20550 Inject tendon/ligament/cyst 1.72 1.65-4% Practice Expense 0.89 0.82-8% Physician work 0.75 0.75 0% 20551 Inject tendon origin/insert 1.78 1.71-4% Practice Expense 0.95 0.82-14% Physician work 0.75 0.75 0% 20552 Inject trigger point, 1 or 2 1.64 1.57-4% Practice Expense 0.91 0.84-8% Physician work 0.66 0.66 0% 20553 Inject trigger points, > 3 1.90 1.81-5% Practice Expense 1.08 0.99-8% Physician work 0.75 0.75 0% 37215 Transcath stent, cca w/eps 32.28 31.48-2% Practice Expense 8.41 7.80-7% Physician work 19.68 19.68 0% 37216 Transcath stent, cca w/o eps 29.94 29.35-2% Practice Expense 9.66 9.13-5% Physician work 18.95 18.95 0% 62270 Lumbar Puncture 4.82 4.51-6% Practice Expense 3.22 2.92-9% Physician work 1.37 1.37 0% 64405 nerve Block, greater occipital nerve 3.04 2.86-6% Practice Expense 1.91 1.76-8% Physician work 0.94 0.94 0% 64611 Chemodenerwation, salivary glands 3.37 3.19-5% Practice Expense 1.86 1.88 1% Physician work 1.03 1.03 0% 64612 Destroy nerve, face muscle 4.08 3.91-4% Practice Expense 2.21 2.06-7% Physician work 1.41 1.41 0% 64613 Destroy nerve, spine muscle 5.15 4.91-5% Practice Expense 2.55 2.34-8% Physician work 2.01 2.01 0% 64614 Destroy nerve, extrem musc 5.52 5.25-5% Practice Expense 2.90 2.65-9% Physician work 2.20 2.20 0% American Academy of Neurology Page 1 of 33
64615 Chemodenervation musc migraine 4.23 4.07-4% Practice Expense 1.78 1.65-7% Physician work 1.85 1.85 0% 64650 Chemodenervation, eccrine glands 3.75 3.48-7% Practice Expense 2.94 2.67-9% Physician work 0.70 0.70 0% 64653 Chemodenervation, eccrine glands 4.52 4.28-5% Practice Expense 3.40 3.17-7% Physician work 0.88 0.88 0% 67345 Destroy nerve of eye muscle 7.56 7.25-4% Practice Expense 3.75 3.48-7% Physician work 3.01 3.01 0% 70554 fmri, brain by tech 14.72 12.67-14% Practice Expense 11.70 10.43-11% Professional Component 3.02 3.00-1% Practice Expense - PC 0.76 0.77 1% Technical Component 11.70 9.67-17% Practice Expense - TC 11.67 9.66-17% Physician work 2.11 2.11 0% 70555 fmri, brain by phy/pshch N/A N/A N/A Professional Component 3.72 3.69-1% Practice Expense - PC 0.94 0.92-2% Technical Component N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work 2.54 2.54 0% 92540 Vestibular testing 2.96 2.88-3% Practice Expense 1.41 1.33-6% Professional Component 2.29 2.26-1% Practice Expense - PC 0.75 0.72-4% Technical Component 0.67 0.62-7% Practice Expense - TC 0.66 0.61-8% Physician work 1.50 1.50 0% 92585 Brainstem Auditory EP 3.85 3.68-4% Practice Expense 3.33 3.16-5% Professional Component 0.76 0.75-1% Practice Expense - PC 0.25 0.24-4% Technical Component 3.09 2.93-5% Practice Expense - TC 3.08 2.92-5% Physician work 0.50 0.50 0% American Academy of Neurology Page 2 of 33
93880 Carotid Duplex Scan 7.21 6.53-9% Practice Expense 6.56 5.88-10% Professional Component 0.86 0.84-2% Practice Expense - PC 0.22 0.20-9% Technical Component 6.35 5.69-10% Practice Expense - TC 6.34 5.68-10% Physician work 0.60 0.60 0% 93882 Carotid Duplex Scan 5.18 4.67-10% Practice Expense 4.72 4.21-11% Professional Component 0.58 0.57-2% Practice Expense - PC 0.13 0.12-8% Technical Component 4.60 4.10-11% Practice Expense - TC 4.59 4.09-11% Physician work 0.40 0.40 0% 93886 Transcranial Doppler 11.20 10.03-10% Practice Expense 10.21 9.04-11% Professional Component 1.39 1.38-1% Practice Expense - PC 0.41 0.40-2% Technical Component 9.81 8.65-12% Practice Expense - TC 9.80 8.64-12% Physician work 0.94 0.94 0% 93888 Transcranial Doppler 6.51 5.88-10% Practice Expense 5.84 5.21-11% Professional Component 0.91 0.89-2% Practice Expense - PC 0.25 0.23-8% Technical Component 5.60 4.99-11% Practice Expense - TC 5.59 4.98-11% Physician work 0.62 0.62 0% 93890 TCD, vasoreactivity study 8.82 8.08-8% Practice Expense 7.77 7.03-10% Professional Component 1.45 1.44-1% Practice Expense - PC 0.41 0.40-2% Technical Component 7.37 6.64-10% Practice Expense - TC 7.36 6.63-10% Physician work 1.00 1.00 0% 93892 TCD, emboli detection w/o inj 9.96 9.40-6% Practice Expense 8.75 8.19-6% Professional Component 1.68 1.67-1% Practice Expense - PC 0.48 0.47-2% Technical Component 8.28 7.73-7% Practice Expense - TC 8.27 7.72-7% Physician work 1.15 1.15 0% American Academy of Neurology Page 3 of 33
93893 TCD, emboli detection w/inj 10.61 9.72-8% Practice Expense 9.40 8.51-9% Professional Component 1.70 1.68-1% Practice Expense - PC 0.50 0.48-4% Technical Component 8.91 8.04-10% Practice Expense - TC 8.90 8.03-10% Physician work 1.15 1.15 0% 94660 CPAP initiation and management 1.88 1.78-5% Practice Expense 1.07 0.97-9% Physician work 0.76 0.76 0% 95800 Sleep study, unattended, simultaneous recording 5.37 5.01-7% Practice Expense 4.27 3.91-8% Professional Component 1.29 1.48 15% Practice Expense - PC 0.41 0.39-5% Technical Component 3.87 3.53-9% Practice Expense - TC 3.86 3.52-9% Physician work 1.05 1.05 0% 95801 Sleep study, unattended 2.80 2.66-5% Practice Expense 1.75 1.61-8% Professional Component 1.40 1.39-1% Practice Expense - PC 0.36 0.35-3% Technical Component 1.40 1.27-9% Practice Expense - TC 1.39 1.26-9% Physician work 1.00 1.00 0% 95803 Actigraphy testing 4.48 3.59-20% Practice Expense 3.53 2.64-25% Professional Component 1.29 1.23-5% Practice Expense - PC 0.35 0.29-17% Technical Component 3.19 2.36-26% Practice Expense - TC 3.18 2.35-26% Physician work 0.90 0.90 0% 95805 Multiple Sleep Latency Test 12.62 11.76-7% Practice Expense 11.34 10.48-8% Professional Component 1.69 1.68-1% Practice Expense - PC 0.44 0.44 0% Technical Component 10.93 10.08-8% Practice Expense - TC 10.89 10.04-8% Physician work 1.20 1.20 0% American Academy of Neurology Page 4 of 33
