CPT 95924 Fee Schedule
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.
| 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 • 59 - Distinct Procedural Service • 26 - Professional component |
| Complexity Level | Low |
National average reimbursement for CPT 95924 by major payers:
$176.60
$196.26
$182.86
$253.30
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 95924 | ||||||
United | 95924 | $54.45 | 1144288119 - FRANK CUSTURERI | 592207919 - FRANK CUSTURERI MD | FL | Internal Medicine Physician (207R00000X) |
United | 95924 | $107.76 | 1477181071 - KEVIN VARGHESE | 363167726 - (IL) RIVERSIDE HEALTH SYSTEM | IL | Psychiatry Physician (2084P0800X) |
United | 95924 | $397.42 | 1578884425 - KINJALIKA SATHI | 42743894 - TUFTS MEDICAL CENTER PHYSICIANS ORGANIZATION INC | MA | Internal Medicine Physician (207R00000X) |
United | 95924 | $117.59 | 1154749844 - NORA EKEANYA | 364015560 - LOYOLA UNIVERSITY MEDICAL CENTER | IL | Psychiatry Physician (2084P0800X) |
United | 95924 | $201.03 | 1457974396 - JENNY MAMTORA | 472248298 - (MA) BETH ISRAEL LAHEY HEALTH PRIMARY CARE INC | MA | Family Medicine Physician (207Q00000X) |
United | 95924 | $234.58 | 1437349529 - HEATHER MISELIS | 43067465 - BOSTON UNIVERSITY OBSTETRICS AND GYNECOLOGY FOUNDATION INC | MA | Family Medicine Physician (207Q00000X) |
United | 95924 | $172.42 | 1013011980 - JACQUELYN PERNA | 43026897 - MOUNT AUBURN PROFESSIONAL SERVICES INC | MA | Family Medicine Physician (207Q00000X) |
United | 95924 | $77.51 | 1821059312 - WILLIAM RODRIGUEZ FUNDORA | 650835091 - (FL) RODRIGUEZ AND SIXTO MEDICAL ASSOCIATES PA | FL | Family Medicine Physician (207Q00000X) |
United | 95924 | $114.04 | 1073697132 - FEDRA NAJJAR | 376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | IL | Child & Adolescent Psychiatry Physician (2084P0804X) |
United | 95924 | $234.58 | 1730732314 - OLUWAKEMI OLOTU | 43265008 - (MA) BOSTON UNIVERSITY GENERAL SURGICAL ASSOCIATES INC | MA | Family Nurse Practitioner (363LF0000X) |
United | 95924 | $99.02 | 1265848873 - LUIS SANTANA LOPEZ | 596014973 - (FL) SOUTH BROWARD HOSPITAL DISTRICT | FL | Internal Medicine Physician (207R00000X) |
United | 95924 | $47.59 | 1932410511 - NATALYA LYUBYNSKA | 264189780 - (AL) PINNACLE PHYSICIAN GROUP LLP | FL | Internal Medicine Physician (207R00000X) |
United | 95924 | $119.73 | 1881776995 - OSCEOLA CARDIO-PULMONARY CLINIC DC DAS MD PA | 591727472 - (FL) OSCEOLA CARDIOPULMONARY CLINIC DC DAS MD PA | FL | Internal Medicine Physician (207R00000X) |
United | 95924 | $590.72 | 1013990647 - PATRICK ELLINOR | 43466314 - MASS GENERAL BRIGHAM INCORPORATED | MA | Cardiovascular Disease Physician (207RC0000X) |
United | 95924 | $282.54 | 1578557096 - ROBERT SLATON | 582075775 | FL | Internal Medicine Physician (207R00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 95924 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95924 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 95924 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 |
|---|---|---|
| 95919-CPT | Low | Quantitative Pupillometry With Physician Or Other Qualified Health Care Professional Interpretation And Report, Unilateral Or Bilateral |
| 95921-CPT | Low | 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 | 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 Five Minutes Of Passive Tilt |
| 95924-CPT | Low | 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 95924. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95924 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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