. Codes 95925 and 95926 identify studies focused on upper and lower limbs, respectively.
How are the professional and technical services reported?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service using equipment and staff. Report the code without either modifier for the global service.
What should the study documentation identify?
Document the stimulation and recording sites, the responses recorded, and the physician’s interpretation supporting assessment of the central sensory pathway.
How does this differ from code 95938?
Code 95927 is for trunk or head testing. Code 95938 represents a complete somatosensory study involving upper and lower limbs.
Is this a motor evoked potential study?
No. This code concerns sensory pathway responses; central motor evoked potential studies use a different code family.
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.
12,66995926,,Somatosensory testing,A,,0.53,3.49,,3.49,NA,0.05,4.07,4.07,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,67095926,26,Somatosensory testing,A,,0.53,0.23,,0.23,,0.02,0.78,0.78,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,67195926,TC,Somatosensory testing,A,,0.00,3.26,,3.26,NA,0.03,3.29,3.29,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,21,0,99,0.00,0.00,0.00
12,67295927,,Somatosensory testing,A,,0.53,4.50,,4.50,NA,0.06,5.09,5.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,67395927,26,Somatosensory testing,A,,0.53,0.26,,0.26,,0.02,0.81,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,67495927,TC,Somatosensory testing,A,,0.00,4.24,,4.24,NA,0.04,4.28,4.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,21,0,99,0.00,0.00,0.00
12,67595928,,C motor evoked uppr limbs,A,,1.46,6.12,,6.12,NA,0.09,7.67,7.67,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136