CPT 95924
Global XXX ActiveAns parasymp & symp w/tilt
CPT 95924 Billing & Documentation Guide
CPT code 95924 (Ans parasymp & symp w/tilt) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.73, a non-facility practice expense RVU of 2.8, and a malpractice RVU of 0.1, a total non-facility RVU of 4.63 and facility RVU of 4.63. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $159.43, though rates vary from $139.84 to $200.79 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95924, 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 95924 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 95924 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 95924
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.73 | 1.73 |
| Practice Expense RVU | 2.8 | 2.8 |
| Malpractice RVU | 0.1 | 0.1 |
| Total RVU | 4.63 | 4.63 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95924
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 | $172.33 | $172.33 | $163.06 - $200.79 | 29 |
| Florida | $158.12 | $158.12 | $152.21 - $163.59 | 3 |
| Georgia | $151.09 | $151.09 | $145.19 - $156.99 | 2 |
| Illinois | $154.73 | $154.73 | $148.39 - $160.15 | 4 |
| Michigan | $150.3 | $150.3 | $146.94 - $153.66 | 2 |
| North Carolina | $147.17 | $147.17 | $147.17 - $147.17 | 1 |
| New York | $169.4 | $169.4 | $148.98 - $178.88 | 5 |
| Ohio | $146.54 | $146.54 | $146.54 - $146.54 | 1 |
| Pennsylvania | $153.48 | $153.48 | $146.79 - $160.17 | 2 |
| Texas | $153.28 | $153.28 | $145.99 - $159.81 | 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 95924
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95924 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 |
| 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 |
Frequently Asked Questions, CPT 95924
What does CPT code 95924 mean? +
CPT code 95924 represents: Ans parasymp & symp w/tilt. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 95924? +
The 2026 Medicare national average non-facility payment for CPT 95924 is $159.43. Rates range from $139.84 to $200.79 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95924? +
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 95924? +
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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