95806 Sleep Study, Unattended 5.39 4.83-10% Practice Expense 4.06 3.50-14% Professional Component 1.79 1.75-2% Practice Expense - PC 0.49 0.45-8% Technical Component 3.60 3.08-14% Practice Expense - TC 3.57 3.05-15% Physician work 1.25 1.25 0% 95807 Sleep Study 14.69 13.23-10% Practice Expense 13.26 11.80-11% Professional Component 1.79 1.77-1% Practice Expense - PC 0.46 0.44-4% Technical Component 12.90 11.46-11% Practice Expense - TC 12.80 11.36-11% Physician work 1.28 1.28 0% 95808 Polysomnography, 1-3 19.23 17.77-8% Practice Expense 17.32 15.86-8% Professional Component 2.49 2.48 0% Practice Expense - PC 0.68 0.67-1% Technical Component 16.74 15.29-9% Practice Expense - TC 16.64 15.19-9% Physician work 1.74 1.74 0% 95810 Polysomnography, 4 or more 18.99 17.25-9% Practice Expense 16.28 14.54-11% Professional Component 3.52 3.46-2% Practice Expense - PC 0.92 0.86-7% Technical Component 15.47 13.79-11% Practice Expense - TC 15.36 13.68-11% Physician work 2.50 2.50 0% 95811 Polysomnography w/cpap 19.92 18.11-9% Practice Expense 17.09 15.28-11% Professional Component 3.66 3.60-2% Practice Expense - PC 0.95 0.89-6% Technical Component 16.26 14.51-11% Practice Expense - TC 16.14 14.39-11% Physician work 2.60 2.60 0% 95782 Polysom <6 yrs 4/> paramtrs 31.35 27.89-11% Practice Expense 28.46 25.01-12% Professional Component 3.75 3.70-1% Practice Expense - PC 1.05 1.00-5% Technical Component 27.60 24.19-12% Practice Expense - TC 27.41 24.01-12% Physician work 2.60 2.60 0% American Academy of Neurology Page 5 of 33
95783 Polysom <6 yrs cpap/bilvl 32.83 29.77-9% Practice Expense 29.67 26.63-10% Professional Component 4.09 4.03-1% Practice Expense - PC 1.14 1.09-4% Technical Component 28.74 25.74-10% Practice Expense - TC 28.53 25.54-10% Physician work 2.83 2.83 0% 95812 Extended EEG, < 1 hr 13.32 6.73-49% Practice Expense 12.17 5.58-54% Professional Component 1.64 1.63-1% Practice Expense - PC 0.52 0.51-2% Technical Component 11.68 5.10-56% Practice Expense - TC 11.65 5.07-56% Physician work 1.08 1.08 0% 95813 Extended EEG, > 1 hr 15.31 7.71-50% Practice Expense 13.47 5.87-56% Professional Component 2.63 2.60-1% Practice Expense - PC 0.83 0.80-4% Technical Component 12.68 5.11-60% Practice Expense - TC 12.64 5.07-60% Physician work 1.73 1.73 0% 95816 Awake EEG 12.22 6.74-45% Practice Expense 11.06 5.58-50% Professional Component 1.66 1.64-1% Practice Expense - PC 0.53 0.51-4% Technical Component 10.56 5.10-52% Practice Expense - TC 10.53 5.07-52% Physician work 1.08 1.08 0% 95819 Awake and Asleep EEG 14.04 6.73-52% Practice Expense 12.89 5.58-57% Professional Component 1.65 1.63-1% Practice Expense - PC 0.53 0.51-4% Technical Component 12.39 5.10-59% Practice Expense - TC 12.36 5.07-59% Physician work 1.08 1.08 0% 95822 Sleep EEG 12.55 6.73-46% Practice Expense 11.40 5.58-51% Professional Component 1.65 1.63-1% Practice Expense - PC 0.53 0.51-4% Technical Component 10.90 5.10-53% Practice Expense - TC 10.87 5.07-53% Physician work 1.08 1.08 0% American Academy of Neurology Page 6 of 33
95824 EEG for Brain Death 0.00 0.00 0% Practice Expense N/A N/A N/A Professional Component 1.15 1.14-1% Practice Expense - PC 0.36 0.35-3% Technical Component N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work 0.74 0.74 0% 95827 Overnight EEG 23.88 6.78-72% Practice Expense 22.67 5.57-75% Professional Component 1.65 1.63-1% Practice Expense - PC 0.52 0.50-4% Technical Component 22.23 5.15-77% Practice Expense - TC 22.15 5.07-77% Physician work 1.08 1.08 0% 95829 Surgery Electrocorticogram 57.96 51.57-11% Practice Expense 51.55 45.16-12% Professional Component 9.36 9.23-1% Practice Expense - PC 3.00 2.87-4% Technical Component 48.60 42.34-13% Practice Expense - TC 48.55 42.34-13% Physician work 6.20 6.20 0% 95830 Insert Sphenoidal Electrodes 7.90 7.06-11% Practice Expense 6.06 5.22-14% Physician work 1.70 1.70 0% 95860 EMG, One Limb 3.74 3.41-9% Practice Expense 2.74 2.41-12% Professional Component 1.49 1.47-1% Practice Expense - PC 0.50 0.48-4% Technical Component 2.25 1.94-14% Practice Expense - TC 1.45 1.93 33% Physician work 0.96 0.96 0% 95861 EMG, Two Limbs 5.13 4.71-8% Practice Expense 3.53 3.11-12% Professional Component 2.38 2.33-2% Practice Expense - PC 0.79 0.74-6% Technical Component 2.75 2.38-13% Practice Expense - TC 2.74 2.37-14% Physician work 1.54 1.54 0% American Academy of Neurology Page 7 of 33
95863 EMG, Three Limbs 6.27 5.18-17% Practice Expense 4.32 3.23-25% Professional Component 2.87 2.82-2% Practice Expense - PC 0.93 0.88-5% Technical Component 3.40 2.36-31% Practice Expense - TC 3.39 2.35-31% Physician work 1.87 1.87 0% 95864 EMG, Four Limbs 7.18 5.36-25% Practice Expense 4.32 3.29-24% Professional Component 3.05 3.00-2% Practice Expense - PC 0.99 0.94-5% Technical Component 4.13 2.36-43% Practice Expense - TC 4.12 2.35-43% Physician work 1.99 1.99 0% 95865 EMG, larynx 4.00 3.82-5% Practice Expense 2.38 2.20-8% Professional Component 2.36 2.34-1% Practice Expense - PC 0.75 0.73-3% Technical Component 1.64 1.48-10% Practice Expense - TC 1.63 1.47-10% Physician work 1.57 1.57 0% 95866 EMG, hemidiaphragm 4.09 3.71-9% Practice Expense 2.78 2.40-14% Professional Component 1.93 1.92-1% Practice Expense - PC 0.63 0.62-2% Technical Component 2.16 1.79-17% Practice Expense - TC 2.15 1.78-17% Physician work 1.25 1.25 0% 95867 EMG, Cranial Unilateral 3.39 2.62-23% Practice Expense 2.56 1.79-30% Professional Component 1.21 1.20-1% Practice Expense - PC 0.39 0.38-3% Technical Component 2.18 1.42-35% Practice Expense - TC 2.17 1.41-35% Physician work 0.79 0.79 0% 95868 EMG, Cranial Bilateral 4.25 3.65-14% Practice Expense 3.02 2.42-20% Professional Component 1.80 1.78-1% Practice Expense - PC 0.58 0.56-3% Technical Component 2.45 1.87-24% Practice Expense - TC 2.44 1.86-24% Physician work 1.18 1.18 0% American Academy of Neurology Page 8 of 33
