Medicare Fee Schedule

Transcription

1 20550 Inject tendon/ligament/cyst % Practice Expense % Physician work % Inject tendon origin/insert % Practice Expense % Physician work % Inject trigger point, 1 or % Practice Expense % Physician work % Inject trigger points, > % Practice Expense % Physician work % Transcath stent, cca w/eps % Practice Expense % Physician work % Transcath stent, cca w/o eps % Practice Expense % Physician work % Lumbar Puncture % Practice Expense % Physician work % nerve Block, greater occipital nerve % Practice Expense % Physician work % Chemodenerwation, salivary glands % Practice Expense % Physician work % Destroy nerve, face muscle % Practice Expense % Physician work % Destroy nerve, spine muscle % Practice Expense % Physician work % Destroy nerve, extrem musc % Practice Expense % Physician work % American Academy of Neurology Page 1 of 33

2 64615 Chemodenervation musc migraine % Practice Expense % Physician work % Chemodenervation, eccrine glands % Practice Expense % Physician work % Chemodenervation, eccrine glands % Practice Expense % Physician work % Destroy nerve of eye muscle % Practice Expense % Physician work % fmri, brain by tech % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % fmri, brain by phy/pshch N/A N/A N/A Professional Component % Practice Expense - PC % Technical Component N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work % Vestibular testing % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Brainstem Auditory EP % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % American Academy of Neurology Page 2 of 33

3 93880 Carotid Duplex Scan % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Carotid Duplex Scan % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Transcranial Doppler % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Transcranial Doppler % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % TCD, vasoreactivity study % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % TCD, emboli detection w/o inj % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % American Academy of Neurology Page 3 of 33

4 93893 TCD, emboli detection w/inj % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % CPAP initiation and management % Practice Expense % Physician work % Sleep study, unattended, simultaneous recording % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Sleep study, unattended % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Actigraphy testing % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Multiple Sleep Latency Test % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % American Academy of Neurology Page 4 of 33

5 95806 Sleep Study, Unattended % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Sleep Study % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Polysomnography, % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Polysomnography, 4 or more % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Polysomnography w/cpap % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Polysom <6 yrs 4/> paramtrs % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % American Academy of Neurology Page 5 of 33

6 95783 Polysom <6 yrs cpap/bilvl % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Extended EEG, < 1 hr % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Extended EEG, > 1 hr % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Awake EEG % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Awake and Asleep EEG % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Sleep EEG % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % American Academy of Neurology Page 6 of 33

7 95824 EEG for Brain Death % Practice Expense N/A N/A N/A Professional Component % Practice Expense - PC % Technical Component N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work % Overnight EEG % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Surgery Electrocorticogram % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Insert Sphenoidal Electrodes % Practice Expense % Physician work % EMG, One Limb % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % EMG, Two Limbs % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % American Academy of Neurology Page 7 of 33

8 95863 EMG, Three Limbs % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % EMG, Four Limbs % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % EMG, larynx % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % EMG, hemidiaphragm % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % EMG, Cranial Unilateral % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % EMG, Cranial Bilateral % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % American Academy of Neurology Page 8 of 33

9 Medicare Fee Schedule EMG, Thoracic Paraspinal % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % EMG, Other % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % EMG, Single Fiber % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Electrical stimulation, chemodenervation % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % EMG, chemodenervation % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Limb Exercise Test % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Needle EMG when performed with nerve conduction test; limited % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % American Academy of Neurology Page 9 of 33

10 Needle EMG when performed with nerve conduction test; complex % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Needle EMG when performed with nerve conduction test; non-extremity % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % NCV, Preconfig. Array % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Motor&/sens 1-2 nrv cndj tst % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Motor&/sens 3-4 nrv cndj tst % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % American Academy of Neurology Page 10 of 33

11 95909 Motor&/sens 5-6 nrv cndj tst % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Motor&/sens 7-8 nrv cndj tst % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Motor&/sens 9-10 nrv cndj tst % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Motor&/sens nrv cndj tst % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Motor&/sens 13/> nrv cndj tst % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % American Academy of Neurology Page 11 of 33

12 95921 Autonomic Parasympathetic % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Autonomic Sympathetic % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Autonomic Sudomotor % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Ans parasymp & symp w/tilt % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % Parasymp&symp hrt rate test % Practice Expense % Professional Component % Practice Expense - PC % Technical Component % Practice Expense - TC % Physician work % American Academy of Neurology Page 12 of 33

