CPT 95886
Global ZZZ ActiveMusc test done w/n test comp
CPT 95886 Billing & Documentation Guide
CPT code 95886 (Musc test done w/n test comp) is classified under Neurology with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.84, a non-facility practice expense RVU of 2.12, and a malpractice RVU of 0.03, a total non-facility RVU of 2.99 and facility RVU of 2.99. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $103.39, though rates vary from $89.4 to $133.79 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95886, 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 95886 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 4 units of 95886 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 95886
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.84 | 0.84 |
| Practice Expense RVU | 2.12 | 2.12 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 2.99 | 2.99 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95886
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 | $113.39 | $113.39 | $106.68 - $133.79 | 29 |
| Florida | $101.05 | $101.05 | $97.26 - $104.3 | 3 |
| Georgia | $96.85 | $96.85 | $92.41 - $101.29 | 2 |
| Illinois | $98.49 | $98.49 | $94.27 - $102.75 | 4 |
| Michigan | $95.96 | $95.96 | $93.84 - $98.08 | 2 |
| North Carolina | $94.76 | $94.76 | $94.76 - $94.76 | 1 |
| New York | $109.74 | $109.74 | $96.03 - $115.91 | 5 |
| Ohio | $93.72 | $93.72 | $93.72 - $93.72 | 1 |
| Pennsylvania | $98.74 | $98.74 | $94.01 - $103.47 | 2 |
| Texas | $98.86 | $98.86 | $93.42 - $103.92 | 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 95886
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95886 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 |
| 95873 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 95874 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 95885 | Column 1 (primary), can be billed with modifier | Yes | More extensive procedure |
| 95887 | Column 1 (primary), can be billed with modifier | 9 | HCPCS/CPT procedure code definition |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99446 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99447 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99448 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 95886
What does CPT code 95886 mean? +
CPT code 95886 represents: Musc test done w/n test comp. It's in the Neurology category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 95886? +
The 2026 Medicare national average non-facility payment for CPT 95886 is $103.39. Rates range from $89.4 to $133.79 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95886? +
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 95886? +
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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