Medicare Fee Schedule 95869 EMG, Thoracic Paraspinal 2.56 1.83-29% Practice Expense 2.17 1.44-34% Professional Component 0.56 0.55-2% Practice Expense - PC 0.18 0.17-6% Technical Component 2.00 1.28-36% Practice Expense - TC 1.99 1.27-36% Physician work 0.37 0.37 0% 95870 EMG, Other 2.69 1.83-32% Practice Expense 2.30 1.44-37% Professional Component 0.57 0.55-4% Practice Expense - PC 0.19 0.17-11% Technical Component 2.12 1.28-40% Practice Expense - TC 2.11 1.27-40% Physician work 0.37 0.37 0% 95872 EMG, Single Fiber 5.96 5.71-4% Practice Expense 2.96 2.71-8% Professional Component 4.41 4.37-1% Practice Expense - PC 1.42 1.38-3% Technical Component 1.55 1.34-14% Practice Expense - TC 1.54 1.33-14% Physician work 2.88 2.71-6% 95873 Electrical stimulation, chemodenervation 2.30 2.08-10% Practice Expense 1.91 1.69-12% Professional Component 0.59 0.58-2% Practice Expense - PC 0.21 0.20-5% Technical Component 1.71 1.50-12% Practice Expense - TC 1.70 1.49-12% Physician work 0.37 0.37 0% 95874 EMG, chemodenervation 2.20 2.01-9% Practice Expense 1.81 1.62-10% Professional Component 0.57 0.56-2% Practice Expense - PC 0.19 0.18-5% Technical Component 1.63 1.45-11% Practice Expense - TC 1.62 1.44-11% Physician work 0.37 0.37 0% 95875 Limb Exercise Test 3.77 3.56-6% Practice Expense 2.61 2.40-8% Professional Component 1.69 1.67-1% Practice Expense - PC 0.54 0.52-4% Technical Component 2.08 1.89-9% Practice Expense - TC 2.07 1.88-9% Physician work 1.10 1.10 0% 95885 Needle EMG when performed with nerve conduction test; limited 1.80 1.63-9% Practice Expense 1.43 1.26-12% Professional Component 0.54 0.53-2% Practice Expense - PC 0.18 0.17-6% Technical Component 1.26 1.10-13% Practice Expense - TC 1.25 1.09-13% Physician work 0.35 0.35 0% American Academy of Neurology Page 9 of 33
Needle EMG when performed with nerve 95886 conduction test; complex 2.49 2.31-7% Practice Expense 1.76 1.58-10% Professional Component 1.08 1.07-1% Practice Expense - PC 0.36 0.35-3% Technical Component 1.41 1.24-12% Practice Expense - TC 1.40 1.23-12% Physician work 0.70 0.70 0% 95887 Needle EMG when performed with nerve conduction test; non-extremity 2.09 2.04-2% Practice Expense 1.60 1.55-3% Professional Component 0.71 0.70-1% Practice Expense - PC 0.23 0.22-4% Technical Component 1.38 1.34-3% Practice Expense - TC 1.37 1.33-3% Physician work 0.47 0.47 0% 95905 NCV, Preconfig. Array 2.09 1.91-9% Practice Expense 1.60 1.84 15% Professional Component 0.08 0.08 0% Practice Expense - PC 0.02 0.02 0% Technical Component 2.01 1.83-9% Practice Expense - TC 2.00 1.82-9% Physician work 0.05 0.05 0% 95907 Motor&/sens 1-2 nrv cndj tst 2.78 2.62-6% Practice Expense 1.72 1.56-9% Professional Component 1.52 1.50-1% Practice Expense - PC 0.49 0.47-4% Technical Component 1.26 1.12-11% Practice Expense - TC 1.23 1.09-11% Physician work 1.00 1.00 0% 95908 Motor&/sens 3-4 nrv cndj tst 3.43 3.22-6% Practice Expense 2.11 1.90-10% Professional Component 1.91 1.88-2% Practice Expense - PC 0.62 0.59-5% Technical Component 1.52 1.34-12% Practice Expense - TC 1.49 1.31-12% Physician work 1.25 1.25 0% American Academy of Neurology Page 10 of 33
95909 Motor&/sens 5-6 nrv cndj tst 4.11 3.85-6% Practice Expense 2.52 2.26-10% Professional Component 2.28 2.24-2% Practice Expense - PC 0.74 0.70-5% Technical Component 1.83 1.61-12% Practice Expense - TC 1.78 1.56-12% Physician work 1.50 1.50 0% 95910 Motor&/sens 7-8 nrv cndj tst 5.41 5.09-6% Practice Expense 3.29 2.97-10% Professional Component 3.05 3.00-2% Practice Expense - PC 0.99 0.94-5% Technical Component 2.36 2.09-11% Practice Expense - TC 2.30 2.03-12% Physician work 2.00 2.00 0% 95911 Motor&/sens 9-10 nrv cndj tst 6.54 6.17-6% Practice Expense 3.89 3.52-10% Professional Component 3.80 3.74-2% Practice Expense - PC 1.23 1.17-5% Technical Component 2.74 2.43-11% Practice Expense - TC 2.66 2.35-12% Physician work 2.50 2.50 0% 95912 Motor&/sens 11-12 nrv cndj tst 7.67 7.24-6% Practice Expense 4.49 4.06-10% Professional Component 4.57 4.49-2% Practice Expense - PC 1.48 1.40-5% Technical Component 3.10 2.75-11% Practice Expense - TC 3.01 2.66-12% Physician work 3.00 3.00 0% 95913 Motor&/sens 13/> nrv cndj tst 8.88 8.41-5% Practice Expense 5.11 4.64-9% Professional Component 5.41 5.33-1% Practice Expense - PC 1.75 1.67-5% Technical Component 3.47 3.08-11% Practice Expense - TC 3.36 2.97-12% Physician work 3.56 3.56 0% American Academy of Neurology Page 11 of 33
95921 Autonomic Parasympathetic 2.66 2.49-6% Practice Expense 1.71 1.54-10% Professional Component 1.32 1.31-1% Practice Expense - PC 0.38 0.37-3% Technical Component 1.34 1.18-12% Practice Expense - TC 1.33 1.17-12% Physician work 0.90 0.90 0% 95922 Autonomic Sympathetic 3.20 2.99-7% Practice Expense 2.19 1.98-10% Professional Component 1.42 1.41-1% Practice Expense - PC 0.42 0.41-2% Technical Component 1.78 1.58-11% Practice Expense - TC 1.77 1.57-11% Physician work 0.96 0.96 0% 95923 Autonomic Sudomotor 7.73 3.69-52% Practice Expense 6.78 2.74-60% Professional Component 1.37 1.33-3% Practice Expense - PC 0.43 0.39-9% Technical Component 6.36 2.36-63% Practice Expense - TC 6.35 2.35-63% Physician work 0.90 0.90 0% 95924 Ans parasymp & symp w/tilt 4.33 4.07-6% Practice Expense 2.51 2.25-10% Professional Component 2.54 2.51-1% Practice Expense - PC 0.73 0.70-4% Technical Component 1.79 1.56-13% Practice Expense - TC 1.78 1.55-13% Physician work 1.73 1.73 0% 95943 Parasymp&symp hrt rate test 0.00 0.00 0% Practice Expense 0.00 0.00 0% Professional Component 0.00 0.00 0% Practice Expense - PC 0.00 0.00 0% Technical Component 0.00 0.00 0% Practice Expense - TC 0.00 0.00 0% Physician work 0.00 0.00 0% American Academy of Neurology Page 12 of 33