13 Medicare Fee Schedule Somatosensory EPs, Upper Limbs % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % Somatosensory EPs, Lower Limbs % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % Somatosensory EPs, Trunk or Head % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % C motor evoked, upper limbs % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % C motor evoked, lower limbs % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % Visual Evoked Potential % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % Blink Reflex Test % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % American Academy of Neurology Page 13 of 33

14 95937 Neuromuscular Junction Test % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % Somatosensory testing % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % C motor evoked upper and lower limbs % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % IONM in operatng room 15 min % Practice Expense % Physician work % IONM remote/>1 pt or per hr % G0453 Cont intraop neuro monitor % Practice Expense % Physician work % American Academy of Neurology Page 14 of 33

15 95950 Ambulatory Cassette EEG % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % Video-EEG Long-Term Monitoring % Practice Expense N/A N/A N/A Professional Components % Practice Expense - PC % Technical Components N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work % Automated Ambulatory % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % EEG Monitoring/Giving Drugs % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % EEG During Surgery % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % American Academy of Neurology Page 15 of 33

16 95956 EEG Monitoring, No Video % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % EEG Digital Analysis % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % Wada Test % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % Grid: Cortex Stimulation % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % Grid: Cortex Stimulation % Practice Expense % Professional Components % Practice Expense - PC % Technical Components % Practice Expense - TC % Physician work % MEG, Spontaneous N/A N/A N/A Practice Expense N/A N/A N/A Professional Components % Practice Expense - PC % Technical Components N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work % American Academy of Neurology Page 16 of 33

17 95966 MEG, evoked, single N/A N/A N/A Practice Expense N/A N/A N/A Professional Components % Practice Expense - PC % Technical Components N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work % MEG, evoked, each additional N/A N/A N/A Practice Expense N/A N/A N/A Professional Components % Practice Expense - PC % Technical Components N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work % Neurostim analyze, no program % Practice Expense % Physician work % Simple neurostim analyze % Practice Expense % Physician work % Complex neurostim analyze % Practice Expense % Physician work % Complex neurostim analyze % Practice Expense % Physician work % Complex cranial neurostim % Practice Expense % Physician work % Complex cranial neurostim % Practice Expense % Physician work % Analyze neurostim brain/1 hour % Practice Expense % Physician work % American Academy of Neurology Page 17 of 33

18 95979 Analyze neurostim brain/add on % Practice Expense % Physician work % Canalith Repositioning % Practice Expense % Physician work % Motion analysis, video/3d % Practice Expense % Physician work % Motion test w/ft pressure meas % Practice Expense % Physician work % Dynamic surface EMG % Practice Expense % Physician work % Phys rewiey of motion tests % Practice Expense % Physician work % Functional Brain Mapping N/A N/A N/A Practice Expense N/A N/A N/A Professional Component % Practice Expense - PC % Technical Component N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work % Office/outpatient visit, new % Practice Expense % Physician work % Office/outpatient visit, new % Practice Expense % Physician work % Office/outpatient visit, new % Practice Expense % Physician work % American Academy of Neurology Page 18 of 33

19 Medicare Fee Schedule Office/outpatient visit, new % Practice Expense % Physician work % Office/outpatient visit, new % Practice Expense % Physician work % Office/outpatient visit, est % Practice Expense % Physician work % Office/outpatient visit, est % Practice Expense % Physician work % Office/outpatient visit, est % Practice Expense % Physician work % Office/outpatient visit, est % Practice Expense % Physician work % Office/outpatient visit, est % Practice Expense % Physician work % Initial hospital care % Practice Expense % Physician work % Initial hospital care % Practice Expense % Physician work % Initial hospital care % Practice Expense % Physician work % Subsequent hospital care % Practice Expense % Physician work % Subsequent hospital care % Practice Expense % Physician work % Subsequent hospital care % Practice Expense % Physician work % American Academy of Neurology Page 19 of 33

20 99234 Observ/hosp same date % Practice Expense % Physician work % Observ/hosp same date % Practice Expense % Physician work % Observ/hosp same date % Practice Expense % Physician work % Hospital discharge day % Practice Expense % Physician work % 99487* Cmplx chron care w/o pt vsit % Practice Expense % Physician work % 99488* Cmplx chron care w pt vsit % Practice Expense % Physician work % 99489* Complx chron care addl 30 min % Practice Expense % Physician work % Trans care mgmt 14 day disch % Practice Expense % Physician work % Trans care mgmt 7 day disch % Practice Expense % Physician work % * Office consultation % Physician work % * Office consultation % Physician work % * Office consultation % Physician work % American Academy of Neurology Page 20 of 33

