$251.02
Both describe nerve conduction testing, but 95912 is for 11 or 12 studies; 95913 is for 13 or more.
On this page
CMS RVU26D · Effective 2026-10-01
95913 Nerve conduction Medicare reimbursement rates in Vermont
Report this code for a nerve conduction testing service with 13 or more studies, commonly used to evaluate suspected peripheral neuropathy or focal nerve entrapment. Compare 95913 office and facility rates across CMS payment localities in Vermont.
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 95913 in Vermont?
Vermont 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
$295.51
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Electrodiagnostic testing
About 95913: Nerve conduction study, thirteen or more
Report this code for a nerve conduction testing service with 13 or more studies, commonly used to evaluate suspected peripheral neuropathy or focal nerve entrapment.
This code represents a nerve conduction testing service involving at least 13 studies. The clinician applies electrical stimulation and records responses to assess how peripheral nerves conduct signals. Testing may help evaluate symptoms such as numbness, tingling, or weakness when conditions such as generalized neuropathy or focal entrapment, including carpal tunnel syndrome, are suspected. A physician or other qualified clinician performs or interprets the test, with equipment and staff supporting the technical work in an office or facility setting.
Select this code based on the total number of nerve conduction studies performed, not simply the number of nerves or limbs tested. The report should identify the studies performed, clinical indication, findings, and interpretation, with documentation supporting the count. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies the equipment and staff, and billing without either modifier represents the global service.
CMS billing rules for 95913
- 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 RVU3.47 · 39%
- Practice expense (office) RVU5.35 · 60%
- Malpractice RVU0.16 · 2%
80K
Medicare services in 2024 · #632 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.
95913 compared with similar codes
Office rates for Vermont, from the same CMS release.
$217.11
Use 95911 for 9 or 10 nerve conduction studies. Use 95913 when the documented count reaches 13 or more.
$32.76
Code 95905 describes an automated nerve conduction testing method, rather than selecting a code based on the 13-or-more study count.
Compare 95913 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
Vermont →
Office / nonfacility
$295.51
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 95913 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
12,648
- Code
- 95913
- Physician work
- 3.47
- Practice expense
- 5.35
- Malpractice
- 0.16
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.47 | × 1.000 | 3.4700 |
| Practice expense | 5.35 | × 0.990 | 5.2965 |
| Malpractice | 0.16 | × 0.506 | 0.0810 |
| Total RVUs | 8.8475 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$295.51
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.47 | 1 |
| Practice expense | 5.35 | 0.99 |
| Malpractice | 0.16 | 0.506 |
(3.47 × 1 + 5.35 × 0.99 + 0.16 × 0.506) × $33.4009 = $295.51
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.
95913 billing questions
When should 95913 be selected instead of 95912?
Use 95913 when the nerve conduction service includes 13 or more studies. Use 95912 when it includes 11 or 12.
Is the count based on the number of nerves or limbs tested?
No. Choose the code using the number of nerve conduction studies performed, rather than counting nerves or limbs alone. Documentation should support the reported study count.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports reporting 95913?
Document the clinical indication, the individual studies performed, the findings, and the interpretation. The record should support that the service reached the 13-study threshold.
Is 95913 the same as the automated nerve conduction code 95905?
No. Code 95913 is selected by the count of studies in the nerve conduction service. Code 95905 describes a distinct automated nerve conduction testing method.
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.
12,64595912,,Nrv cndj test 11-12 studies,A,,2.93,4.56,,4.56,NA,0.14,7.63,7.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,64695912,26,Nrv cndj test 11-12 studies,A,,2.93,1.69,,1.69,,0.12,4.74,4.74,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,64795912,TC,Nrv cndj test 11-12 studies,A,,0.00,2.87,,2.87,NA,0.02,2.89,2.89,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,64895913,,Nrv cndj test 13/> studies,A,,3.47,5.35,,5.35,NA,0.16,8.98,8.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,64995913,26,Nrv cndj test 13/> studies,A,,3.47,2.01,,2.01,,0.14,5.62,5.62,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,65095913,TC,Nrv cndj test 13/> studies,A,,0.00,3.34,,3.34,NA,0.02,3.36,3.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,65195919,,Quan puplmtry phy/qhp uni/bi,A,,0.18,0.30,,0.30,NA,0.02,0.50,0.50,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817