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CMS RVU26D · Effective 2026-10-01

95909 Nerve conduction Medicare reimbursement rates in Oregon

Reports nerve conduction testing comprising five or six studies to evaluate peripheral nerve function, commonly during evaluation of suspected neuropathy or focal nerve injury. Compare 95909 office and facility rates across CMS payment localities in Oregon.

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 95909 in Oregon?

Oregon 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

$140.90–$152.22

2 of 2 localities have a supported rate.

Lowest: Rest Of Oregon

Highest: Portland

A spread of $11.32 per service.

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.

Find 95909 in your payment locality →

Neurology testing

About 95909: Nerve conduction study, five to six studies

Reports nerve conduction testing comprising five or six studies to evaluate peripheral nerve function, commonly during evaluation of suspected neuropathy or focal nerve injury.

Nerve conduction testing measures how electrical signals travel through peripheral nerves. A clinician stimulates selected nerves and records responses with electrodes to assess findings such as slowed conduction or reduced response amplitude. Neurologists and physical medicine and rehabilitation physicians commonly perform or interpret these studies in office and hospital settings when evaluating suspected polyneuropathy, entrapment neuropathy, or nerve injury. This code represents a study count of five or six; it is not selected by the number of diagnoses or limbs alone.

Select the code from the number of qualifying nerve conduction studies performed and documented for the encounter. The record should identify the nerves and study components tested and support the reported count and clinical purpose. Needle electromyography may be performed and reported separately when indicated and documented. Medicare recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service. The professional and technical portions may be separately priced when reported with those modifiers.

CMS billing rules for 95909

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 RVU1.46 · 34%
  • Practice expense (office) RVU2.72 · 64%
  • Malpractice RVU0.07 · 2%

103.2K

Medicare services in 2024 · #546 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.

95909 compared with similar codes

Office rates for Oregon, from the same CMS release.

95908

Nerve conduction

Three to four studies

$117.34–$126.76

Use 95908 for three or four qualifying nerve conduction studies; use 95909 when the documented count is five or six.

95910

Nerve conduction study

7-8 studies

$183.45–$198.04

95910 represents seven or eight studies. Do not select it for a five- or six-study encounter.

95905

Nerve conduction test

Automated device, 1-2 studies

$33.08–$36.70

95905 describes automated nerve conduction testing, a different testing method. 95909 is selected by the count of qualifying studies.

Compare 95909 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

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95909 billing questions

When should 95909 be used instead?

Use 95909 when the documented encounter includes five or six qualifying nerve conduction studies. The adjacent count-based codes represent different study totals.

How is the study count determined?

Base the selection on the qualifying studies actually performed, not simply the number of nerves, limbs, or diagnoses mentioned. Document the nerves and testing components that support the count.

Can needle EMG be reported with 95909?

Yes, when a distinct needle electromyography service is performed and documented. Nerve conduction testing and needle EMG assess related but different aspects of neuromuscular function.

When should modifier 26 or TC be appended?

Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

Is 95909 reported once per nerve or limb?

The code represents five or six studies for the service, rather than a separate unit for each limb or each diagnosis. The documentation should support the total study count.

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 95909PPRRVU2026_Oct_nonQPP.csv, line 12,636 (RVU26D)