95933 Blink reflex Medicare reimbursement rates in New Jersey

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.