CPT 95910
Global XXX ActiveNrv cndj test 7-8 studies
CPT 95910 Billing & Documentation Guide
CPT code 95910 (Nrv cndj test 7-8 studies) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.95, a non-facility practice expense RVU of 3.5, and a malpractice RVU of 0.08, a total non-facility RVU of 5.53 and facility RVU of 5.53. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $190.76, though rates vary from $166.93 to $242.3 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95910, 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 95910 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 1 units of 95910 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 95910
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.95 | 1.95 |
| Practice Expense RVU | 3.5 | 3.5 |
| Malpractice RVU | 0.08 | 0.08 |
| Total RVU | 5.53 | 5.53 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95910
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 | $207.24 | $207.24 | $195.8 - $242.3 | 29 |
| Florida | $187.63 | $187.63 | $180.91 - $193.59 | 3 |
| Georgia | $179.95 | $179.95 | $172.59 - $187.31 | 2 |
| Illinois | $183.42 | $183.42 | $176.04 - $190.38 | 4 |
| Michigan | $178.67 | $178.67 | $174.88 - $182.45 | 2 |
| North Carolina | $175.91 | $175.91 | $175.91 - $175.91 | 1 |
| New York | $202.27 | $202.27 | $178.07 - $213.26 | 5 |
| Ohio | $174.56 | $174.56 | $174.56 - $174.56 | 1 |
| Pennsylvania | $183.08 | $183.08 | $174.97 - $191.19 | 2 |
| Texas | $183.06 | $183.06 | $174 - $191.31 | 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 95910
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95910 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 |
| 76883 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 95905 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 95907 | Column 1 (primary), can be billed with modifier | No | HCPCS/CPT procedure code definition |
| 95908 | Column 1 (primary), can be billed with modifier | No | HCPCS/CPT procedure code definition |
| 95909 | Column 1 (primary), can be billed with modifier | No | 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 |
Frequently Asked Questions, CPT 95910
What does CPT code 95910 mean? +
CPT code 95910 represents: Nrv cndj test 7-8 studies. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 95910? +
The 2026 Medicare national average non-facility payment for CPT 95910 is $190.76. Rates range from $166.93 to $242.3 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95910? +
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 95910? +
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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