CPT 95912
Global XXX ActiveNrv cndj test 11-12 studies
CPT 95912 Billing & Documentation Guide
CPT code 95912 (Nrv cndj test 11-12 studies) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.93, a non-facility practice expense RVU of 4.56, and a malpractice RVU of 0.14, a total non-facility RVU of 7.63 and facility RVU of 7.63. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $262.82, though rates vary from $231.11 to $330.76 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95912, 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 95912 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 95912 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 95912
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.93 | 2.93 |
| Practice Expense RVU | 4.56 | 4.56 |
| Malpractice RVU | 0.14 | 0.14 |
| Total RVU | 7.63 | 7.63 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95912
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 | $284.13 | $284.13 | $268.96 - $330.76 | 29 |
| Florida | $259.78 | $259.78 | $250.5 - $268.24 | 3 |
| Georgia | $248.91 | $248.91 | $239.3 - $258.52 | 2 |
| Illinois | $254.31 | $254.31 | $244.23 - $263.26 | 4 |
| Michigan | $247.46 | $247.46 | $242.2 - $252.73 | 2 |
| North Carolina | $242.96 | $242.96 | $242.96 - $242.96 | 1 |
| New York | $278.78 | $278.78 | $245.84 - $293.91 | 5 |
| Ohio | $241.64 | $241.64 | $241.64 - $241.64 | 1 |
| Pennsylvania | $252.93 | $252.93 | $242.1 - $263.76 | 2 |
| Texas | $252.69 | $252.69 | $240.81 - $263.35 | 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 95912
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95912 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 |
| 95911 | 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 |
Frequently Asked Questions, CPT 95912
What does CPT code 95912 mean? +
CPT code 95912 represents: Nrv cndj test 11-12 studies. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 95912? +
The 2026 Medicare national average non-facility payment for CPT 95912 is $262.82. Rates range from $231.11 to $330.76 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95912? +
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 95912? +
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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