On this page

CMS RVU26D · Effective 2026-10-01

95851 Range of motion Medicare reimbursement rates in Massachusetts

Reports formal range-of-motion measurements for an extremity other than the hand or a spinal trunk section, supported by documented findings. Compare 95851 office and facility rates across CMS payment localities in Massachusetts.

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 95851 in Massachusetts?

Massachusetts 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

$27.15–$30.19

2 of 2 localities have a supported rate.

Lowest: Rest Of Massachusetts

Highest: Metropolitan Boston

A spread of $3.04 per service.

Facility setting

$6.75–$7.06

2 of 2 localities have a supported rate.

Lowest: Rest Of Massachusetts

Highest: Metropolitan Boston

A spread of $0.31 per service.

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 95851 in your payment locality →

Physical medicine

About 95851: Extremity or trunk range-of-motion assessment

Reports formal range-of-motion measurements for an extremity other than the hand or a spinal trunk section, supported by documented findings.

A clinician measures and reports how far a joint or spinal section moves, commonly using a goniometer or similar measuring tool. Examples include documenting shoulder or knee motion after an injury or procedure, or measuring cervical or lumbar spine mobility. Physical therapists, physicians, and other qualified clinicians may perform this assessment in outpatient rehabilitation, orthopedic, or other clinical settings.

Select the code by the body area measured: each extremity other than the hand, or a trunk section of the spine. The hand is reported separately with 95852. Record the specific side or spinal section and the measured motion, such as degrees of flexion or extension, in the report. This code represents a discrete measurement and report, not merely a brief observation of movement during a routine examination or treatment session.

Where the value comes from

  • Work RVU0.16 · 21%
  • Practice expense (office) RVU0.61 · 78%
  • Malpractice RVU0.01 · 1%

15.1K

Medicare services in 2024 · #1250 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.

95851 compared with similar codes

Office rates for Massachusetts, from the same CMS release.

95852

ROM measurement

Hand

$22.29–$24.86

95851 covers extremities other than the hand and spinal trunk sections. 95852 is for hand measurements.

97750

Performance test

Timed testing with written report

$34.88–$37.88

95851 reports range-of-motion findings for specified anatomy. 97750 describes broader physical performance testing or measurement with a written report.

97164

PT re-evaluation

Established plan of care

$69.77–$75.55

95851 is a discrete range-of-motion measurement service. 97164 is a physical therapy reevaluation of the patient's plan of care.

Compare 95851 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

Need rates for a whole code list?

Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.

Explore fee-sheet early access →

95851 billing questions

When should 95851 be used instead of 95852?

Use 95851 for an extremity other than the hand or for a spinal trunk section. Use 95852 for hand range-of-motion measurements.

How are units counted?

Count each measured extremity other than the hand or each measured spinal trunk section. Identify the side or section in the documentation.

Does a routine range-of-motion check during an exam support this code?

A brief observation as part of an examination or treatment is not the discrete measurement-and-report service represented by 95851. Document the measured body area and findings.

Can 95851 and 95852 be reported for the same patient?

They describe different body areas, so both may be relevant when non-hand extremity or spinal measurements and hand measurements are each performed and documented.

Are therapeutic exercises included in this service?

No. Measuring and reporting motion is distinct from performing exercises to improve strength, flexibility, or mobility.

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 95851PPRRVU2026_Oct_nonQPP.csv, line 12,573 (RVU26D)