CPT 1006T Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Sub-Scalp Bilateral Electroencephalography Analysis and Monitoring Procedures Category III Codes |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 1006T |
National average reimbursement for CPT 1006T by major payers:
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| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
No data found No fee schedule data available for the selected payer and code combination | ||||||
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CPT 1006T vs. Other Category III Codes Codes
The CPT 1006T code is part of the Sub-Scalp Bilateral Electroencephalography Analysis and Monitoring Procedures services used for Category III Codes. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 1006T code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 1006T-CPT | Moderate | Elec Alys S-Scl Eeg Prgrm Ea, Electronic Analysis Of Implanted Sub-Scalp Continuous Bilateral Electroencephalography Monitoring System (Eg Contact Group[S] Gain Bandpass Filters) By Physician Or Other Qualified Health Care Professional; With Programming Each Additional 15 Minutes Face-To-Face Time With Physician Or Other Qualified Health Care Professional (List Separately In Addition To Code For Primary Procedure) (Use 1006t In Conjunction With 1005t) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 1006T. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 1006T fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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