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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 None |
| Common Modifiers | None 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 95921 |
| Medicaid Fee Schedule | View Medicaid rates for 95921 |
National average reimbursement for CPT 95921 by major payers:

$102.95

$104.53

$103.51

$132.16
Choose a payer to see a sample of rates for CPT 95921.
Sacred Heart Health System Inc
Southwest Volusia Healthcare Corporation
Orlando Physicians Network Inc
Flagler Medical Associates, P.A.
Lydia Puente PA
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Rate Benchmarking
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See a sample payer proposalCPT 95921 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95921 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 95921 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 |
|---|---|---|
| 95921-CPT | Low | Autonomic Nrv Parasym Inervj, Testing Of Autonomic Nervous System Function Cardiovagal Innervation Parasympathetic Function Including 2 Or More Of The Following Heart Rate Response To Deep Breathing With Recorded R R Interval Valsalva Ratio And 30 15 Ratio |
| 95922-CPT | Low | Autonomic Nrv Adrenrg Inervj, Testing Of Autonomic Nervous System Function Vasomotor Adrenergic Innervation Sympathetic Adrenergic Function Including Beat To Beat Blood Pressure And R R Interval Changes During Valsalva Maneuver And At Least 5 Minutes Of Passive Tilt |
| 95923-CPT | Low | Autonomic Nrv Syst Funj Test, Testing Of Autonomic Nervous System Function Sudomotor Including 1 Or More Of The Following Quantitative Sudomotor Axon Reflex Test Qsart Silastic Sweat Imprint Thermoregulatory Sweat Test And Changes In Sympathetic Skin Potential |
| 95924-CPT | Low | Testing Of Autonomic Nervous S, Testing Of Autonomic Nervous System Function Combined Parasympathetic And Sympathetic Adrenergic Function Testing With At Least 5 Minutes Of Passive Tilt |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95921. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95921 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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