21 99244 * Office consultation % Physician work % * Office consultation % Physician work % * Inpatient consult % Physician work % * Inpatient consult % Physician work % * Inpatient consult % Physician work % * Inpatient consult % Physician work % * Inpatient consult % Physician work % Critical care, first hour % Practice Expense % Physician work % Critical care, addl 30 min % Practice Expense % Physician work % Notes * Indicates code which is not currently payable under Medicare American Academy of Neurology Page 21 of 33

22 Dollar Amounts, based on Medicare Conversion Factor CPT Code Change ($) 2013 (using 2014 (using Descriptors ) (using Medicare Conversion Factor Inject tendon/ligament/cyst $58.52 $58.85 $ Inject tendon origin/insert $60.56 $60.99 $ Inject trigger point, 1 or 2 $55.80 $55.99 $ Inject trigger points, > 3 $64.64 $ $ Transcath stent, cca w/eps $1, $1, $ Transcath stent, cca w/o eps $1, $1, $ Lumbar Puncture $ $ $ Nerve Block, greater occipital nerve $ $ $ Chemodenervation, salivary glands $ $ $ Destroy nerve, face muscle $ $ $ Destroy nerve, spine muscle $ $ $ Destroy nerve, extrem musc $ $ $ Chemodenervation musc migraine $ $ $ Chemodenervation, eccrine $ $ $ Chemodenervation, eccrine $ $ $ Destroy nerve of eye muscle $ $ $ fmri, brain by tech $ $ $48.94 Professional Component $ $ $4.25 Technical Component $ $ $ fmri, brain by phy/pshch N/A N/A N/A Professional Component $ $ $5.04 Technical Component N/A N/A N/A American Academy of Neurology Page 22 of 33

23 Dollar Amounts, based on Medicare Conversion Factor CPT Code Descriptors 2013 (using ) 2014 (using Change ($) (using Vestibular testing $ $ $2.01 Professional Component $77.91 $80.60 $2.69 Technical Component $22.80 $ $ Brainstem Auditory EP $ $ $0.26 Professional Component $25.86 $26.75 $0.89 Technical Component $ $ $ Carotid Duplex Scan $ $ $12.41 Professional Component $29.26 $29.96 $0.70 Technical Component $ $ $ Carotid Duplex Scan $ $ $9.68 Professional Component $19.73 $20.33 $0.60 Technical Component $ $ $ Transcranial Doppler $ $ $23.33 Professional Component $47.29 $49.22 $1.93 Technical Component $ $ $ Transcranial Doppler $ $ $11.78 Professional Component $30.96 $31.74 $0.78 Technical Component $ $ $ TCD, vasoreactivity study $ $ $11.91 Professional Component $49.33 $51.36 $2.02 Technical Component $ $ $ TCD, emboli detection w/o inj $ $ $3.62 Professional Component $57.16 $59.56 $2.40 Technical Component $ $ $ TCD, emboli detection w/inj $ $ $14.32 Professional Component $57.84 $59.92 $2.08 Technical Component $ $ $ CPAP initiation and management $63.96 $ $ Sleep study, unattended, simultaneous recording $ $ $4.02 Professional Component $51.03 $52.78 $1.75 Technical Component $ $ $42.52 American Academy of Neurology Page 23 of 33

24 Dollar Amounts, based on Medicare Conversion Factor 2013 (using ) 2014 (using Change ($) (using CPT Code Descriptors Sleep study, unattended $95.26 $ $0.39 Professional Component $47.63 $49.57 $1.94 Technical Component $47.63 $ $ Actigraphy testing $ $ $24.38 Professional Component $43.89 $ $0.02 Technical Component $ $ $ Multiple Sleep Latency Test $ $ $9.95 Professional Component $57.50 $59.92 $2.42 Technical Component $ $ $ Sleep Study, Unattended $ $ $11.12 Professional Component $60.90 $62.41 $1.51 Technical Component $ $ $ Sleep Study $ $ $27.95 Professional Component $60.90 $63.13 $2.23 Technical Component $ $ $ Polysomnography, 1-3 $ $ $20.49 Professional Component $84.72 $88.45 $3.73 Technical Component $ $ $ Polysomnography, 4 or more $ $ $30.87 Professional Component $ $ $3.64 Technical Component $ $ $ Polysomnography w/cpap $ $ $31.84 Professional Component $ $ $3.87 Technical Component $ $ $ Polysom <6 yrs 4/> paramtrs $1, $ $71.92 Professional Component $ $ $4.38 Technical Component $ $ $ Polysom <6 yrs cpap/bilvl $1, $1, $55.22 Professional Component $ $ $4.58 Technical Component $ $ $ Extended EEG, < 1 hr $ $ $ Professional Component $55.80 $58.13 $2.34 Technical Component $ $ $ American Academy of Neurology Page 24 of 33

