$137.08
Use 95925 for upper-limb sensory pathways; use 95926 for lower-limb pathways.
On this page
CMS RVU26D · Effective 2026-10-01
95926 Somatosensory testing Medicare reimbursement rates in Oklahoma
Reports short-latency evoked-potential testing of sensory pathways from the lower limbs to the central nervous system. Compare 95926 office and facility rates across CMS payment localities in Oklahoma.
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 95926 in Oklahoma?
Oklahoma 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
$123.10
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 95926: Lower-limb somatosensory evoked potential test
Reports short-latency evoked-potential testing of sensory pathways from the lower limbs to the central nervous system.
This study evaluates sensory signal conduction from lower-limb peripheral nerves through the spinal cord toward the brain. A technologist applies electrical stimulation, commonly at a peripheral nerve, while recording responses at selected sites; a qualified physician interprets the waveforms and findings. Neurologists and other clinicians may use the results when assessing suspected sensory pathway dysfunction, including possible spinal cord disease, or during selected procedures requiring neurophysiologic monitoring.
Select this code when the documented study tests short-latency somatosensory responses from the lower limbs. The record should identify the nerves or sites stimulated, recording locations, waveforms obtained, and the physician’s interpretation. CMS recognizes separate professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service. The code is priced as bilateral, so modifier 50 does not increase payment.
CMS billing rules for 95926
- 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.
- Bilateral procedures
- The code is already priced as bilateral; modifier 50 does not increase payment.
Where the value comes from
- Work RVU0.53 · 13%
- Practice expense (office) RVU3.49 · 86%
- Malpractice RVU0.05 · 1%
6.1K
Medicare services in 2024 · #1750 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.
95926 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
$153.48
95927 identifies testing recorded from spinal cord or subcortical structures, while 95926 is the lower-limb short-latency study.
$359.98
95938 describes a different somatosensory evoked-potential approach and covers upper and lower limbs; 95926 is the short-latency lower-limb study.
$228.27
95929 evaluates central motor pathways in the lower limbs. Choose 95926 when the study evaluates sensory, rather than motor, pathway responses.
Compare 95926 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
Oklahoma →
Office / nonfacility
$123.10
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 95926 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
12,669
- Code
- 95926
- Physician work
- 0.53
- Practice expense
- 3.49
- Malpractice
- 0.05
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.53 | × 1.000 | 0.5300 |
| Practice expense | 3.49 | × 0.893 | 3.1166 |
| Malpractice | 0.05 | × 0.777 | 0.0389 |
| Total RVUs | 3.6854 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Oklahoma$123.10
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.53 | 1 |
| Practice expense | 3.49 | 0.893 |
| Malpractice | 0.05 | 0.777 |
(0.53 × 1 + 3.49 × 0.893 + 0.05 × 0.777) × $33.4009 = $123.10
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.
95926 billing questions
How does this differ from 95925?
95926 is for short-latency somatosensory testing of lower-limb pathways. 95925 is the corresponding code for upper-limb pathways.
When would 95927 be used instead?
95927 is for short-latency somatosensory testing recorded from spinal cord or subcortical structures. Choose based on the pathway and recording level documented, rather than treating it as another lower-limb code.
Can the professional and technical services be billed separately?
Yes. Report modifier 26 for the physician’s interpretation and modifier TC for the technical service. Without either modifier, the claim represents the global service.
Should modifier 50 be added for testing both legs?
No. CMS prices 95926 as bilateral, and modifier 50 does not increase payment.
What documentation supports reporting 95926?
Document the lower-limb sensory pathway tested, stimulation and recording sites, responses obtained, and the interpreting physician’s findings.
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.
12,66695925,,Somatosensory testing,A,,0.53,3.95,,3.95,NA,0.06,4.54,4.54,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,66795925,26,Somatosensory testing,A,,0.53,0.26,,0.26,,0.03,0.82,0.82,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,66895925,TC,Somatosensory testing,A,,0.00,3.69,,3.69,NA,0.03,3.72,3.72,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,21,0,99,0.00,0.00,0.00
12,66995926,,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
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193