CPT 95925
Global XXX ActiveSomatosensory testing
CPT 95925 Billing & Documentation Guide
CPT code 95925 (Somatosensory testing) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.53, a non-facility practice expense RVU of 3.95, and a malpractice RVU of 0.06, a total non-facility RVU of 4.54 and facility RVU of 4.54. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $157.47, though rates vary from $132.07 to $210.97 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95925, 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 95925 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 95925 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 95925
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.53 | 0.53 |
| Practice Expense RVU | 3.95 | 3.95 |
| Malpractice RVU | 0.06 | 0.06 |
| Total RVU | 4.54 | 4.54 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95925
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 | $175.54 | $175.54 | $163.68 - $210.97 | 29 |
| Florida | $153.97 | $153.97 | $146.84 - $160.11 | 3 |
| Georgia | $146 | $146 | $137.78 - $154.21 | 2 |
| Illinois | $149.08 | $149.08 | $141.29 - $156.87 | 4 |
| Michigan | $144.41 | $144.41 | $140.42 - $148.4 | 2 |
| North Carolina | $142.08 | $142.08 | $142.08 - $142.08 | 1 |
| New York | $168.45 | $168.45 | $144.45 - $179.43 | 5 |
| Ohio | $140.18 | $140.18 | $140.18 - $140.18 | 1 |
| Pennsylvania | $149.23 | $149.23 | $140.71 - $157.75 | 2 |
| Texas | $149.55 | $149.55 | $139.62 - $159.1 | 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 95925
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95925 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 |
| 95904 | Column 1 (primary), can be billed with modifier | 9 | Standards of medical/surgical practice |
| 95926 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 96523 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 00104 | Column 2 (secondary), bundled into primary | No | CPT Manual or CMS manual coding instruction |
| 00210 | Column 2 (secondary), bundled into primary | No | CPT Manual or CMS manual coding instruction |
| 00211 | Column 2 (secondary), bundled into primary | No | CPT Manual or CMS manual coding instruction |
| 00212 | Column 2 (secondary), bundled into primary | No | CPT Manual or CMS manual coding instruction |
| 00214 | Column 2 (secondary), bundled into primary | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 95925
What does CPT code 95925 mean? +
CPT code 95925 represents: Somatosensory testing. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 95925? +
The 2026 Medicare national average non-facility payment for CPT 95925 is $157.47. Rates range from $132.07 to $210.97 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95925? +
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 95925? +
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 June 2, 2026.
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