25 Dollar Amounts, based on Medicare Conversion Factor 2013 (using ) 2014 (using Change ($) (using CPT Code Descriptors Extended EEG, > 1 hr $ $ $ Professional Component $89.48 $92.73 $3.25 Technical Component $ $ $ Axake EEG $ $ $ Professional Component $56.48 $58.49 $2.01 Technical Component $ $ $ Axake and Asleep EEG $ $ $ Professional Component $56.14 $58.13 $2.00 Technical Component $ $ $ Sleep EEG $ $ $ Professional Component $56.14 $58.13 $2.00 Technical Component $ $ $ EEG for Brain Death N/A N/A N/A Professional Component $39.13 $40.66 $1.53 Technical Component N/A N/A N/A Overnight EEG $ $ $ Professional Component $56.14 $58.13 $2.00 Technical Component $ $ $ Surgery Electrocorticogram $1, $1, $ Professional Component $ $ $10.74 Technical Component $1, $1, $ Insert Sphenoidal Electrodes $ $ $ EMG, One Limb $ $ $5.63 Professional Component $50.69 $52.43 $1.73 Technical Component $76.55 $ $ EMG, Two Limbs $ $ $6.55 Professional Component $80.97 $83.10 $2.13 Technical Component $93.56 $ $ EMG, Three Limbs $ $ $28.58 Professional Component $97.65 $ $2.93 Technical Component $ $ $31.51 American Academy of Neurology Page 25 of 33

26 Dollar Amounts, based on Medicare Conversion Factor CPT Code Descriptors 2013 (using ) 2014 (using Change ($) (using EMG, Four Limbs $ $ $53.12 Professional Component $ $ $3.23 Technical Component $ $ $ EMG, larynx $ $ $0.15 Professional Component $80.29 $83.46 $3.16 Technical Component $ $ $ EMG, hemidiaphragm $ $ $6.84 Professional Component $65.66 $68.48 $2.81 Technical Component $ $ $ EMG, Cranial Unilateral $ $ $21.89 Professional Component $41.17 $42.80 $1.63 Technical Component $ $ $ EMG, Cranial Bilateral $ $ $14.42 Professional Component $61.24 $63.48 $2.24 Technical Component $83.36 $ $ EMG, Thoracic Paraspinal $87.10 $ $21.83 Professional Component $19.05 $19.62 $0.56 Technical Component $83.36 $ $ EMG, Other $91.52 $ $26.25 Professional Component $19.39 $19.62 $0.22 Technical Component $72.13 $ $ EMG, Single Fiber $ $ $0.87 Professional Component $ $ $5.82 Technical Component $52.74 $ $ Electrical stimulation, chemodenervation $78.25 $ $4.07 Professional Component $20.07 $20.69 $0.61 Technical Component $58.18 $ $ EMG, chemodenervation $74.85 $ $3.16 Professional Component $19.39 $19.97 $0.58 Technical Component $55.46 $ $ Limb Exercise Test $ $ $1.30 Professional Component $57.50 $59.56 $2.06 Technical Component $70.77 $ $3.36 American Academy of Neurology Page 26 of 33

