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95852 Range of motion measurements

What 95852 is

CMS fee schedule short descriptor: Range of motion measurements.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 95852 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)0.110.520.010.64$21.38
Facility (hospital, ASC)0.110.030.010.15$5.01

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

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Medically Unlikely Edit (MUE)

Medicare caps 95852 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 95852? These codes are bundled into it

95852 is a Column 1 code in 3 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair

95852 is bundled into these codes

95852 appears as a Column 2 code in 110 active edits. Reported with one of these Column 1 codes on the same date of service, 95852 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0591THlth&wb coaching indiv 1st1Check pair
0592THlth&wb coaching indiv f-up1Check pair
0593THlth&wb coaching group1Check pair
96020Functional brain mapping1Check pair
97140Manual therapy 1/> regions1Check pair
97161Pt eval low complex 20 min0Check pair
97162Pt eval mod complex 30 min0Check pair
97163Pt eval high complex 45 min0Check pair
97164Pt re-eval est plan care0Check pair
97165Ot eval low complex 30 min0Check pair
97166Ot eval mod complex 45 min0Check pair
97167Ot eval high complex 60 min0Check pair
97168Ot re-eval est plan care0Check pair
97169Athletic trn eval low cmplx0Check pair
97170Athletic trn eval mod cmplx0Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.