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CPT 95852 Fee Schedule

Last Verified: September 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.

Range Of Motion Measurements, Range Of Motion Measurements And Report Separate Procedure Hand With Or Without Comparison With Normal Side
Key FactDetail
Service Type

Medicine Services and Procedures

Neurology and Neuromuscular Procedures

Common Place of Service

11 - Office

21 - Inpatient Hospital

Common Modifiers

None

GO - Services delivered under an outpatient occupational therapy plan of care

59 - Distinct Procedural Service

Complexity LevelLow
Medicare Fee ScheduleView Medicare rates for 95852
Medicaid Fee ScheduleView Medicaid rates for 95852

National average reimbursement for CPT 95852 by major payers:

bcbs

$20.41

uhc

$21.84

aetna

$21.33

cigna

$27.09

Compare published rates across providers.

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CPT 95852
5 of 25 sample ratesHigher to lower in this preview
  1. Chu Chen

    Merrimack Valley Pediatric Associates, Inc.

    MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572

    $49.57Published rate
  2. Matthew Niedzwiecki

    RIPsychiatry PhysicianNPI 1174859284Tax ID 91-0844563

    $37.59Published rate
  3. Leon Epstein

    Pediatric Faculty Foundation In

    ILNeurology with Special Qualifications in Child Neurology PhysicianNPI 1295791812Tax ID 36-3279680

    $36.13Published rate
  4. Cynthia Gordon

    Illinois Professionals Health Progr

    ILPsychiatry PhysicianNPI 1992961643Tax ID 81-5174138

    $32.02Published rate
  5. Laron Phillips

    Brightside Medical

    COPsychiatry PhysicianNPI 1285834440Tax ID 84-2494027

    $6.26Published rate

National sample. Rates vary by location, specialty, and contract.

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CPT 95852 vs. Other Neurology and Neuromuscular Procedures Codes

The CPT 95852 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 95852 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.

CodeComplexityDescription
95851-CPTLowRange Of Motion Test Joint, Exam To Measure The Range Of Motion In Various Joints (How Far One Can Bend Or Straighten The Joints) And Compare The Measurements To Normal Values. Exam Includes Interpretation Of Results.
95852-CPTLowRange Of Motion Measurements, Range Of Motion Measurements And Report Separate Procedure Hand With Or Without Comparison With Normal Side
95860-CPTLowTest Nerve In Arm Leg Muscles, An Electromyography (Emg) Measures How Muscles Respond To Nerve Impulses. An Electrode Attached To A Needle Is Inserted Into One Extremity (Arm Leg Hand Foot Or Neck Muscles). Related Muscles Along The Spine May Be Tested As Well.
95861-CPTLowTest Nerve In Arm Leg Muscles, An Electromyography (Emg) Measures How Muscles Respond To Nerve Impulses. An Electrode Attached To A Needle Is Inserted Into One Extremity (Arm Leg Hand Foot Or Neck Muscles). Related Muscles Along The Spine May Be Tested As Well.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95852. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 95852 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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