Nerve conduction studies totaling seven or eight individual studies in one session, including interpretation and report.
- Medicare
- $184.71
- Work RVU
- 1.95
- Global, days
- Region
- General
Documentation requirements
What must appear in the operative or office note to support the claim.
Source · Editorial brief grounded in 3 cited references ↓
- Clinical indication, including bilateral symptoms if both sides were tested
- Each nerve study by type and side
- Values and reference ranges
- Total count of seven or eight
- Temperature
- Interpretation
Applicable modifiers
Modifiers commonly billed with this code.
Source · AMA CPT modifier descriptors · CMS NCCI Policy Manual
What this code covers
Source · Editorial summary grounded in 3 cited references ↓
Seven or eight studies puts you on 95910. This is where bilateral carpal tunnel exams, or a lumbar radiculopathy workup with peroneal, tibial, sural, and H-reflex studies on both sides, often fall.
The code is chosen by the combined count across every limb tested in the session. Two arms with four studies each is eight studies and one unit of 95910, not two units of 95908.
Contractors that publish study limits often allow counts in this range for common entrapment and radiculopathy diagnoses, but they still look for the diagnosis to match. A bilateral study needs bilateral symptoms or a documented reason to compare sides. Needle EMG for each limb is added with 95885 or 95886. Keep the temperature log in the report, since cold limbs slow conduction and auditors sometimes ask.
RVU & reimbursement
Component RVUs and Medicare national rate. Actual payment varies by GPCI locality.
Source · CMS Physician Fee Schedule, RVU26A · January 2026
Work RVU vs. total RVU
The work RVU (1.95) is the surgeon's own effort — the figure physician pay and productivity targets are built on. The total RVU (5.53) adds practice overhead and malpractice, and is what drives the Medicare payment below.
| Work RVU | 1.95 |
| Practice expense RVU | 3.5 |
| Malpractice RVU | 0.08 |
| Total RVU | 5.53 |
| Medicare national rate | $184.71 |
| Global period | days |
Payment by site of service
Medicare pays different rates by setting. HOPD typically pays substantially more than ASC for the same procedure.
Source · CMS OPPS Addendum B·ASC HCPCS payment rates·2026
| Setting | Medicare rate (national) |
|---|---|
Office (PFS non-facility) Procedure performed in physician's office | $184.71 |
HOPD (APC 5723) Hospital outpatient department | $381.24 |
Common denial reasons
The recurring reasons claims for CPT 95910 get rejected.
Source · Editorial brief grounded in CMS NCCI edits, AAOS coding appeals, and cited references ↓
- Split into two lower-tier codes for two limbs
- Bilateral testing without bilateral diagnosis or rationale
- Study count exceeds payer limit for the diagnosis
- Paired with limb needle EMG codes instead of add-ons
Frequently asked questions
Source · Generated from the editorial pipeline, verified against 3 cited references ↓
01How do I code bilateral carpal tunnel NCS?
02Can 95910 be billed with 95861?
03Does an H-reflex count toward the total?
Sources & references
Editorial content was developed using the following public sources.
Mira Scribe
Mira Scribe records which side or sides are symptomatic and the exam findings on each, giving a bilateral nerve study the support it needs.
See how Mira captures CPT 95910 documentation