CPT 95923
Global XXX ActiveAutonomic nrv syst funj test
CPT 95923 Billing & Documentation Guide
CPT code 95923 (Autonomic nrv syst funj test) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.88, a non-facility practice expense RVU of 2.74, and a malpractice RVU of 0.05, a total non-facility RVU of 3.67 and facility RVU of 3.67. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $126.93, though rates vary from $108.87 to $165.49 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95923, 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 95923 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 95923 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 95923
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.88 | 0.88 |
| Practice Expense RVU | 2.74 | 2.74 |
| Malpractice RVU | 0.05 | 0.05 |
| Total RVU | 3.67 | 3.67 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95923
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 | $139.64 | $139.64 | $131.09 - $165.49 | 29 |
| Florida | $124.47 | $124.47 | $119.39 - $128.89 | 3 |
| Georgia | $118.75 | $118.75 | $113.02 - $124.47 | 2 |
| Illinois | $121.12 | $121.12 | $115.56 - $126.55 | 4 |
| Michigan | $117.68 | $117.68 | $114.83 - $120.52 | 2 |
| North Carolina | $115.85 | $115.85 | $115.85 - $115.85 | 1 |
| New York | $135.16 | $135.16 | $117.51 - $143.19 | 5 |
| Ohio | $114.63 | $114.63 | $114.63 - $114.63 | 1 |
| Pennsylvania | $121.08 | $121.08 | $114.98 - $127.18 | 2 |
| Texas | $121.21 | $121.21 | $114.23 - $127.76 | 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 95923
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95923 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 |
| 36140 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36410 | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 36591 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 95923
What does CPT code 95923 mean? +
CPT code 95923 represents: Autonomic nrv syst funj test. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 95923? +
The 2026 Medicare national average non-facility payment for CPT 95923 is $126.93. Rates range from $108.87 to $165.49 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95923? +
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 95923? +
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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