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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 95 - Telemedicine - audio and video PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 95836 |
| Medicaid Fee Schedule | View Medicaid rates for 95836 |
National average reimbursement for CPT 95836 by major payers:

$141.08

$145.16

$141.48

$179.62
Choose a payer to see a sample of rates for CPT 95836.
Pediatric Faculty Foundation In
University Of Miami
Warren Clinic Inc
The Board Of Trustees Of The University Of Illinois
Tca Health Inc Nfp
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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 95836 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95836 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 95836 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 |
|---|---|---|
| 95709-CPT | Moderate | Eeg W O Vid Ea 12 26hr Intmt, Electroencephalogram Eeg Without Video Review Of Data Technical Description By Eeg Technologist Each Increment Of 12 26 Hours With Intermittent Monitoring And Maintenance |
| 95829-CPT | High | Electrocorticogram At Surgery, Electrocorticogram At Surgery (Separate Procedure)Electrocorticogram At Surgery (Separate Procedure) |
| 95830-CPT | Moderate | Insertion By Physician Or Othe, Insertion By Physician Or Other Qualified Health Care Professional Of Sphenoidal Electrodes For Electroencephalographic (Eeg) Recording |
| 95836-CPT | Low | Electrocorticogram From An Imp, Electrocorticogram From An Implanted Brain Neurostimulator Pulse Generatortransmitter Including Recording With Interpretation And Written Report Up To 30 Days |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95836. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95836 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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