Billing code 95940: Intraoperative monitoringMedicare rate & RVUs in Texas
Reports one-on-one neurophysiologic monitoring by a physician or qualified professional who attends a patient in the operating room, in 15-minute units.
CMS doesn’t publish an office rate for 95940 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 95940 covers
This service covers a physician’s or qualified health care professional’s personal, one-on-one attention to neurophysiologic monitoring during an operation in the operating room. Monitoring may include signals such as somatosensory or motor evoked potentials, EEG, or EMG. It is commonly used during spine procedures, including decompression and fusion, when changes in neural signals may alert the surgical team to potential injury. The monitoring professional observes the signals and communicates relevant changes to the operative team; the surgeon’s procedure itself is not the monitoring service.
Report the time spent providing this dedicated monitoring in 15-minute units. The record should identify the patient and operation, monitoring modalities, the monitoring professional, start and stop times, interruptions, and significant findings or communications. The operative report alone may not establish the monitoring time, so retain documentation from the professional who performed or supervised the service. Select this code for one-patient, personally attended monitoring in the operating room; monitoring from outside the room or involving more than one case has a different reporting circumstance.
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.
Where 95940 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $26.98 |
| Beaumont | Unavailable | $26.14 |
| Brazoria | Unavailable | $26.61 |
| Dallas | Unavailable | $26.74 |
| Fort Worth | Unavailable | $26.69 |
| Galveston | Unavailable | $26.67 |
| Houston | Unavailable | $27.22 |
| Rest Of Texas | Unavailable | $26.33 |
How the 95940 rate is calculated
Each of 95940’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 95940
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.60Practice expense 0.17Malpractice 0.03
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95940
95940 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 95940
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
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95940 isn’t priced in this setting.
95940 compared with similar codes
Compare codes
95940 vs 95941 vs 95925 vs 95928 vs 95955: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 95941Ionm remote/>1 pt or per hr
- Choose 95940 for one-on-one, personally attended monitoring in the operating room in 15-minute units. 95941 describes outside-room monitoring or monitoring of more than one case, reported hourly.
- 95925Evoked potential
- 95925 represents somatosensory evoked-potential testing. 95940 reports the time-based, attended monitoring service during an operation rather than a specific evoked-potential study.
- 95928Motor evoked potentials
- 95928 represents central motor evoked-potential testing for upper limbs. 95940 identifies the one-on-one intraoperative monitoring service, not that specific modality or limb group.
- 95955Intraoperative EEG
- 95955 is an EEG service during surgery. 95940 covers attended intraoperative neurophysiology monitoring and is not limited to EEG.
95940 billing questions
How does 95940 differ from 95941?
95940 describes one-on-one monitoring with personal attendance in the operating room, reported in 15-minute units. 95941 addresses monitoring from outside the room or monitoring more than one case, with an hourly basis.
How are the units determined?
The code is reported in 15-minute units for the time spent providing the qualifying monitoring service. Keep start and stop times and note interruptions in the monitoring record.
What documentation supports the service?
Document the operation, monitoring modalities, the professional providing the service, the monitoring interval, interruptions, signal changes, and communications with the surgical team.
Does 95940 represent the spine operation itself?
No. It represents attended intraoperative neurophysiology monitoring, not the decompression, fusion, or other surgical work.
Can the code be used when the monitor watches multiple cases?
95940 is for attention directed exclusively to one patient in the operating room. Monitoring more than one case has a different reporting circumstance.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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