$171.50
95910 represents nerve-conduction testing selected by the number of studies performed. Use 95933 for the blink-reflex evaluation, not as a substitute for that count-based service.
On this page
CMS RVU26D · Effective 2026-10-01
95933 Blink reflex Medicare reimbursement rates in Kentucky
Reports electrical stimulation and bilateral eye-muscle recordings used to evaluate trigeminal and facial nerve pathways and related brainstem reflex activity. Compare 95933 office and facility rates across CMS payment localities in Kentucky.
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 95933 in Kentucky?
Kentucky 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
$78.20
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Electrodiagnostic medicine
About 95933: Blink reflex electrodiagnostic study
Reports electrical stimulation and bilateral eye-muscle recordings used to evaluate trigeminal and facial nerve pathways and related brainstem reflex activity.
The study electrically stimulates the supraorbital branch of the trigeminal nerve and records reflex activity from the orbicularis oculi muscles on both sides. The responses help assess the sensory trigeminal pathway, brainstem connections, and facial nerve output. Neurologists and other clinicians trained in electrodiagnostic testing commonly use it when evaluating facial weakness, facial sensory symptoms, or suspected brainstem involvement. Testing is generally performed in an outpatient electrodiagnostic laboratory or a hospital setting.
Report 95933 for the blink-reflex study itself, rather than selecting a nerve-conduction code based on the number of nerve-conduction studies. The record should support that stimulation and bilateral recordings were performed and include the clinician’s interpretation of the responses. CMS recognizes professional and technical components: append modifier 26 for the interpretation, modifier TC for the equipment and staff, or report the global service without either modifier when one entity provides both components.
CMS billing rules for 95933
- 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 RVU0.58 · 23%
- Practice expense (office) RVU1.94 · 76%
- Malpractice RVU0.04 · 2%
472
Medicare services in 2024 · #3617 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.
95933 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$97.09
95937 evaluates neuromuscular transmission with nerve stimulation and related testing. Code 95933 instead evaluates the trigeminal-to-facial blink-reflex pathway.
$61.56
95930 evaluates visual pathway responses to visual stimulation. Code 95933 uses electrical stimulation of the supraorbital nerve and records eye-muscle reflex responses.
Compare 95933 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
Kentucky →
Office / nonfacility
$78.20
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 95933 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
12,684
- Code
- 95933
- Physician work
- 0.58
- Practice expense
- 1.94
- Malpractice
- 0.04
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.58 | × 1.000 | 0.5800 |
| Practice expense | 1.94 | × 0.889 | 1.7247 |
| Malpractice | 0.04 | × 0.915 | 0.0366 |
| Total RVUs | 2.3413 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$78.20
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.58 | 1 |
| Practice expense | 1.94 | 0.889 |
| Malpractice | 0.04 | 0.915 |
(0.58 × 1 + 1.94 × 0.889 + 0.04 × 0.915) × $33.4009 = $78.20
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.
95933 billing questions
How is 95933 different from a nerve-conduction study code such as 95910?
95933 reports the electrically elicited blink-reflex evaluation with recordings from the eye muscles. Code 95910 is selected according to the number of nerve-conduction studies performed.
Can 95933 be reported with nerve-conduction studies on the same date?
Yes, when the blink-reflex study and the nerve-conduction studies are both performed and documented as distinct services. The nerve-conduction code is selected by its own study-count criteria.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service. Report without either modifier when billing the global service.
What documentation supports 95933?
Document the stimulation and bilateral orbicularis oculi recordings, the responses obtained, and the interpretation relevant to the suspected trigeminal, facial, or brainstem pathway problem.
Does 95933 represent one side or both sides?
The blink-reflex study includes recordings from both sides. The service is not selected by counting each eye as a separate nerve-conduction study.
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.
12,68195930,,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
12,68595933,26,Blink reflex test,A,,0.58,0.34,,0.34,,0.03,0.95,0.95,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,68695933,TC,Blink reflex test,A,,0.00,1.60,,1.60,NA,0.01,1.61,1.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,7A,0,99,0.00,0.00,0.00
12,68795937,,Neuromuscular junction test,A,,0.63,2.52,,2.52,NA,0.04,3.19,3.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631