$237.96
95929 is for lower-limb central motor evoked potential testing; 95928 is for upper limbs.
On this page
CMS RVU26D · Effective 2026-10-01
95928 Motor evoked potentials Medicare reimbursement rates in Utah
Reports central motor pathway testing that records evoked responses from upper-limb muscles, including during procedures that place motor pathways at risk. Compare 95928 office and facility rates across CMS payment localities in Utah.
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 95928 in Utah?
Utah 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
$243.61
1 of 1 localities have a supported rate.
Payment area: Utah
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.
Neurophysiology
About 95928: Upper-limb central motor evoked potential study
Reports central motor pathway testing that records evoked responses from upper-limb muscles, including during procedures that place motor pathways at risk.
This study evaluates motor pathway conduction from the brain to upper-limb muscles by stimulating the motor system and recording the resulting responses. It is commonly used during procedures such as cervical spine surgery when the team needs to monitor motor pathway function. A neurophysiology professional interprets the responses, while trained technical staff may perform the acquisition in an operating room or diagnostic setting.
Select 95928 for upper-limb motor evoked potential testing; use the code for the bilateral service rather than adding modifier 50 to increase payment. Documentation should identify the tested limbs, stimulation and recording performed, results, and the interpretation. Medicare recognizes professional and technical components: modifier 26 reports interpretation, modifier TC reports equipment and staff, and no component modifier represents the global service. The components are separately priced.
CMS billing rules for 95928
- 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 RVU1.46 · 19%
- Practice expense (office) RVU6.12 · 80%
- Malpractice RVU0.09 · 1%
362
Medicare services in 2024 · #3822 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.
95928 compared with similar codes
Office rates for Utah, from the same CMS release.
$558.02
95939 covers central motor evoked potential testing of both upper and lower limbs, rather than upper limbs alone.
$143.52
95925 evaluates somatosensory responses in the upper limbs. Choose 95928 for central motor pathway responses.
$377.69
95938 evaluates somatosensory responses in upper and lower limbs; 95928 evaluates motor responses in the upper limbs.
Compare 95928 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
Utah →
Office / nonfacility
$243.61
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 95928 in Utah.
PPRRVU2026_Oct_nonQPP.csv
12,675
- Code
- 95928
- Physician work
- 1.46
- Practice expense
- 6.12
- Malpractice
- 0.09
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.46 | × 1.000 | 1.4600 |
| Practice expense | 6.12 | × 0.940 | 5.7528 |
| Malpractice | 0.09 | × 0.898 | 0.0808 |
| Total RVUs | 7.2936 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$243.61
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.46 | 1 |
| Practice expense | 6.12 | 0.94 |
| Malpractice | 0.09 | 0.898 |
(1.46 × 1 + 6.12 × 0.94 + 0.09 × 0.898) × $33.4009 = $243.61
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.
95928 billing questions
When should 95928 be selected instead of 95929?
Use 95928 for central motor evoked potential testing of the upper limbs. Code 95929 is the lower-limb counterpart.
Does 95928 include testing on both sides?
Yes. CMS prices the code as bilateral, and modifier 50 does not increase payment.
How should the professional and technical work be billed?
Use modifier 26 for the professional interpretation or TC for the technical service. Without either modifier, the claim represents the global service.
Can 95928 be reported with somatosensory evoked potential testing?
The motor study evaluates motor pathway responses, while somatosensory testing evaluates sensory pathways. Report somatosensory testing only when that distinct study was also performed and documented.
What documentation supports 95928?
Document the upper-limb testing performed, the responses obtained, and the interpretation. For a component claim, the record should support the professional interpretation or the technical work reported.
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.
12,67295927,,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
12,67395927,26,Somatosensory testing,A,,0.53,0.26,,0.26,,0.02,0.81,0.81,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,67495927,TC,Somatosensory testing,A,,0.00,4.24,,4.24,NA,0.04,4.28,4.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,21,0,99,0.00,0.00,0.00
12,67595928,,C motor evoked uppr limbs,A,,1.46,6.12,,6.12,NA,0.09,7.67,7.67,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,67695928,26,C motor evoked uppr limbs,A,,1.46,0.84,,0.84,,0.07,2.37,2.37,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,67795928,TC,C motor evoked uppr limbs,A,,0.00,5.28,,5.28,NA,0.02,5.30,5.30,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,67895929,,C motor evoked lwr limbs,A,,1.46,5.94,,5.94,NA,0.09,7.49,7.49,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10104412,TX,15,GALVESTON,1.008,0.993,0.828
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985