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CPT 95886 — Musc test done w/n test comp

CPT code 95886 (Musc test done w/n test comp) carries 0.84 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 2.99 in a non-facility setting and 2.99 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $99.87 and $99.87 respectively.

0.84
Work RVU
2.99
Total RVU (non-facility)
$99.87
Medicare, non-facility
$99.87
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 95886

ComponentRVUsWhat it covers
Work RVU0.84Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)2.12Office overhead, staff, supplies.
Practice expense RVU (facility)2.12Overhead when performed in a hospital.
Malpractice RVU0.0Professional liability cost.
Total RVU (non-facility)2.99Work + non-facility PE + malpractice.
Total RVU (facility)2.99Work + facility PE + malpractice.

Professional and technical components

CPT 95886 can be split into professional (modifier 26) and technical (modifier TC) components.

ComponentWork RVUTotal RVU (non-fac)Total RVU (fac)
Modifier 260.841.361.36
Modifier TC0.01.631.63

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 95886 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility2.99$33.40$99.87
Facility2.99$33.40$99.87

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 95886

Global period
Add-on code — global period is bundled with the primary procedure.
Multiple procedure reduction
No multiple-procedure payment reduction applies.
Bilateral surgery
Payment is 100% per side rather than the usual bilateral adjustment.
Assistant surgeon
Not permitted unless documentation supports medical necessity.
Co-surgeon
Not permitted unless documentation supports medical necessity.
Team surgery
Not permitted unless documentation supports medical necessity.

Related codes

Codes in the same CMS family, with their work RVU values.

Questions about CPT 95886

How many work RVUs is CPT 95886?

CPT 95886 is assigned 0.84 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 95886?

At the 2026 national conversion factor of $33.40, CPT 95886 pays approximately $99.87 in a non-facility setting and $99.87 in a facility setting before geographic adjustment.

What is the global period for CPT 95886?

Add-on code — global period is bundled with the primary procedure.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.