CPT 95887
Global ZZZ ActiveMusc tst done w/n tst nonext
CPT 95887 Billing & Documentation Guide
CPT code 95887 (Musc tst done w/n tst nonext) is classified under Neurology with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.69, a non-facility practice expense RVU of 1.92, and a malpractice RVU of 0.03, a total non-facility RVU of 2.64 and facility RVU of 2.64. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $91.3, though rates vary from $78.65 to $118.59 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95887, 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 95887 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 1 units of 95887 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 95887
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.69 | 0.69 |
| Practice Expense RVU | 1.92 | 1.92 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 2.64 | 2.64 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95887
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 | $100.3 | $100.3 | $94.26 - $118.59 | 29 |
| Florida | $89.34 | $89.34 | $85.86 - $92.34 | 3 |
| Georgia | $85.46 | $85.46 | $81.44 - $89.47 | 2 |
| Illinois | $87.01 | $87.01 | $83.16 - $90.84 | 4 |
| Michigan | $84.68 | $84.68 | $82.73 - $86.62 | 2 |
| North Carolina | $83.52 | $83.52 | $83.52 - $83.52 | 1 |
| New York | $97.04 | $97.04 | $84.67 - $102.63 | 5 |
| Ohio | $82.61 | $82.61 | $82.61 - $82.61 | 1 |
| Pennsylvania | $87.14 | $87.14 | $82.86 - $91.42 | 2 |
| Texas | $87.24 | $87.24 | $82.34 - $91.83 | 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 95887
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95887 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 |
| 90901 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 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 |
| 95920 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 95938 | Column 1 (primary), can be billed with modifier | 9 | Misuse of Column Two code with Column One code |
| 95939 | Column 1 (primary), can be billed with modifier | 9 | Misuse of Column Two code with Column One code |
| 95940 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 95887
What does CPT code 95887 mean? +
CPT code 95887 represents: Musc tst done w/n tst nonext. It's in the Neurology category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 95887? +
The 2026 Medicare national average non-facility payment for CPT 95887 is $91.3. Rates range from $78.65 to $118.59 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95887? +
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 95887? +
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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