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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 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 95808 |
| Medicaid Fee Schedule | View Medicaid rates for 95808 |
National average reimbursement for CPT 95808 by major payers:

$623.42

$818.42

$810.75

$976.89
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Carson Medical Group
Advocate Health And Hospitals Corporation
Swedishamerican Hospital
District Medical Group Inc
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Rate Benchmarking
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See a sample payer proposalCPT 95808 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95808 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 95808 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 |
|---|---|---|
| 95782-CPT | High | Overnight Sleep Study, A Technician-Monitored Overnight Sleep Study At A Facility. Brain Activity Breathing Blood Pressure Heart Rate And Other Factors Are Measured As Well As The Quality Of Sleep. |
| 95808-CPT | Moderate | Overnight Sleep Study, A Technician-Monitored Overnight Sleep Study At A Facility. Brain Activity Breathing Blood Pressure Heart Rate And Other Factors Are Measured As Well As The Quality Of Sleep. |
| 95810-CPT | Moderate | Overnight Sleep Study, A Technician-Monitored Overnight Sleep Study At A Facility. Brain Activity Breathing Blood Pressure Heart Rate And Other Factors Are Measured As Well As The Quality Of Sleep. |
| 95811-CPT | Moderate | Polysom 6 Yrs Cpap 4 Parm, Polysomnography Age 6 Years Or Older Sleep Staging With 4 Or More Additional Parameters Of Sleep With Initiation Of Continuous Positive Airway Pressure Therapy Or Bilevel Ventilation Attended By A Technologist |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95808. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95808 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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