CPT 95911
Global XXX ActiveNrv cndj test 9-10 studies
CPT 95911 Billing & Documentation Guide
CPT code 95911 (Nrv cndj test 9-10 studies) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.44, a non-facility practice expense RVU of 4.05, and a malpractice RVU of 0.1, a total non-facility RVU of 6.59 and facility RVU of 6.59. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $227.2, though rates vary from $199.42 to $287.32 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95911, 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 95911 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 95911 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 95911
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.44 | 2.44 |
| Practice Expense RVU | 4.05 | 4.05 |
| Malpractice RVU | 0.1 | 0.1 |
| Total RVU | 6.59 | 6.59 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95911
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 | $246.29 | $246.29 | $232.93 - $287.32 | 29 |
| Florida | $223.73 | $223.73 | $215.84 - $230.77 | 3 |
| Georgia | $214.67 | $214.67 | $206.14 - $223.19 | 2 |
| Illinois | $218.87 | $218.87 | $210.22 - $226.91 | 4 |
| Michigan | $213.22 | $213.22 | $208.77 - $217.67 | 2 |
| North Carolina | $209.84 | $209.84 | $209.84 - $209.84 | 1 |
| New York | $240.81 | $240.81 | $212.36 - $253.76 | 5 |
| Ohio | $208.37 | $208.37 | $208.37 - $208.37 | 1 |
| Pennsylvania | $218.31 | $218.31 | $208.84 - $227.77 | 2 |
| Texas | $218.23 | $218.23 | $207.7 - $227.74 | 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 95911
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95911 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 |
| 95910 | 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 |
Frequently Asked Questions, CPT 95911
What does CPT code 95911 mean? +
CPT code 95911 represents: Nrv cndj test 9-10 studies. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 95911? +
The 2026 Medicare national average non-facility payment for CPT 95911 is $227.2. Rates range from $199.42 to $287.32 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95911? +
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 95911? +
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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