2025 CPT code 95907
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Nerve Conduction Studies Medicine Services and Procedures > Neurology and Neuromuscular Procedures Feed
Nerve conduction studies; 1-2 studies.
Modifiers 26 (professional component) and TC (technical component) may be applied as appropriate based on the services provided.
NCS is medically necessary when there is clinical suspicion of peripheral nerve pathology. Symptoms warranting testing may include muscle weakness, numbness, tingling, or pain in the extremities. The test aids in diagnosis of conditions such as carpal tunnel syndrome, ulnar neuropathy, Guillain-Barré syndrome, and other nerve disorders.
The clinical responsibility includes patient preparation, electrode placement, stimulation, waveform recording and analysis, interpretation of results, and preparation of a comprehensive report.The physician or qualified healthcare professional must ensure proper electrode placement to avoid stimulating unintended nerves, careful adjustment of stimulation parameters, real-time waveform review and adjustment to minimize artifacts, accurate calculation of nerve conduction velocities, and the inclusion of comparison to normal values, summarization of clinical and electrodiagnostic data, and interpretation.
- Medicine Services and Procedures > Neurology and Neuromuscular Procedures
- Neurology and Neuromuscular Procedures
In simple words: This test checks how well your nerves send electrical signals.The doctor uses small stickers with electrodes to gently stimulate nerves and measure how quickly the signals travel. This helps determine if there's nerve damage, which might be causing pain, numbness, or weakness.
This CPT code encompasses the performance of one or two nerve conduction studies (NCS).NCS is a diagnostic test that measures the speed of electrical impulse conduction through a peripheral nerve. This helps pinpoint nerve damage or dysfunction. The procedure involves placing electrodes on the nerve to stimulate it with mild electrical impulses and record the resulting electrical activity.Analysis includes parameters like latency, conduction velocity, and amplitude.Different types of studies may be included, such as motor, sensory, F-waves, and H-reflex studies. Each type of study (sensory, motor with or without F wave, H-reflex) for each nerve includes all orthodromic and antidromic impulses associated with that nerve and constitutes a distinct study. Each type of nerve conduction study is counted only once when multiple sites on the same nerve are stimulated or recorded. The waveforms are reviewed in real time, and the technique is adjusted to minimize artifacts and ensure accurate results. A comprehensive report summarizing findings and interpretations is provided.
Example 1: A 60-year-old patient presents with progressive weakness and numbness in their hands.NCS is performed to determine if the symptoms are due to carpal tunnel syndrome or another peripheral neuropathy.The study shows slowed conduction velocity in the median nerve at the wrist, consistent with carpal tunnel syndrome., A 45-year-old patient sustained a crush injury to their forearm. NCS is performed to evaluate the extent of nerve damage.The study reveals evidence of axonal loss and demyelination in the affected nerves., A 25-year-old patient complains of foot drop and weakness in their leg.NCS is performed to rule out nerve compression or other peripheral nerve disorders.The study shows normal conduction velocities and amplitudes, suggesting that the symptoms are likely not caused by peripheral nerve pathology.
Detailed patient history including symptoms, onset, duration, and progression of neurological symptoms.Thorough physical examination noting muscle strength, reflexes, and sensory findings.NCS report including detailed description of the technique used, waveforms obtained, and quantitative measures such as latency, amplitude, and conduction velocity, comparison to normal values, interpretation, and clinical correlation.
** Always ensure that documentation supports the medical necessity of the procedure and accurately reflects the services performed.Refer to current CPT coding guidelines and NCCI edits for the most accurate and up-to-date coding practices. The number of studies performed determines which code from the 95907-95913 range to use.
- Revenue Code: T2D (OTHER TESTS - OTHER)
- RVU: RVUs will vary based on geographic location and other factors.Consult your local payer's fee schedule for current values.
- Global Days: Not applicable to this diagnostic code. Global period applies only to surgical procedures.
- Payment Status: Active
- Modifier TC rule: Modifier TC (Technical Component) applies if the technical component is billed separately from the professional component.
- Fee Schedule: Historical fee schedule data is not readily available in this context and varies by payer and geographic location. Consult your local payer's fee schedule or a medical billing resource for historical data.
- Specialties:Neurology, physiatry, clinical neurophysiology, electrodiagnostic medicine.
- Place of Service:Office, hospital (inpatient or outpatient), ambulatory surgical center, other clinical settings.