CPT 95922
Global XXX ActiveAutonomic nrv adrenrg inervj
CPT 95922 Billing & Documentation Guide
CPT code 95922 (Autonomic nrv adrenrg inervj) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.96, a non-facility practice expense RVU of 1.72, and a malpractice RVU of 0.05, a total non-facility RVU of 2.73 and facility RVU of 2.73. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $94.11, though rates vary from $82.27 to $119.33 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95922, 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 95922 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 95922 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 95922
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.96 | 0.96 |
| Practice Expense RVU | 1.72 | 1.72 |
| Malpractice RVU | 0.05 | 0.05 |
| Total RVU | 2.73 | 2.73 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95922
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 | $102.1 | $102.1 | $96.47 - $119.33 | 29 |
| Florida | $92.96 | $92.96 | $89.5 - $96.09 | 3 |
| Georgia | $88.92 | $88.92 | $85.3 - $92.54 | 2 |
| Illinois | $90.88 | $90.88 | $87.13 - $94.25 | 4 |
| Michigan | $88.36 | $88.36 | $86.4 - $90.32 | 2 |
| North Carolina | $86.73 | $86.73 | $86.73 - $86.73 | 1 |
| New York | $99.95 | $99.95 | $87.82 - $105.53 | 5 |
| Ohio | $86.2 | $86.2 | $86.2 - $86.2 | 1 |
| Pennsylvania | $90.41 | $90.41 | $86.38 - $94.44 | 2 |
| Texas | $90.35 | $90.35 | $85.9 - $94.39 | 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 95922
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95922 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0178T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0179T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0180T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0905T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 36000 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36400 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36405 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36406 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 95922
What does CPT code 95922 mean? +
CPT code 95922 represents: Autonomic nrv adrenrg inervj. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 95922? +
The 2026 Medicare national average non-facility payment for CPT 95922 is $94.11. Rates range from $82.27 to $119.33 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95922? +
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 95922? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team