Medicare Fee Schedule 95925 Somatosensory EPs, Upper Limbs 5.79 4.84-16% Practice Expense 5.23 4.28-18% Professional Components 0.81 0.79-2% Practice Expense - PC 0.26 0.24-8% Technical Components 4.98 4.05-19% Practice Expense - TC 4.97 4.04-19% Physician work 0.54 0.54 0% 95926 Somatosensory EPs, Lower Limbs 5.60 4.07-27% Practice Expense 5.02 3.49-30% Professional Components 0.83 0.79-5% Practice Expense - PC 0.26 0.22-15% Technical Components 4.77 3.28-31% Practice Expense - TC 4.76 3.27-31% Physician work 0.54 0.54 0% 95927 Somatosensory EPs, Trunk or Head 5.07 4.52-11% Practice Expense 4.51 3.96-12% Professional Components 0.79 0.77-3% Practice Expense - PC 0.24 0.22-8% Technical Components 4.28 3.75-12% Practice Expense - TC 4.27 3.74-12% Physician work 0.54 0.54 0% 95928 C motor evoked, upper limbs 8.71 4.66-46% Practice Expense 7.11 3.06-57% Professional Components 2.30 2.28-1% Practice Expense - PC 0.73 0.71-3% Technical Components 6.41 2.38-63% Practice Expense - TC 6.38 2.35-63% Physician work 1.50 1.50 0% 95929 C motor evoked, lower limbs 8.76 4.64-47% Practice Expense 7.16 3.04-58% Professional Components 2.30 2.26-2% Practice Expense - PC 0.73 0.69-5% Technical Components 6.46 2.38-63% Practice Expense - TC 6.43 2.35-63% Physician work 1.50 1.50 0% 95930 Visual Evoked Potential 4.83 3.73-23% Practice Expense 4.46 3.36-25% Professional Components 0.53 0.52-2% Practice Expense - PC 0.17 0.16-6% Technical Components 4.30 3.21-25% Practice Expense - TC 4.29 3.20-25% Physician work 0.35 0.35 0% 95933 Blink Reflex Test 2.71 2.17-20% Practice Expense 2.08 1.54-26% Professional Components 0.91 0.89-2% Practice Expense - PC 0.29 0.27-7% Technical Components 1.80 1.28-29% Practice Expense - TC 1.79 1.27-29% Physician work 0.59 0.59 0% American Academy of Neurology Page 13 of 33
95937 Neuromuscular Junction Test 2.33 2.25-3% Practice Expense 1.63 1.55-5% Professional Components 0.99 0.98-1% Practice Expense - PC 0.30 0.29-3% Technical Components 1.34 1.27-5% Practice Expense - TC 1.33 1.26-5% Physician work 0.65 0.65 0% 95938 Somatosensory testing 9.81 9.41-4% Practice Expense 8.88 8.48-5% Professional Components 1.32 1.31-1% Practice Expense - PC 0.42 0.41-2% Technical Components 8.49 8.10-5% Practice Expense - TC 8.46 8.07-5% Physician work 0.86 0.86 0% 95939 C motor evoked upper and lower limbs 14.97 13.74-8% Practice Expense 12.57 11.34-10% Professional Components 3.45 3.40-1% Practice Expense - PC 1.09 1.04-5% Technical Components 11.52 10.34-10% Practice Expense - TC 11.48 10.30-10% Physician work 2.25 2.25 0% 95940 IONM in operatng room 15 min 0.93 0.91-2% Practice Expense 0.30 0.28-7% Physician work 0.60 0.60 0% 95941 IONM remote/>1 pt or per hr 0.00 0.00 0% G0453 Cont intraop neuro monitor 0.77 0.76-1% Practice Expense 0.24 0.23-4% Physician work 0.50 0.50 0% American Academy of Neurology Page 14 of 33
95950 Ambulatory Cassette EEG 10.28 9.30-10% Practice Expense 8.67 7.69-11% Professional Components 2.31 2.28-1% Practice Expense - PC 0.73 0.70-4% Technical Components 7.97 7.02-12% Practice Expense - TC 7.94 6.99-12% Physician work 1.51 1.51 0% 95951 Video-EEG Long-Term Monitoring 0.00 0.00 0% Practice Expense N/A N/A N/A Professional Components 9.40 9.25-2% Practice Expense - PC 2.93 2.80-4% Technical Components N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work 5.99 5.99 0% 95953 Automated Ambulatory 13.03 12.07-7% Practice Expense 9.77 8.81-10% Professional Components 4.71 4.64-1% Practice Expense - PC 1.48 1.41-5% Technical Components 8.32 7.43-11% Practice Expense - TC 8.29 7.40-11% Physician work 3.08 3.08 0% 95954 EEG Monitoring/Giving Drugs 14.03 12.31-12% Practice Expense 11.43 9.71-15% Professional Components 3.56 3.48-2% Practice Expense - PC 1.00 0.92-8% Technical Components 10.47 8.83-16% Practice Expense - TC 10.43 8.79-16% Physician work 2.45 2.45 0% 95955 EEG During Surgery 7.02 6.38-9% Practice Expense 5.96 5.32-11% Professional Components 1.55 1.53-1% Practice Expense - PC 0.50 0.48-4% Technical Components 5.47 4.85-11% Practice Expense - TC 5.46 4.84-11% Physician work 1.01 1.01 0% American Academy of Neurology Page 15 of 33
95956 EEG Monitoring, No Video 51.17 29.28-43% Practice Expense 47.24 25.35-46% Professional Components 5.50 5.43-1% Practice Expense - PC 1.73 1.66-4% Technical Components 45.67 23.85-48% Practice Expense - TC 45.51 23.69-48% Physician work 3.61 3.61 0% 95957 EEG Digital Analysis 13.69 12.29-10% Practice Expense 11.60 10.20-12% Professional Components 3.03 2.99-1% Practice Expense - PC 0.95 0.91-4% Technical Components 10.66 9.30-13% Practice Expense - TC 10.65 9.29-13% Physician work 1.98 1.98 0% 95958 Wada Test 17.24 11.46-34% Practice Expense 12.74 6.97-45% Professional Components 6.42 6.35-1% Practice Expense - PC 1.96 1.90-3% Technical Components 10.82 5.11-53% Practice Expense - TC 10.78 5.07-53% Physician work 4.24 4.24 0% 95961 Grid: Cortex Stimulation 8.44 8.00-5% Practice Expense 5.32 4.88-8% Professional Components 4.53 4.45-2% Practice Expense - PC 1.42 1.34-6% Technical Components 3.91 3.55-9% Practice Expense - TC 3.90 3.54-9% Physician work 2.97 2.97 0% 95962 Grid: Cortex Stimulation 7.31 7.07-3% Practice Expense 3.95 3.71-6% Professional Components 4.88 4.80-2% Practice Expense - PC 1.53 1.45-5% Technical Components 2.43 2.27-7% Practice Expense - TC 2.42 2.26-7% Physician work 3.21 3.21 0% 95965 MEG, Spontaneous N/A N/A N/A Practice Expense N/A N/A N/A Professional Components 12.55 12.11-4% Practice Expense - PC 3.92 3.51-10% Technical Components N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work 7.99 7.99 0% American Academy of Neurology Page 16 of 33
