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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 | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 95724 |
| Medicaid Fee Schedule | View Medicaid rates for 95724 |
National average reimbursement for CPT 95724 by major payers:

$405.40

$429.32

$408.82

$511.21
Choose a payer to see a sample of rates for CPT 95724.
Aurora Medical Group Inc
Advocate Health And Hospitals Corporation
Loyola University Medical Center
Rush University Medical Center
E And A Medical On The Go Healthcare Of South Florida LLC
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 95724 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95724 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 95724 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 |
|---|---|---|
| 95722-CPT | Moderate | Eeg Phy Qhp 36 60 Hr W Veeg, Electroencephalogram Eeg Continuous Recording Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Interpretation And Summary Report Complete Study Greater Than 36 Hours Up To 60 Hours Of Eeg Recording With Video Veeg |
| 95723-CPT | Moderate | Eeg Phy Qhp 60 84 Hr W O Vid, Electroencephalogram Eeg Continuous Recording Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Interpretation And Summary Report Complete Study Greater Than 60 Hours Up To 84 Hours Of Eeg Recording Without Video |
| 95724-CPT | Moderate | Eeg Phy Qhp 60 84 Hr W Veeg, Electroencephalogram Eeg Continuous Recording Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Interpretation And Summary Report Complete Study Greater Than 60 Hours Up To 84 Hours Of Eeg Recording With Video Veeg |
| 95725-CPT | Moderate | Eeg Phy Qhp 84 Hr W O Vid, Electroencephalogram Eeg Continuous Recording Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Interpretation And Summary Report Complete Study Greater Than 84 Hours Of Eeg Recording Without Video |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95724. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95724 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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