27 Dollar Amounts, based on Medicare Conversion Factor CPT Code (using ) 2014 (using Change ($) (using Descriptors Needle EMG when performed with nerve conduction test; limited $61.24 $ $3.11 Professional Component $18.37 $18.90 $0.53 Technical Component $42.87 $ $3.64 Needle EMG when performed with nerve conduction test; complex $84.72 $ $2.33 Professional Component $36.74 $38.16 $1.42 Technical Component $47.97 $ $3.75 Needle EMG when performed with nerve conduction test; non-extremity $71.11 $72.76 $1.65 Professional Component $24.16 $24.97 $0.81 Technical Component $46.95 $47.79 $ NCV, Preconfig array $71.11 $ $2.99 Professional Component $2.72 $2.85 $0.13 Technical Component $68.39 $ $ Motor&/sens 1-2 nrv cndj tst $94.58 $ $1.14 Professional Component $51.71 $53.50 $1.78 Technical Component $42.87 $ $ Motor&/sens 3-4 nrv cndj tst $ $ $1.86 Professional Component $64.98 $67.05 $2.07 Technical Component $51.71 $ $ Motor&/sens 5-6 nrv cndj tst $ $ $2.52 Professional Component $77.57 $79.89 $2.32 Technical Component $62.26 $ $ Motor&/sens 7-8 nrv cndj tst $ $ $2.53 Professional Component $ $ $3.23 Technical Component $80.29 $ $5.75 American Academy of Neurology Page 27 of 33

28 Dollar Amounts, based on Medicare Conversion Factor CPT Code Descriptors 2013 (using ) 2014 (using Change ($) (using Motor&/sens 9-10 nrv cndj tst $ $ $2.46 Professional Component $ $ $4.10 Technical Component $93.22 $ $ Motor&/sens nrv cndj tst $ $ $2.74 Professional Component $ $ $4.65 Technical Component $ $ $ Motor&/sens 13/> nrv cndj tst $ $ $2.18 Professional Component $ $ $6.03 Technical Component $ $ $ Autonomic Parasympathetic $90.50 $ $1.69 Professional Component $44.91 $46.72 $1.81 Technical Component $45.59 $ $ Autonomic Sympathetic $ $ $2.23 Professional Component $48.31 $50.29 $1.98 Technical Component $60.56 $ $ Autonomic Sudomotor $ $ $ Professional Component $46.61 $47.43 $0.82 Technical Component $ $ $ Ans parasymp & symp w/tilt $ $ $2.16 Professional Component $86.42 $89.52 $3.10 Technical Component $60.90 $ $ Parasymp&symp hrt rate test $0.00 $0.00 $0.00 Professional Component $0.00 $0.00 $0.00 Technical Component $0.00 $0.00 $ Somatosensory EPs, Upper Limbs $ $ $24.37 Professional Component $27.56 $28.18 $0.62 Technical Component $ $ $ Somatosensory EPs, Lower Limbs $ $ $45.37 Professional Component $28.24 $ $0.06 Technical Component $ $ $ Somatosensory EPs, Trunk or Head $ $ $11.29 Professional Component $26.88 $27.46 $0.58 Technical Component $ $ $11.87 American Academy of Neurology Page 28 of 33

29 Dollar Amounts, based on Medicare Conversion Factor 2013 (using ) 2014 (using Change ($) (using CPT Code Descriptors C motor evoked, upper limbs $ $ $ Professional Component $78.25 $81.32 $3.06 Technical Component $ $ $ C motor evoked, lower limbs $ $ $ Professional Component $78.25 $80.60 $2.35 Technical Component $ $ $ Visual Evoked Potential $ $ $31.30 Professional Component $18.03 $18.55 $0.51 Technical Component $ $ $ Blink Reflex Test $92.20 $ $14.81 Professional Component $30.96 $31.74 $0.78 Technical Component $61.24 $ $ Neuromuscular Junction Test $79.27 $80.25 $0.97 Professional Component $33.68 $34.95 $1.27 Technical Component $45.59 $ $ Somatosensory testing $ $ $1.84 Professional Component $44.91 $46.72 $1.81 Technical Component $ $ $ C motor evoked upper and lower limbs $ $ $19.28 Professional Component $ $ $3.88 Technical Component $ $ $ IONM in operatng room 15 min $31.64 $32.46 $ * IONM remote/>1 pt or per hr $0.00 $0.00 $0.00 G0453 Cont intraop neuro monitor $26.20 $27.11 $ Ambulatory Cassette EEG $ $ $18.07 Professional Component $78.59 $81.32 $2.72 Technical Component $ $ $ Video-EEG Long-Term Monitoring Professional Component $ $ $10.09 Technical Component Automated Ambulatory $ $ $12.84 Professional Component $ $ $5.24 Technical Component $ $ $18.08 American Academy of Neurology Page 29 of 33