95966 MEG, evoked, single N/A N/A N/A Practice Expense N/A N/A N/A Professional Components 5.77 6.16 7% Practice Expense - PC 1.47 1.87 27% Technical Components N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work 3.99 3.99 0% 95967 MEG, evoked, each additional N/A N/A N/A Practice Expense N/A N/A N/A Professional Components 5.07 5.41 7% Practice Expense - PC 1.27 1.64 29% Technical Components N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work 3.49 3.49 0% 95970 Neurostim analyze, no program 2.11 1.92-9% Practice Expense 1.49 1.43-4% Physician work 0.45 0.45 0% 95971 Simple neurostim analyze 1.77 1.70-4% Practice Expense 0.92 0.85-8% Physician work 0.78 0.78 0% 95972 Complex neurostim analyze 3.23 3.10-4% Practice Expense 1.59 1.46-8% Physician work 1.50 1.50 0% 95973 Complex neurostim analyze 1.85 1.80-3% Practice Expense 0.85 0.80-6% Physician work 0.92 0.92 0% 95974 Complex cranial neurostim 6.04 5.84-3% Practice Expense 2.78 2.59-7% Physician work 3.00 3.00 0% 95975 Complex cranial neurostim 3.23 3.13-3% Practice Expense 1.41 1.31-7% Physician work 1.70 1.70 0% 95978 Analyze neurostim brain/1 hour 7.35 7.04-4% Practice Expense 3.47 3.18-8% Physician work 3.50 3.50 0% American Academy of Neurology Page 17 of 33
95979 Analyze neurostim brain/add on 3.15 3.05-3% Practice Expense 1.37 1.27-7% Physician work 1.64 1.64 0% 95992 Canalith Repositioning 1.26 1.24-2% Practice Expense 0.46 0.44-4% Physician work 0.75 0.75 0% 96000 Motion analysis, video/3d 2.87 2.69-6% Practice Expense 0.96 0.78-19% Physician work 1.80 1.80 0% 96001 Motion test w/ft pressure meas 2.83 2.82 0% Practice Expense 0.56 0.55-2% Physician work 2.15 2.15 0% 96002 Dynamic surface EMG 0.63 0.60-5% Practice Expense 0.19 0.16-16% Physician work 0.41 0.41 0% 96004 Phys rewiey of motion tests 3.29 3.33 1% Practice Expense 1.01 1.05 4% Physician work 2.14 2.14 0% 96020 Functional Brain Mapping N/A N/A N/A Practice Expense N/A N/A N/A Professional Component 4.84 4.79-1% Practice Expense - PC 1.10 1.06-4% Technical Component N/A N/A N/A Practice Expense - TC N/A N/A N/A Physician work 3.43 3.43 0% 99201 Office/outpatient visit, new 1.29 1.23-5% Practice Expense 0.77 0.71-8% Physician work 0.48 0.48 0% 99202 Office/outpatient visit, new 2.19 2.10-4% Practice Expense 1.19 1.10-8% Physician work 0.93 0.93 0% 99203 Office/outpatient visit, new 3.17 3.04-4% Practice Expense 1.61 1.48-8% Physician work 1.42 1.42 0% American Academy of Neurology Page 18 of 33
Medicare Fee Schedule 99204 Office/outpatient visit, new 4.84 4.66-4% Practice Expense 2.18 2.01-8% Physician work 2.43 2.43 0% 99205 Office/outpatient visit, new 5.99 5.80-3% Practice Expense 2.55 2.37-7% Physician work 3.17 3.17 0% 99211 Office/outpatient visit, est 0.60 0.57-5% Practice Expense 0.41 0.38-7% Physician work 0.18 0.18 0% 99212 Office/outpatient visit, est 1.29 1.22-5% Practice Expense 0.77 0.70-9% Physician work 0.48 0.48 0% 99213 Office/outpatient visit, est 2.13 2.04-4% Practice Expense 1.09 1.00-8% Physician work 0.97 0.97 0% 99214 Office/outpatient visit, est 3.13 3.01-4% Practice Expense 1.53 1.41-8% Physician work 1.50 1.50 0% 99215 Office/outpatient visit, est 4.20 4.05-4% Practice Expense 1.95 1.80-8% Physician work 2.11 2.11 0% 99221 Initial hospital care 2.91 2.87-1% Practice Expense 0.81 0.77-5% Physician work 1.92 1.92 0% 99222 Initial hospital care 3.95 3.88-2% Practice Expense 1.12 1.06-5% Physician work 2.61 2.61 0% 99223 Initial hospital care 5.81 5.71-2% Practice Expense 1.66 1.57-5% Physician work 3.86 3.86 0% 99231 Subsequent hospital care 1.12 1.10-2% Practice Expense 0.31 0.29-6% Physician work 0.76 0.76 0% 99232 Subsequent hospital care 2.06 2.03-1% Practice Expense 0.59 0.56-5% Physician work 1.39 1.39 0% 99233 Subsequent hospital care 2.97 2.92-2% Practice Expense 0.85 0.80-6% Physician work 2.00 2.00 0% American Academy of Neurology Page 19 of 33
99234 Observ/hosp same date 3.86 3.80-2% Practice Expense 1.08 1.03-5% Physician work 2.56 2.56 0% 99235 Observ/hosp same date 4.83 4.75-2% Practice Expense 1.37 1.30-5% Physician work 3.24 3.24 0% 99236 Observ/hosp same date 6.24 6.13-2% Practice Expense 1.75 1.65-6% Physician work 4.20 4.20 0% 99238 Hospital discharge day 2.08 2.03-2% Practice Expense 0.73 0.68-7% Physician work 1.28 1.28 0% 99487* Cmplx chron care w/o pt vsit 2.41 2.30-5% Practice Expense 1.35 1.24-8% Physician work 1.00 1.00 0% 99488* Cmplx chron care w pt vsit 5.40 4.48-17% Practice Expense 2.73 1.81-34% Physician work 2.50 2.50 0% 99489* Complx chron care addl 30 min 1.21 1.04-14% Practice Expense 0.68 0.51-25% Physician work 0.50 0.50 0% 99495 Trans care mgmt 14 day disch 4.82 4.60-5% Practice Expense 2.57 2.35-9% Physician work 2.11 2.11 0% 99496 Trans care mgmt 7 day disch 6.77 6.48-4% Practice Expense 3.54 3.23-9% Physician work 3.05 3.05 0% 99241 * Office consultation 1.37 1.37 0% Physician work 0.64 0.64 0% 99242 * Office consultation 2.58 2.57 0% Physician work 1.34 1.34 0% 99243 * Office consultation 3.52 3.51 0% Physician work 1.88 1.88 0% American Academy of Neurology Page 20 of 33
99244 * Office consultation 5.20 5.19 0% Physician work 3.02 3.02 0% 99245 * Office consultation 6.36 6.35 0% Physician work 3.77 3.77 0% 99251 * Inpatient consult 1.39 1.39 0% Physician work 1.00 1.00 0% 99252 * Inpatient consult 2.14 2.13 0% Physician work 1.50 1.50 0% 99253 * Inpatient consult 3.26 3.25 0% Physician work 2.27 2.27 0% 99254 * Inpatient consult 4.70 4.67-1% Physician work 3.29 3.29 0% 99255 * Inpatient consult 5.84 5.67-3% Physician work 4.00 4.00 0% 99291 Critical care, first hour 7.99 7.68-4% Practice Expense 3.15 2.86-9% Physician work 4.50 4.50 0% 99292 Critical care, addl 30 min 3.55 3.45-3% Practice Expense 1.12 1.02-9% Physician work 2.25 2.25 0% Notes * Indicates code which is not currently payable under Medicare American Academy of Neurology Page 21 of 33
