Billing code 95907: Nerve conductionMedicare rate & RVUs in Washington
Reports a limited peripheral nerve conduction evaluation when one or two studies are performed to assess suspected nerve dysfunction.
Medicare pays $97.39–$109.09 for 95907 in the office in Washington, from Rest Of Washington to Seattle (King Cnty). Which amount applies depends on the service address.
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 95907 covers
Nerve conduction testing uses electrical stimulation and recorded responses to assess peripheral nerve function, such as in a patient evaluated for focal neuropathy, numbness, or tingling. Neurologists and other qualified clinicians may perform or supervise testing in an office or facility; trained staff may handle the technical work, with a qualified clinician interpreting the findings.
Select this code when the documented total is one or two nerve conduction studies. The record should identify the clinical reason for testing, the studies performed, and the interpretation. Report the global service without a component modifier; modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. CMS separately prices these modifiers.
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 95907 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | $97.39 | Unavailable |
| Seattle (King Cnty) | $109.09 | Unavailable |
How the 95907 rate is calculated
Each of 95907’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 · 95907
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.98Practice expense 1.79Malpractice 0.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95907
The CMS indicators that decide how 95907 is paid alongside other services.
CMS payment indicators · 95907
Nerve conduction
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
95907 without 26 · national office
$94.19
Nerve conduction
95907-26 · Professional component
$53.44
Pays only the interpretation and report.
95907 compared with similar codes
Compare codes
95907 vs 95908 vs 95909 vs 95905 vs 95886: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 95908Nerve conduction
- Use 95908 when three or four studies are documented; 95907 is limited to one or two.
- 95909Nerve conduction
- Use 95909 for five or six studies, rather than the one- or two-study range represented by 95907.
- 95905Nerve conduction test
- 95905 describes automated nerve conduction testing. Use 95907 for conventional testing when one or two studies are performed.
- 95886Needle EMG add-on
- 95886 describes a complete needle EMG examination, not nerve conduction testing. It may be reported alongside 95907 when both services are performed.
95907 billing questions
How is 95907 distinguished from 95908?
95907 is for one or two nerve conduction studies; 95908 is for three or four. Select the code from the total studies documented, not from the suspected diagnosis alone.
When should modifier 26 or TC be reported?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Billing without either modifier represents the global service.
Does the number of studies mean the number of limbs tested?
No. The code level is based on the total nerve conduction studies performed, not simply the number of limbs. Document the studies performed so the code level can be supported.
Can nerve conduction testing be reported with needle EMG?
Yes, when needle EMG is also performed and documented as a distinct service. For example, 95886 describes a complete needle EMG examination.
How does 95907 differ from 95905?
95907 represents conventional nerve conduction testing selected by the number of studies. 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 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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