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See a sample rate comparisonCPT 95712 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.
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| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | TC - Technical component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 95712 |
| Medicaid Fee Schedule | $384.495 median of the 8 states in the free preview · View Medicaid rates for 95712 |
National average reimbursement for CPT 95712 by major payers:
$540.13
$529.58
$519.32
$804.23
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CPT 95712
5 of 25 sample ratesHigher to lower in this preview
P. Daniel Le Grange
$2,790.17Published rateHugo Solari
Esperanza Health Centers
$540.92Published rateNitin Patel
$421.51Published rateJamie Evans
Loyola University Medical Center
$379.08Published rateNaga Guntupalli
Riverside Health System
$303.72Published rate
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See a sample payer proposalCPT 95712 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95712 code is part of the Medicine Services and Procedures services used for Neurology and Neuromuscular 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 95712 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 |
|---|---|---|
| 95710-CPT | Moderate | Eeg W O Vid Ea 12 26hr Cont, Electroencephalogram Eeg Without Video Review Of Data Technical Description By Eeg Technologist Each Increment Of 12 26 Hours With Continuous Real Time Monitoring And Maintenance |
| 95711-CPT | Moderate | Electroencephalogram With Vide, Electroencephalogram With Video (Veeg) Review Of Data Technical Description By Eeg Technologist 2-12 Hours Unmonitored |
| 95712-CPT | Moderate | Electroencephalogram With Vide, Electroencephalogram With Video (Veeg) Review Of Data Technical Description By Eeg Technologist 2-12 Hours With Intermittent Monitoring And Maintenance |
| 95713-CPT | Moderate | Electroencephalogram With Vide, Electroencephalogram With Video (Veeg) Review Of Data Technical Description By Eeg Technologist 2-12 Hours With Continuous Real-Time Monitoring And Maintenance |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95712. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95712 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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