Dollar Amounts, based on Medicare Conversion Factor CPT Code Change ($) 2013 (using 2014 (using 2013-2014 Descriptors 34.0230) (using Medicare Conversion Factor 34.0230 35.6653 35.6653 20550 Inject tendon/ligament/cyst $58.52 $58.85 $0.33 20551 Inject tendon origin/insert $60.56 $60.99 $0.43 20552 Inject trigger point, 1 or 2 $55.80 $55.99 $0.20 20553 Inject trigger points, > 3 $64.64 $64.55 -$0.09 37215 Transcath stent, cca w/eps $1,098.26 $1,122.74 $24.48 37216 Transcath stent, cca w/o eps $1,018.65 $1,046.78 $28.13 62270 Lumbar Puncture $163.99 $160.85 -$3.14 64405 Nerve Block, greater occipital nerve $103.43 $102.00 -$1.43 64611 Chemodenervation, salivary glands $114.66 $113.77 -$0.89 64612 Destroy nerve, face muscle $138.81 $139.45 $0.64 64613 Destroy nerve, spine muscle $175.22 $175.12 -$0.10 64614 Destroy nerve, extrem musc $187.81 $187.24 -$0.56 64615 Chemodenervation musc migraine $143.92 $145.16 $1.24 64650 Chemodenervation, eccrine $127.59 $124.12 -$3.47 64653 Chemodenervation, eccrine $153.78 $152.65 -$1.14 67345 Destroy nerve of eye muscle $257.21 $258.57 $1.36 70554 fmri, brain by tech $500.82 $451.88 -$48.94 Professional Component $102.75 $107.00 $4.25 Technical Component $398.07 $344.88 -$53.19 70555 fmri, brain by phy/pshch N/A N/A N/A Professional Component $126.57 $131.60 $5.04 Technical Component N/A N/A N/A American Academy of Neurology Page 22 of 33
Dollar Amounts, based on Medicare Conversion Factor CPT Code Descriptors 2013 (using 34.0230) 2014 (using Change ($) 2013-2014 (using 92540 Vestibular testing $100.71 $102.72 $2.01 Professional Component $77.91 $80.60 $2.69 Technical Component $22.80 $22.11 -$0.68 92585 Brainstem Auditory EP $130.99 $131.25 $0.26 Professional Component $25.86 $26.75 $0.89 Technical Component $105.13 $104.50 -$0.63 93880 Carotid Duplex Scan $245.31 $232.89 -$12.41 Professional Component $29.26 $29.96 $0.70 Technical Component $216.05 $202.94 -$13.11 93882 Carotid Duplex Scan $176.24 $166.56 -$9.68 Professional Component $19.73 $20.33 $0.60 Technical Component $156.51 $146.23 -$10.28 93886 Transcranial Doppler $381.06 $357.72 -$23.33 Professional Component $47.29 $49.22 $1.93 Technical Component $333.77 $308.50 -$25.26 93888 Transcranial Doppler $221.49 $209.71 -$11.78 Professional Component $30.96 $31.74 $0.78 Technical Component $190.53 $177.97 -$12.56 93890 TCD, vasoreactivity study $300.08 $288.18 -$11.91 Professional Component $49.33 $51.36 $2.02 Technical Component $250.75 $236.82 -$13.93 93892 TCD, emboli detection w/o inj $338.87 $335.25 -$3.62 Professional Component $57.16 $59.56 $2.40 Technical Component $281.71 $275.69 -$6.02 93893 TCD, emboli detection w/inj $360.98 $346.67 -$14.32 Professional Component $57.84 $59.92 $2.08 Technical Component $303.14 $286.75 -$16.40 94660 CPAP initiation and management $63.96 $63.48 -$0.48 95800 Sleep study, unattended, simultaneous recording $182.70 $178.68 -$4.02 Professional Component $51.03 $52.78 $1.75 Technical Component $168.41 $125.90 -$42.52 American Academy of Neurology Page 23 of 33
Dollar Amounts, based on Medicare Conversion Factor 2013 (using 34.0230) 2014 (using Change ($) 2013-2014 (using CPT Code Descriptors 95801 Sleep study, unattended $95.26 $94.87 -$0.39 Professional Component $47.63 $49.57 $1.94 Technical Component $47.63 $45.29 -$2.34 95803 Actigraphy testing $152.42 $128.04 -$24.38 Professional Component $43.89 $43.87 -$0.02 Technical Component $108.53 $84.17 -$24.36 95805 Multiple Sleep Latency Test $429.37 $419.42 -$9.95 Professional Component $57.50 $59.92 $2.42 Technical Component $371.87 $359.51 -$12.37 95806 Sleep Study, Unattended $183.38 $172.26 -$11.12 Professional Component $60.90 $62.41 $1.51 Technical Component $122.48 $109.85 -$12.63 95807 Sleep Study $499.80 $471.85 -$27.95 Professional Component $60.90 $63.13 $2.23 Technical Component $438.90 $408.72 -$30.17 95808 Polysomnography, 1-3 $654.26 $633.77 -$20.49 Professional Component $84.72 $88.45 $3.73 Technical Component $569.55 $545.32 -$24.22 95810 Polysomnography, 4 or more $646.10 $615.23 -$30.87 Professional Component $119.76 $123.40 $3.64 Technical Component $526.34 $491.82 -$34.51 95811 Polysomnography w/cpap $677.74 $645.90 -$31.84 Professional Component $124.52 $128.40 $3.87 Technical Component $553.21 $517.50 -$35.71 95782 Polysom <6 yrs 4/> paramtrs $1,066.62 $994.71 -$71.92 Professional Component $127.59 $131.96 $4.38 Technical Component $939.03 $862.74 -$76.29 95783 Polysom <6 yrs cpap/bilvl $1,116.98 $1,061.76 -$55.22 Professional Component $139.15 $143.73 $4.58 Technical Component $977.82 $918.02 -$59.80 95812 Extended EEG, < 1 hr $453.19 $240.03 -$213.16 Professional Component $55.80 $58.13 $2.34 Technical Component $397.39 $181.89 -$215.50 American Academy of Neurology Page 24 of 33
Dollar Amounts, based on Medicare Conversion Factor 2013 (using 34.0230) 2014 (using Change ($) 2013-2014 (using CPT Code Descriptors 95813 Extended EEG, > 1 hr $520.89 $274.98 -$245.91 Professional Component $89.48 $92.73 $3.25 Technical Component $431.41 $182.25 -$249.16 95816 Axake EEG $415.76 $240.38 -$175.38 Professional Component $56.48 $58.49 $2.01 Technical Component $359.28 $181.89 -$177.39 95819 Axake and Asleep EEG $477.68 $240.03 -$237.66 Professional Component $56.14 $58.13 $2.00 Technical Component $421.54 $181.89 -$239.65 95822 Sleep EEG $426.99 $240.03 -$186.96 Professional Component $56.14 $58.13 $2.00 Technical Component $370.85 $181.89 -$188.96 95824 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 95827 Overnight EEG $812.47 $241.81 -$570.66 Professional Component $56.14 $58.13 $2.00 Technical Component $756.33 $183.68 -$572.65 95829 Surgery Electrocorticogram $1,971.97 $1,839.26 -$132.71 Professional Component $318.46 $329.19 $10.74 Technical Component $1,657.26 $1,510.07 -$147.19 95830 Insert Sphenoidal Electrodes $268.78 $251.80 -$16.98 95860 EMG, One Limb $127.25 $121.62 -$5.63 Professional Component $50.69 $52.43 $1.73 Technical Component $76.55 $69.19 -$7.36 95861 EMG, Two Limbs $174.54 $167.98 -$6.55 Professional Component $80.97 $83.10 $2.13 Technical Component $93.56 $84.88 -$8.68 95863 EMG, Three Limbs $213.32 $184.75 -$28.58 Professional Component $97.65 $100.58 $2.93 Technical Component $115.68 $84.17 -$31.51 American Academy of Neurology Page 25 of 33
