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See a sample rate comparisonCPT 95905 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office None |
| Common Modifiers | None RT - Right side of body LT - Left side of body |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 95905 |
| Medicaid Fee Schedule | View Medicaid rates for 95905 |
National average reimbursement for CPT 95905 by major payers:
$61.23
$80.02
$66.36
$87.95
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CPT 95905
5 of 25 sample ratesHigher to lower in this preview
P. Daniel Le Grange
$396.08Published rateNiranjan Karnik
The Board Of Trustees Of The University Of Illinois
$101.00Published rateRhonda Lampen
Multicare Health System
$83.83Published rateTamar Caceres
Pediatric Faculty Foundation In
$7.15Published rateJocelyn Lorenzo
$2.49Published rate
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See a sample payer proposalCPT 95905 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95905 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 95905 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 |
|---|---|---|
| 95870-CPT | Low | Testing Of Nerve In Muscle, An Electromyography (Emg) Measures How Muscles Respond To Nerve Impulses. An Electrode Attached To A Needle Is Inserted Into Each Extremity (Arm Leg Hand Foot Or Neck Muscles). Related Muscles Along The Spine May Be Tested. |
| 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 95905. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95905 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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