CPT 95913
Global XXX ActiveNrv cndj test 13/> studies
CPT 95913 Billing & Documentation Guide
CPT code 95913 (Nrv cndj test 13/> studies) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 3.47, a non-facility practice expense RVU of 5.35, and a malpractice RVU of 0.16, a total non-facility RVU of 8.98 and facility RVU of 8.98. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $309.34, though rates vary from $272.15 to $389.19 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95913, 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 95913 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 95913 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 95913
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 3.47 | 3.47 |
| Practice Expense RVU | 5.35 | 5.35 |
| Malpractice RVU | 0.16 | 0.16 |
| Total RVU | 8.98 | 8.98 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95913
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 | $334.4 | $334.4 | $316.59 - $389.19 | 29 |
| Florida | $305.6 | $305.6 | $294.77 - $315.44 | 3 |
| Georgia | $292.95 | $292.95 | $281.67 - $304.22 | 2 |
| Illinois | $299.18 | $299.18 | $287.4 - $309.7 | 4 |
| Michigan | $291.22 | $291.22 | $285.08 - $297.35 | 2 |
| North Carolina | $286.04 | $286.04 | $286.04 - $286.04 | 1 |
| New York | $328.01 | $328.01 | $289.42 - $345.71 | 5 |
| Ohio | $284.44 | $284.44 | $284.44 - $284.44 | 1 |
| Pennsylvania | $297.69 | $297.69 | $284.99 - $310.38 | 2 |
| Texas | $297.43 | $297.43 | $283.48 - $309.93 | 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 95913
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95913 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 |
| 95912 | Column 1 (primary), can be billed with modifier | No | HCPCS/CPT procedure code definition |
Frequently Asked Questions, CPT 95913
What does CPT code 95913 mean? +
CPT code 95913 represents: Nrv cndj test 13/> studies. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 95913? +
The 2026 Medicare national average non-facility payment for CPT 95913 is $309.34. Rates range from $272.15 to $389.19 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95913? +
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 95913? +
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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