Dollar Amounts, based on Medicare Conversion Factor CPT Code Descriptors 2013 (using 34.0230) 2014 (using Change ($) 2013-2014 (using 95864 EMG, Four Limbs $244.29 $191.17 -$53.12 Professional Component $103.77 $107.00 $3.23 Technical Component $140.51 $84.17 -$56.34 95865 EMG, larynx $136.09 $136.24 $0.15 Professional Component $80.29 $83.46 $3.16 Technical Component $140.51 $52.78 -$87.73 95866 EMG, hemidiaphragm $139.15 $132.32 -$6.84 Professional Component $65.66 $68.48 $2.81 Technical Component $140.51 $63.84 -$76.67 95867 EMG, Cranial Unilateral $115.34 $93.44 -$21.89 Professional Component $41.17 $42.80 $1.63 Technical Component $140.51 $50.64 -$89.87 95868 EMG, Cranial Bilateral $144.60 $130.18 -$14.42 Professional Component $61.24 $63.48 $2.24 Technical Component $83.36 $66.69 -$16.66 95869 EMG, Thoracic Paraspinal $87.10 $65.27 -$21.83 Professional Component $19.05 $19.62 $0.56 Technical Component $83.36 $45.65 -$37.70 95870 EMG, Other $91.52 $65.27 -$26.25 Professional Component $19.39 $19.62 $0.22 Technical Component $72.13 $45.65 -$26.48 95872 EMG, Single Fiber $202.78 $203.65 $0.87 Professional Component $150.04 $155.86 $5.82 Technical Component $52.74 $47.79 -$4.94 95873 Electrical stimulation, chemodenervation $78.25 $74.18 -$4.07 Professional Component $20.07 $20.69 $0.61 Technical Component $58.18 $53.50 -$4.68 95874 EMG, chemodenervation $74.85 $71.69 -$3.16 Professional Component $19.39 $19.97 $0.58 Technical Component $55.46 $51.71 -$3.74 95875 Limb Exercise Test $128.27 $126.97 -$1.30 Professional Component $57.50 $59.56 $2.06 Technical Component $70.77 $67.41 -$3.36 American Academy of Neurology Page 26 of 33
Dollar Amounts, based on Medicare Conversion Factor CPT Code 95885 95886 95887 2013 (using 34.0230) 2014 (using Change ($) 2013-2014 (using Descriptors Needle EMG when performed with nerve conduction test; limited $61.24 $58.13 -$3.11 Professional Component $18.37 $18.90 $0.53 Technical Component $42.87 $39.23 -$3.64 Needle EMG when performed with nerve conduction test; complex $84.72 $82.39 -$2.33 Professional Component $36.74 $38.16 $1.42 Technical Component $47.97 $44.22 -$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 $0.84 95905 NCV, Preconfig array $71.11 $68.12 -$2.99 Professional Component $2.72 $2.85 $0.13 Technical Component $68.39 $65.27 -$3.12 95907 Motor&/sens 1-2 nrv cndj tst $94.58 $93.44 -$1.14 Professional Component $51.71 $53.50 $1.78 Technical Component $42.87 $39.95 -$2.92 95908 Motor&/sens 3-4 nrv cndj tst $116.70 $114.84 -$1.86 Professional Component $64.98 $67.05 $2.07 Technical Component $51.71 $47.79 -$3.92 95909 Motor&/sens 5-6 nrv cndj tst $139.83 $137.31 -$2.52 Professional Component $77.57 $79.89 $2.32 Technical Component $62.26 $57.42 -$4.84 95910 Motor&/sens 7-8 nrv cndj tst $184.06 $181.54 -$2.53 Professional Component $103.77 $107.00 $3.23 Technical Component $80.29 $74.54 -$5.75 American Academy of Neurology Page 27 of 33
Dollar Amounts, based on Medicare Conversion Factor CPT Code Descriptors 2013 (using 34.0230) 2014 (using Change ($) 2013-2014 (using 95911 Motor&/sens 9-10 nrv cndj tst $222.51 $220.05 -$2.46 Professional Component $129.29 $133.39 $4.10 Technical Component $93.22 $86.67 -$6.56 95912 Motor&/sens 11-12 nrv cndj tst $260.96 $258.22 -$2.74 Professional Component $155.49 $160.14 $4.65 Technical Component $105.47 $98.08 -$7.39 95913 Motor&/sens 13/> nrv cndj tst $302.12 $299.95 -$2.18 Professional Component $184.06 $190.10 $6.03 Technical Component $105.47 $109.85 $4.38 95921 Autonomic Parasympathetic $90.50 $88.81 -$1.69 Professional Component $44.91 $46.72 $1.81 Technical Component $45.59 $42.09 -$3.51 95922 Autonomic Sympathetic $108.87 $106.64 -$2.23 Professional Component $48.31 $50.29 $1.98 Technical Component $60.56 $56.35 -$4.21 95923 Autonomic Sudomotor $263.00 $131.60 -$131.39 Professional Component $46.61 $47.43 $0.82 Technical Component $216.39 $84.17 -$132.22 95924 Ans parasymp & symp w/tilt $147.32 $145.16 -$2.16 Professional Component $86.42 $89.52 $3.10 Technical Component $60.90 $55.64 -$5.26 95943 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 $0.00 95925 Somatosensory EPs, Upper Limbs $196.99 $172.62 -$24.37 Professional Component $27.56 $28.18 $0.62 Technical Component $169.43 $144.44 -$24.99 95926 Somatosensory EPs, Lower Limbs $190.53 $145.16 -$45.37 Professional Component $28.24 $28.18 -$0.06 Technical Component $162.29 $116.98 -$45.31 95927 Somatosensory EPs, Trunk or Head $172.50 $161.21 -$11.29 Professional Component $26.88 $27.46 $0.58 Technical Component $145.62 $133.74 -$11.87 American Academy of Neurology Page 28 of 33
