CPT 95928
Global XXX ActiveC motor evoked uppr limbs
CPT 95928 Billing & Documentation Guide
CPT code 95928 (C motor evoked uppr limbs) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.46, a non-facility practice expense RVU of 6.12, and a malpractice RVU of 0.09, a total non-facility RVU of 7.67 and facility RVU of 7.67. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $265.67, though rates vary from $225.9 to $350.51 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95928, 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 95928 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 95928 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 95928
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.46 | 1.46 |
| Practice Expense RVU | 6.12 | 6.12 |
| Malpractice RVU | 0.09 | 0.09 |
| Total RVU | 7.67 | 7.67 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95928
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 | $294.02 | $294.02 | $275.24 - $350.51 | 29 |
| Florida | $259.71 | $259.71 | $248.7 - $269.16 | 3 |
| Georgia | $247.45 | $247.45 | $234.69 - $260.21 | 2 |
| Illinois | $252.2 | $252.2 | $240.09 - $264.37 | 4 |
| Michigan | $244.94 | $244.94 | $238.79 - $251.09 | 2 |
| North Carolina | $241.4 | $241.4 | $241.4 - $241.4 | 1 |
| New York | $283.21 | $283.21 | $245.07 - $300.52 | 5 |
| Ohio | $238.42 | $238.42 | $238.42 - $238.42 | 1 |
| Pennsylvania | $252.64 | $252.64 | $239.26 - $266.02 | 2 |
| Texas | $253.07 | $253.07 | $237.57 - $267.8 | 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 95928
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95928 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 |
| 95929 | 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 |
| 99446 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99447 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99448 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99449 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99451 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 99452 | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 95928
What does CPT code 95928 mean? +
CPT code 95928 represents: C motor evoked uppr limbs. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 95928? +
The 2026 Medicare national average non-facility payment for CPT 95928 is $265.67. Rates range from $225.9 to $350.51 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95928? +
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 95928? +
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 1, 2026.
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