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See a sample rate comparisonHealthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office 15 - Mobile Unit |
| Common Modifiers | 76 - Repeat procedure by same physician 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 95715 |
| Medicaid Fee Schedule | $714.04 median of the 8 states in the free preview · View Medicaid rates for 95715 |
National average reimbursement for CPT 95715 by major payers:

$1,069.49

$1,029.00

$995.54

$1,412.43
Choose a payer to see a sample of rates for CPT 95715.
Margaret Michelson
Northshore University Healthsystem Faculty Practice Associates
Nitin Patel
Sgoh Acquisition Inc
John Mcmillin
Advocate Health And Hospitals Corporation
Jamie Evans
Loyola University Medical Center
Joseph Divincenzo
Loyola University Medical Center
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 95715 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95715 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 95715 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 |
|---|---|---|
| 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 |
| 95714-CPT | Moderate | Electroencephalogram With Vide, Electroencephalogram With Video (Veeg) Review Of Data Technical Description By Eeg Technologist Each Increment Of 12-26 Hours Unmonitored |
| 95715-CPT | High | Veeg Ea 12 26hr Intmt Mntr, Electroencephalogram With Video Veeg Review Of Data Technical Description By Eeg Technologist Each Increment Of 12 26 Hours With Intermittent Monitoring And Maintenance |
| 95716-CPT | High | Veeg Ea 12 26hr Cont Mntr, Electroencephalogram With Video Veeg Review Of Data Technical Description By Eeg Technologist Each Increment Of 12 26 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 95715. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95715 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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