Dollar Amounts, based on Medicare Conversion Factor 2013 (using 34.0230) 2014 (using Change ($) 2013-2014 (using CPT Code Descriptors 95928 C motor evoked, upper limbs $296.34 $166.20 -$130.14 Professional Component $78.25 $81.32 $3.06 Technical Component $218.09 $84.88 -$133.20 95929 C motor evoked, lower limbs $298.04 $165.49 -$132.55 Professional Component $78.25 $80.60 $2.35 Technical Component $219.79 $84.88 -$134.91 95930 Visual Evoked Potential $164.33 $133.03 -$31.30 Professional Component $18.03 $18.55 $0.51 Technical Component $146.30 $114.49 -$31.81 95933 Blink Reflex Test $92.20 $77.39 -$14.81 Professional Component $30.96 $31.74 $0.78 Technical Component $61.24 $45.65 -$15.59 95937 Neuromuscular Junction Test $79.27 $80.25 $0.97 Professional Component $33.68 $34.95 $1.27 Technical Component $45.59 $45.29 -$0.30 95938 Somatosensory testing $333.77 $335.61 $1.84 Professional Component $44.91 $46.72 $1.81 Technical Component $288.86 $288.89 $0.03 95939 C motor evoked upper and lower limbs $509.32 $490.04 -$19.28 Professional Component $117.38 $121.26 $3.88 Technical Component $391.94 $368.78 -$23.17 95940 IONM in operatng room 15 min $31.64 $32.46 $0.81 95941* IONM remote/>1 pt or per hr $0.00 $0.00 $0.00 G0453 Cont intraop neuro monitor $26.20 $27.11 $0.91 95950 Ambulatory Cassette EEG $349.76 $331.69 -$18.07 Professional Component $78.59 $81.32 $2.72 Technical Component $271.16 $250.37 -$20.79 95951 Video-EEG Long-Term Monitoring 0.00 0.00 0.00 Professional Component $319.82 $329.90 $10.09 Technical Component 0.00 0.00 0.00 95953 Automated Ambulatory $443.32 $430.48 -$12.84 Professional Component $160.25 $165.49 $5.24 Technical Component $283.07 $264.99 -$18.08 American Academy of Neurology Page 29 of 33
Dollar Amounts, based on Medicare Conversion Factor CPT Code Descriptors 2013 (using 34.0230) 2014 (using Change ($) 2013-2014 (using 95954 EEG Monitoring/Giving Drugs $480.40 $442.25 -$38.16 Professional Component $121.12 $124.12 $2.99 Technical Component $356.22 $314.92 -$41.30 95955 EEG During Surgery $238.84 $227.54 -$11.30 Professional Component $52.74 $54.57 $1.83 Technical Component $186.11 $172.98 -$13.13 95956 EEG Monitoring, No Video $1,740.96 $1,044.28 -$696.68 Professional Component $187.13 $193.66 $6.54 Technical Component $1,553.83 $850.62 -$703.21 95957 EEG Digital Analysis $465.77 $438.33 -$27.45 Professional Component $103.09 $106.64 $3.55 Technical Component $362.69 $331.69 -$31.00 95958 Wada Test $586.56 $408.72 -$177.83 Professional Component $218.43 $226.47 $8.05 Technical Component $368.13 $182.25 -$185.88 95961 Grid: Cortex Stimulation $287.15 $285.32 -$1.83 Professional Component $154.12 $158.71 $4.59 Technical Component $133.03 $126.61 -$6.42 95962 Grid: Cortex Stimulation $248.71 $252.15 $3.45 Professional Component $166.03 $171.19 $5.16 Technical Component $82.68 $80.96 -$1.72 95965 MEG, spontaneous $0.0 $0.0 $0.00 Professional Components $426.99 $431.91 $4.92 Technical Components $0.0 $0.0 $0.00 95966 MEG, evoked, single $0.0 $0.0 $0.00 Professional Components $196.31 $219.70 $23.39 Technical Components $0.0 $0.0 $0.00 95967 MEG, evoked, each additional $0.0 $0.0 $0.00 Professional Components $172.50 $192.95 $20.45 Technical Components $0.0 $0.0 $0.00 95970 Neurostim analyze, no program $71.79 $68.48 -$3.31 95971 Simple neurostim analyze $60.22 $60.63 $0.41 American Academy of Neurology Page 30 of 33
Dollar Amounts, based on Medicare Conversion Factor Change ($) 2013 (using 2014 (using 2013-2014 CPT Code Descriptors 34.0230) (using 95972 Complex neurostim analyze $109.89 $110.56 $0.67 95973 Complex neurostim analyze $62.94 $64.20 $1.25 95974 Complex cranial neurostim $205.50 $208.29 $2.79 95975 Complex cranial neurostim $109.89 $111.63 $1.74 95992 Canalith Repositioning $42.87 $44.22 $1.36 96000 Motion analysis, video/3d $97.65 $95.94 -$1.71 96001 Motion test x/ft pressure meas $96.29 $100.58 $4.29 96002 Dynamic surface EMG $21.43 $21.40 -$0.04 96003 Dynamic fine wire EMG $16.67 $19.97 $3.30 96004 Phys review of motion tests $111.94 $118.77 $6.83 96020 Functional Brain Mapping $0.00 $0.00 $0.00 Professional Component $164.67 $170.84 $6.17 Technical Component $0.00 $0.00 $0.00 99201 Office/outpatient visit, new $43.89 $43.87 -$0.02 99202 Office/outpatient visit, new $74.51 $74.90 $0.39 99203 Office/outpatient visit, new $107.85 $108.42 $0.57 99204 Office/outpatient visit, new $164.67 $166.56 $1.89 99205 Office/outpatient visit, new $203.80 $206.86 $3.06 99211 Office/outpatient visit, est $20.41 $20.33 -$0.08 99212 Office/outpatient visit, est $43.89 $43.51 -$0.38 99213 Office/outpatient visit, est $72.47 $72.76 $0.29 99214 Office/outpatient visit, est $106.49 $107.35 $0.86 99215 Office/outpatient visit, est $142.90 $144.44 $1.55 99221 Initial hospital care $99.01 $102.36 $3.35 American Academy of Neurology Page 31 of 33
Dollar Amounts, based on Medicare Conversion Factor CPT Code Descriptors 2013 (using 34.0230) 2014 (using Change ($) 2013-2014 (using 99222 Initial hospital care $134.39 $138.74 $4.35 99223 Initial hospital care $197.67 $203.65 $5.98 99231 Subsequent hospital care $53.42 $55.28 $1.87 99232 Subsequent hospital care $70.09 $72.40 $2.31 99233 Subsequent hospital care $101.05 $104.14 $3.09 99234 Observ/hosp same date $131.33 $135.53 $4.20 99235 Observ/hosp same date $164.33 $169.41 $5.08 99236 Observ/hosp same date $212.30 $218.63 $6.32 99238 Hospital discharge day $70.77 $72.40 $1.63 99487* Cmplx chron care w/o pt vsit $82.00 $82.03 $0.03 99488* Cmplx chron care w pt vsit $183.72 $159.78 -$23.94 99489* Complx chron care addl 30 min $41.17 $37.09 -$4.08 99495 Trans care mgmt 14 day disch $163.99 $164.06 $0.07 99496 Trans care mgmt 7 day disch $231.02 $231.11 $0.09 99241 * Office consultation $46.61 $48.86 $2.25 99242 * Office consultation $87.78 $91.66 $3.88 99243 * Office consultation $119.76 $125.19 $5.42 99244 * Office consultation $176.92 $185.10 $8.18 99245 * Office consultation $216.39 $226.47 $10.09 99251 * Inpatient consult $47.29 $49.57 $2.28 99252 * Inpatient consult $72.81 $75.97 $3.16 99253 * Inpatient consult $110.91 $115.91 $5.00 American Academy of Neurology Page 32 of 33
Dollar Amounts, based on Medicare Conversion Factor Change ($) 2013 (using 2014 (using 2013-2014 CPT (using Code Descriptors 34.0230) 99254 * Inpatient consult $159.91 $167.27 $7.36 99255 * Inpatient consult $199.03 $202.22 $3.19 99291 Critical care, first hour $271.84 $273.91 $2.07 99292 Critical care, addl 30 min $120.78 $123.05 $2.26 Notes * Indicates code which is not currently payable under Medicare American Academy of Neurology Page 33 of 33