95925 Somatosensory testing
What 95925 is
CMS fee schedule short descriptor: Somatosensory testing.
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 95925 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.53 | 3.95 | 0.06 | 4.54 | $151.64 |
| Facility (hospital, ASC) | 0.53 | 3.95 | 0.06 | 4.54 | $151.64 |
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.
Medically Unlikely Edit (MUE)
Medicare caps 95925 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: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 95925? These codes are bundled into it
95925 is a Column 1 code in 4 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 code | Short description | Modifier indicator | |
|---|---|---|---|
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
95926 | Somatosensory testing | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
95925 is bundled into these codes
95925 appears as a Column 2 code in 701 active edits. Reported with one of these Column 1 codes on the same date of service, 95925 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
00104 | Anes electroconvulsive ther | 0 | Check pair |
00210 | Anes intracranial px nos | 0 | Check pair |
00211 | Anes icr px crnec/crnot hmtm | 0 | Check pair |
00212 | Anes icr px subdural taps | 0 | Check pair |
00214 | Anes icr px burr holes | 0 | Check pair |
00215 | Anes icr px crnop/elvtn fx | 0 | Check pair |
00216 | Anes icr px vascular px | 0 | Check pair |
00218 | Anes icr px in sitting pos | 0 | Check pair |
00220 | Anes icr px csf shunting px | 0 | Check pair |
00222 | Anes icr px ecoag icr nrv | 0 | Check pair |
00300 | Anes all px integ h/n/ptrunk | 0 | Check pair |
00400 | Anes integumentary sys nos | 0 | Check pair |
00600 | Anes px crv spine&cord nos | 0 | Check pair |
00604 | Anes px crv spn&cord sitting | 0 | Check pair |
00620 | Anes px thrc spine&cord nos | 0 | Check 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.