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See a sample rate comparisonCPT 1016T Fee Schedule
Last Verified: October 2026
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.
Elec Alys Npgs Esoph Intraop, Electronic Analysis Of Implanted Neurostimulator Pulse Generator System (Eg Rate Pulse Amplitude And Duration Configuration Of Wave Form Battery Status Electrode Selectability Output Modulation Cycling Impedance And Patient Measurements) Lower Esophageal Sphincter Neurostimulator Pulse Generator/Transmitter; Intraoperative With Programming (Do Not Report 1016t In Conjunction With 1013t)
| Key Fact | Detail |
|---|---|
| Service Type | Category III Codes Lower Esophageal Sphincter (LES) Neurostimulator Pulse Generator Procedures with Electronic Analysis |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 1016T |
National average reimbursement for CPT 1016T by major payers:
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CPT 1016T
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See a sample payer proposalCPT 1016T vs. Other Lower Esophageal Sphincter (LES) Neurostimulator Pulse Generator Procedures with Electronic Analysis Codes
The CPT 1016T code is part of the Category III Codes services used for Lower Esophageal Sphincter (LES) Neurostimulator Pulse Generator Procedures with Electronic Analysis. 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 1016T 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 |
|---|---|---|
| 1016T-CPT | Moderate | Elec Alys Npgs Esoph Intraop, Electronic Analysis Of Implanted Neurostimulator Pulse Generator System (Eg Rate Pulse Amplitude And Duration Configuration Of Wave Form Battery Status Electrode Selectability Output Modulation Cycling Impedance And Patient Measurements) Lower Esophageal Sphincter Neurostimulator Pulse Generator/Transmitter; Intraoperative With Programming (Do Not Report 1016t In Conjunction With 1013t) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 1016T. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 1016T 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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