30 Dollar Amounts, based on Medicare Conversion Factor CPT Code Descriptors 2013 (using ) 2014 (using Change ($) (using EEG Monitoring/Giving Drugs $ $ $38.16 Professional Component $ $ $2.99 Technical Component $ $ $ EEG During Surgery $ $ $11.30 Professional Component $52.74 $54.57 $1.83 Technical Component $ $ $ EEG Monitoring, No Video $1, $1, $ Professional Component $ $ $6.54 Technical Component $1, $ $ EEG Digital Analysis $ $ $27.45 Professional Component $ $ $3.55 Technical Component $ $ $ Wada Test $ $ $ Professional Component $ $ $8.05 Technical Component $ $ $ Grid: Cortex Stimulation $ $ $1.83 Professional Component $ $ $4.59 Technical Component $ $ $ Grid: Cortex Stimulation $ $ $3.45 Professional Component $ $ $5.16 Technical Component $82.68 $ $ MEG, spontaneous $0.0 $0.0 $0.00 Professional Components $ $ $4.92 Technical Components $0.0 $0.0 $ MEG, evoked, single $0.0 $0.0 $0.00 Professional Components $ $ $23.39 Technical Components $0.0 $0.0 $ MEG, evoked, each additional $0.0 $0.0 $0.00 Professional Components $ $ $20.45 Technical Components $0.0 $0.0 $ Neurostim analyze, no program $71.79 $ $ Simple neurostim analyze $60.22 $60.63 $0.41 American Academy of Neurology Page 30 of 33

31 Dollar Amounts, based on Medicare Conversion Factor Change ($) 2013 (using 2014 (using CPT Code Descriptors ) (using Complex neurostim analyze $ $ $ Complex neurostim analyze $62.94 $64.20 $ Complex cranial neurostim $ $ $ Complex cranial neurostim $ $ $ Canalith Repositioning $42.87 $44.22 $ Motion analysis, video/3d $97.65 $ $ Motion test x/ft pressure meas $96.29 $ $ Dynamic surface EMG $21.43 $ $ Dynamic fine wire EMG $16.67 $19.97 $ Phys review of motion tests $ $ $ Functional Brain Mapping $0.00 $0.00 $0.00 Professional Component $ $ $6.17 Technical Component $0.00 $0.00 $ Office/outpatient visit, new $43.89 $ $ Office/outpatient visit, new $74.51 $74.90 $ Office/outpatient visit, new $ $ $ Office/outpatient visit, new $ $ $ Office/outpatient visit, new $ $ $ Office/outpatient visit, est $20.41 $ $ Office/outpatient visit, est $43.89 $ $ Office/outpatient visit, est $72.47 $72.76 $ Office/outpatient visit, est $ $ $ Office/outpatient visit, est $ $ $ Initial hospital care $99.01 $ $3.35 American Academy of Neurology Page 31 of 33

32 Dollar Amounts, based on Medicare Conversion Factor CPT Code Descriptors 2013 (using ) 2014 (using Change ($) (using Initial hospital care $ $ $ Initial hospital care $ $ $ Subsequent hospital care $53.42 $55.28 $ Subsequent hospital care $70.09 $72.40 $ Subsequent hospital care $ $ $ Observ/hosp same date $ $ $ Observ/hosp same date $ $ $ Observ/hosp same date $ $ $ Hospital discharge day $70.77 $72.40 $ * Cmplx chron care w/o pt vsit $82.00 $82.03 $ * Cmplx chron care w pt vsit $ $ $ * Complx chron care addl 30 min $41.17 $ $ Trans care mgmt 14 day disch $ $ $ Trans care mgmt 7 day disch $ $ $ * Office consultation $46.61 $48.86 $ * Office consultation $87.78 $91.66 $ * Office consultation $ $ $ * Office consultation $ $ $ * Office consultation $ $ $ * Inpatient consult $47.29 $49.57 $ * Inpatient consult $72.81 $75.97 $ * Inpatient consult $ $ $5.00 American Academy of Neurology Page 32 of 33

33 Dollar Amounts, based on Medicare Conversion Factor Change ($) 2013 (using 2014 (using CPT (using Code Descriptors ) * Inpatient consult $ $ $ * Inpatient consult $ $ $ Critical care, first hour $ $ $ Critical care, addl 30 min $ $ $2.26 Notes * Indicates code which is not currently payable under Medicare American Academy of Neurology Page 33 of 33