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See a sample rate comparisonCPT 95803 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.
Body Activity Study, Actigraph Equipment Is Worn Around The Waist Wrist Or Shoulder. It Records General Body Activity For A Period Of Three Days To Two Weeks. The Results Are Used In Sleep Activity And Movement Studies.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component SA |
| Complexity Level | Low |
| Medicare Fee Schedule | $135.27 national non-facility rate (2026) · View Medicare rates for 95803 |
| Medicaid Fee Schedule | $108.775 median of the 8 states in the free preview · View Medicaid rates for 95803 |
National average reimbursement for CPT 95803 by major payers:
$164.55
$183.99
$184.10
$256.79
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CPT 95803
5 of 25 sample ratesHigher to lower in this preview
Luda Sorin
Nhcs Physicians Inc
$423.67Published rateAngela Green
Loyola University Medical Center
$200.36Published rateRandy Jung
Touchette Regional Hospital Inc
$169.74Published rateClint Anthony
District Medical Group Inc
$85.55Published rateClint Anthony
$48.54Published rate
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See a sample payer proposalCPT 95803 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95803 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 95803 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 |
|---|---|---|
| 95800-CPT | Low | Sleep Study, A Sleep Study Records Information About Breathing Effort And Ability Heart Rate And Amount Of Oxygen That Is In The Blood While Sleeping. Data May Be Recorded Automatically Or By An Attendant. |
| 95801-CPT | Low | Sleep Study, A Sleep Study Records Information About Breathing Effort And Ability Heart Rate And Amount Of Oxygen That Is In The Blood While Sleeping. Data May Be Recorded Automatically Or By An Attendant. |
| 95803-CPT | Low | Body Activity Study, Actigraph Equipment Is Worn Around The Waist Wrist Or Shoulder. It Records General Body Activity For A Period Of Three Days To Two Weeks. The Results Are Used In Sleep Activity And Movement Studies. |
| 95805-CPT | Moderate | Sleep Study, Nap Study To See How Quickly A Person Falls Asleep During The Day. Measures The Level Of Daytime Sleepiness. Standard Test For Narcolepsy And To Check If Rem Sleep Occurs. Usually Done Right After An Overnight Sleep Study. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95803. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95803 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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