CPT 95851
Global XXX ActiveRange of motion measurements
CPT 95851 Billing & Documentation Guide
CPT code 95851 (Range of motion measurements) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.16, a non-facility practice expense RVU of 0.61, and a malpractice RVU of 0.01, a total non-facility RVU of 0.78 and facility RVU of 0.2. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $27, though rates vary from $23.02 to $35.49 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95851, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 95851 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 3 units of 95851 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 95851
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.16 | 0.16 |
| Practice Expense RVU | 0.61 | 0.03 |
| Malpractice RVU | 0.01 | 0.01 |
| Total RVU | 0.78 | 0.2 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95851
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $29.82 | $6.9 | $27.94 - $35.49 | 29 |
| Florida | $26.44 | $7 | $25.32 - $27.4 | 3 |
| Georgia | $25.19 | $6.71 | $23.92 - $26.46 | 2 |
| Illinois | $25.69 | $6.97 | $24.47 - $26.9 | 4 |
| Michigan | $24.95 | $6.76 | $24.32 - $25.57 | 2 |
| North Carolina | $24.57 | $6.49 | $24.57 - $24.57 | 1 |
| New York | $28.78 | $7.17 | $24.93 - $30.53 | 5 |
| Ohio | $24.28 | $6.6 | $24.28 - $24.28 | 1 |
| Pennsylvania | $25.71 | $6.73 | $24.36 - $27.05 | 2 |
| Texas | $25.74 | $6.67 | $24.2 - $27.21 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 95851
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95851 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 36592 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 97530 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 0591T | Column 2 (secondary), bundled into primary | Yes | Standards of medical/surgical practice |
| 0592T | Column 2 (secondary), bundled into primary | Yes | Standards of medical/surgical practice |
| 0593T | Column 2 (secondary), bundled into primary | Yes | Standards of medical/surgical practice |
| 95831 | Column 2 (secondary), bundled into primary | No | CPT Separate procedure definition |
| 95833 | Column 2 (secondary), bundled into primary | No | CPT Separate procedure definition |
| 95834 | Column 2 (secondary), bundled into primary | No | CPT Separate procedure definition |
Frequently Asked Questions, CPT 95851
What does CPT code 95851 mean? +
CPT code 95851 represents: Range of motion measurements. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 95851? +
The 2026 Medicare national average non-facility payment for CPT 95851 is $27. Rates range from $23.02 to $35.49 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95851? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 95851? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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