Billing code 95909: Nerve conductionMedicare rate & RVUs in Washington
Reports nerve conduction testing comprising five or six studies to evaluate peripheral nerve function, commonly during evaluation of suspected neuropathy or focal nerve injury.
Medicare pays $146.84–$164.59 for 95909 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 95909 covers
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.
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 95909 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | $146.84 | Unavailable |
| Seattle (King Cnty) | $164.59 | Unavailable |
How the 95909 rate is calculated
Each of 95909’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 · 95909
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.46Practice expense 2.72Malpractice 0.07
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95909
The CMS indicators that decide how 95909 is paid alongside other services.
CMS payment indicators · 95909
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
95909 without 26 · national office
$141.95
Nerve conduction
95909-26 · Professional component
$80.16
Pays only the interpretation and report.
95909 compared with similar codes
Compare codes
95909 vs 95908 vs 95910 vs 95905: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 95908Nerve conduction
- Use 95908 for three or four qualifying nerve conduction studies; use 95909 when the documented count is five or six.
- 95910Nerve conduction study
- 95910 represents seven or eight studies. Do not select it for a five- or six-study encounter.
- 95905Nerve conduction test
- 95905 describes automated nerve conduction testing, a different testing method. 95909 is selected by the count of qualifying studies.
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 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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