Nerve conduction studies totaling eleven or twelve individual studies in one session, including interpretation and report.
- Medicare
- $254.85
- Work RVU
- 2.93
- Global, days
- Region
- Multi-region
Documentation requirements
What must appear in the operative or office note to support the claim.
Source · Editorial brief grounded in 3 cited references ↓
- Clinical reason for an extensive study, such as plexus injury or polyneuropathy
- Every study clearly labeled by nerve, type, and side
- Values with reference ranges
- Total of eleven or twelve studies
- Temperature
- Interpretation localizing the problem
Applicable modifiers
Modifiers commonly billed with this code.
Source · AMA CPT modifier descriptors · CMS NCCI Policy Manual
What this code covers
Source · Editorial summary grounded in 3 cited references ↓
Exams with eleven or twelve studies usually involve both arms or both legs plus extra studies to look for a generalized process, such as polyneuropathy, multiple entrapments, or a plexus injury after trauma.
Orthopedic referrals that support this count include brachial plexus injuries after shoulder dislocation or motorcycle trauma, where many nerves have to be mapped, and complex lower extremity cases after a pelvic or acetabular fracture.
At this tier, auditors want to see a reason for every nerve. Bill once per session, choose by total count, and add needle EMG per limb with 95885 or 95886. A frequent problem is a report that lists results in a table without labeling which values are separate studies, which makes the count hard to verify.
RVU & reimbursement
Component RVUs and Medicare national rate. Actual payment varies by GPCI locality.
Source · CMS Physician Fee Schedule, RVU26A · January 2026
Work RVU vs. total RVU
The work RVU (2.93) is the surgeon's own effort — the figure physician pay and productivity targets are built on. The total RVU (7.63) adds practice overhead and malpractice, and is what drives the Medicare payment below.
| Work RVU | 2.93 |
| Practice expense RVU | 4.56 |
| Malpractice RVU | 0.14 |
| Total RVU | 7.63 |
| Medicare national rate | $254.85 |
| Global period | days |
Payment by site of service
Medicare pays different rates by setting. HOPD typically pays substantially more than ASC for the same procedure.
Source · CMS OPPS Addendum B·ASC HCPCS payment rates·2026
| Setting | Medicare rate (national) |
|---|---|
Office (PFS non-facility) Procedure performed in physician's office | $254.85 |
HOPD (APC 5723) Hospital outpatient department | $381.24 |
Common denial reasons
The recurring reasons claims for CPT 95912 get rejected.
Source · Editorial brief grounded in CMS NCCI edits, AAOS coding appeals, and cited references ↓
- Diagnosis supports a smaller study
- Report table makes the count impossible to verify
- More than one unit billed
- Repeat sites on the same nerve counted as extra studies
Frequently asked questions
Source · Generated from the editorial pipeline, verified against 3 cited references ↓
01What diagnoses support 95912?
02How should studies be listed for audit?
03Can 95912 be billed with 95886?
Sources & references
Editorial content was developed using the following public sources.
Mira Scribe
Mira Scribe documents trauma mechanism and the full neurologic exam after an injury, which supports mapping many nerves in a single session.
See how Mira captures CPT 95912 documentation