No office rate
96000 represents technical computerized motion analysis. Choose 96004 for the physician’s interpretation and report of comprehensive motion-analysis findings.
On this page
CMS RVU26D · Effective 2026-10-01
96004 Motion analysis review Medicare reimbursement rates in Nevada
A physician reviews and interprets comprehensive computer-based motion-analysis findings, including video, and reports the clinical meaning of the test. Compare 96004 office and facility rates across CMS payment localities in Nevada.
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 96004 in Nevada?
Nevada 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
$105.47
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
Facility setting
$105.47
1 of 1 localities have a supported rate.
Payment area: Nevada**
One mapped payment locality.
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.
Diagnostic testing
About 96004: Physician review of motion analysis
A physician reviews and interprets comprehensive computer-based motion-analysis findings, including video, and reports the clinical meaning of the test.
This service covers a physician’s review and interpretation of comprehensive computer-based motion-analysis findings, including video recordings. The physician evaluates recorded movement and test results to explain patterns relevant to a patient’s gait or other functional movement problem. It is typically performed by a physician involved in rehabilitation, orthopedics, neurology, or movement assessment after a motion-analysis laboratory has collected the test data.
Report 96004 for the physician’s interpretation and report, supported by documentation of the reviewed motion-analysis findings and the resulting clinical assessment. The technical portion is covered by a separate code when that testing is performed; do not treat this professional service as the equipment or data-acquisition service. The code is priced as bilateral, so modifier 50 does not increase payment when both sides are assessed.
CMS billing rules for 96004
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU2.09 · 66%
- Practice expense (office) RVU0.95 · 30%
- Malpractice RVU0.14 · 4%
1.9K
Medicare services in 2024 · #2497 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.
96004 compared with similar codes
Office rates for Nevada, from the same CMS release.
No office rate
96001 covers technical motion testing with force-platform measurements; 96004 covers physician review and interpretation.
No office rate
96002 represents dynamic surface EMG testing during movement. 96004 is the physician’s interpretation service, not EMG data acquisition.
Compare 96004 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
Nevada** →
Office / nonfacility
$105.47
Facility
$105.47
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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 96004 in Nevada**.
PPRRVU2026_Oct_nonQPP.csv
12,742
- Code
- 96004
- Physician work
- 2.09
- Practice expense
- 0.95
- Malpractice
- 0.14
GPCI2026.csv
73
- Locality
- Nevada**
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.09 | × 1.000 | 2.0900 |
| Practice expense | 0.95 | × 1.001 | 0.9509 |
| Malpractice | 0.14 | × 0.833 | 0.1166 |
| Total RVUs | 3.1576 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nevada**$105.47
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.09 | 1 |
| Practice expense | 0.95 | 1.001 |
| Malpractice | 0.14 | 0.833 |
(2.09 × 1 + 0.95 × 1.001 + 0.14 × 0.833) × $33.4009 = $105.47
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.09 | 1 |
| Practice expense | 0.95 | 1.001 |
| Malpractice | 0.14 | 0.833 |
(2.09 × 1 + 0.95 × 1.001 + 0.14 × 0.833) × $33.4009 = $105.47
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.
96004 billing questions
How is 96004 different from 96000?
96004 is the physician’s review and interpretation of comprehensive motion-analysis findings, including video. 96000 covers the technical computerized motion analysis.
Can the technical motion-analysis service be reported separately?
Yes. CMS identifies a separate code for the technical portion; 96004 represents the physician’s interpretation and report.
Should modifier 50 be appended when both sides are analyzed?
No. The code is already priced as bilateral, and modifier 50 does not increase payment.
What documentation supports 96004?
Document the motion-analysis material reviewed, the physician’s interpretation of the findings, and the resulting report. The record should distinguish the interpretation from technical test acquisition.
Is 96004 reported for force-platform measurements or surface EMG acquisition?
96004 reports the physician’s interpretation of comprehensive motion-analysis findings. Force-platform measurements and dynamic surface EMG are represented by separate motion-analysis testing codes when performed.
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.
12,73996000,,Motion analysis video/3d,A,,1.76,0.30,NA,0.30,,0.05,2.11,2.11,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,74096001,,Motion test w/ft press meas,A,,2.10,0.41,NA,0.41,,0.09,2.60,2.60,7,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,74196002,,Dynamic surface emg,A,,0.40,0.11,NA,0.11,,0.03,0.54,0.54,0,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,74296004,,Phys review of motion tests,A,,2.09,0.95,,0.95,,0.14,3.18,3.18,2,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,74396020,,Functional brain mapping,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,74496020,26,Functional brain mapping,A,,3.34,1.05,,1.05,,0.15,4.54,4.54,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,74596020,TC,Functional brain mapping,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097