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See a sample rate comparisonCPT 95875 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.
Limb Exercise Test, Treadmill Exercise Test. This Test Is Generally Done To Determine The Cause Of Muscle Weakness Fatigue And Cramps.
| 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 | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 95875 |
| Medicaid Fee Schedule | View Medicaid rates for 95875 |
National average reimbursement for CPT 95875 by major payers:
$150.34
$160.77
$157.41
$195.67
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CPT 95875
5 of 25 sample ratesHigher to lower in this preview
Dane Fisher
$378.04Published rateMatthew Niedzwiecki
$146.16Published rateAlberto Martinez-Arizala
University Of Miami
$115.66Published rateYuma Spine & Joint PLLC, Kimber Spine
Yuma Spine Joint PLLC
$78.05Published rateMariano Cibran
St. Petersburg Pediatrics
$30.12Published rate
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See a sample payer proposalCPT 95875 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95875 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 95875 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 |
|---|---|---|
| 95875-CPT | Low | Limb Exercise Test, Treadmill Exercise Test. This Test Is Generally Done To Determine The Cause Of Muscle Weakness Fatigue And Cramps. |
| 95905-CPT | Low | Nerve Function Study, A Nerve Function Study Evaluates Muscle Movements Or A Sensation Such As Numbness Or Weakness. The Study Can Measure Length Of Time Between Stimulation Of The Nerve And A Reaction Or The Intensity Of A Reaction. |
| 95907-CPT | Low | Test Of Nerves And Muscles, This Nerve Study Evaluates Muscle Movements And Feeling When Nerves Are Stimulated With An Electric Current. |
| 95909-CPT | Low | Office Or Other Outpatient Vis, Office Or Other Outpatient Visit For The Evaluation Andmanagement Of An Established Patient Which Requires At Least Two Of These Three Key Components |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95875. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95875 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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