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See a sample rate comparisonHealthcare 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 | Category III Codes Sub-Scalp Bilateral Electroencephalography Analysis and Monitoring Procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 1007T |
National average reimbursement for CPT 1007T by major payers:

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See a sample payer proposalCPT 1007T vs. Other Sub-Scalp Bilateral Electroencephalography Analysis and Monitoring Procedures Codes
The CPT 1007T code is part of the Category III Codes services used for Sub-Scalp Bilateral Electroencephalography Analysis and Monitoring Procedures. 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 1007T 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 |
|---|---|---|
| 1007T-CPT | Moderate | Eeg Impl S-Sclp Eeg W/O Vid, Electroencephalogram From Implanted Sub-Scalp Continuous Bilateral Electroencephalography Monitoring System Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Interpretation And Report Up To 30 Days Of Recording Without Video (Report 1007t Once Every 30 Days) (Do Not Report 1007t In Conjunction With 95836 95957 1009t) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 1007T. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 1007T 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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