CPT 95937
Global XXX ActiveNeuromuscular junction test
CPT 95937 Billing & Documentation Guide
CPT code 95937 (Neuromuscular junction test) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.63, a non-facility practice expense RVU of 2.52, and a malpractice RVU of 0.04, a total non-facility RVU of 3.19 and facility RVU of 3.19. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $110.46, though rates vary from $94.03 to $145.45 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95937, 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 95937 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 4 units of 95937 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 95937
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.63 | 0.63 |
| Practice Expense RVU | 2.52 | 2.52 |
| Malpractice RVU | 0.04 | 0.04 |
| Total RVU | 3.19 | 3.19 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95937
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 | $122.12 | $122.12 | $114.37 - $145.45 | 29 |
| Florida | $108.09 | $108.09 | $103.52 - $112.04 | 3 |
| Georgia | $102.98 | $102.98 | $97.72 - $108.23 | 2 |
| Illinois | $105 | $105 | $99.98 - $110 | 4 |
| Michigan | $101.96 | $101.96 | $99.4 - $104.52 | 2 |
| North Carolina | $100.43 | $100.43 | $100.43 - $100.43 | 1 |
| New York | $117.76 | $117.76 | $101.94 - $124.95 | 5 |
| Ohio | $99.24 | $99.24 | $99.24 - $99.24 | 1 |
| Pennsylvania | $105.1 | $105.1 | $99.57 - $110.64 | 2 |
| Texas | $105.27 | $105.27 | $98.88 - $111.32 | 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 95937
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95937 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00790 | 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 |
| 36592 | 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 | No | CPT Manual or CMS manual coding instruction |
| 99447 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99448 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99449 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99451 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 99452 | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
Frequently Asked Questions, CPT 95937
What does CPT code 95937 mean? +
CPT code 95937 represents: Neuromuscular junction test. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 95937? +
The 2026 Medicare national average non-facility payment for CPT 95937 is $110.46. Rates range from $94.03 to $145.45 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95937? +
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 95937? +
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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