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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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Low |
| Medicare Fee Schedule | $170.01 national non-facility rate (2026) · View Medicare rates for 95927 |
| Medicaid Fee Schedule | $137.005 median of the 8 states in the free preview · View Medicaid rates for 95927 |
National average reimbursement for CPT 95927 by major payers:

$184.43

$167.13

$189.95

$239.61
Choose a payer to see a sample of rates for CPT 95927.
Khushbu Shah
Shalini Chawla
Shalini Chawla Md LLC
Alessandra Tachauer
Veterans Assistance Commission C
Baycare Home Care, Inc.
Baycare Home Care Inc
Sunrise Home Health Care Inc.
Sunrise Home Health Care Inc
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Rate Benchmarking
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See a sample payer proposalCPT 95927 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95927 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 95927 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 |
|---|---|---|
| 95925-CPT | Moderate | Test Of Nerve Signaling, The Test Is Called Somatosensory Evoked Potentials (Seps). It Tests The Ability Of Nerves To Conduct Signals Of Sensation To The Brain. Electrical Impulses Are Sent Through Electrodes Placed On The Skin. An Eeg Records Nerve Responses. |
| 95926-CPT | Low | Test Of Nerve Signaling, The Test Is Called Somatosensory Evoked Potentials (Seps). It Tests The Ability Of Nerves To Conduct Signals Of Sensation To The Brain. Electrical Impulses Are Sent Through Electrodes Placed On The Skin. An Eeg Records Nerve Responses. |
| 95927-CPT | Low | Test Of Nerve Signaling, The Test Is Called Somatosensory Evoked Potentials (Seps). It Tests The Ability Of Nerves To Conduct Signals Of Sensation To The Brain. Electrical Impulses Are Sent Through Electrodes Placed On The Skin. An Eeg Records Nerve Responses. |
| 95938-CPT | Moderate | Test Of Nerve Signaling, The Test Is Called Somatosensory Evoked Potentials (Seps). It Tests The Ability Of Nerves To Conduct Signals Of Sensation To The Brain. Electrical Impulses Are Sent Through Electrodes Placed On The Skin. An Eeg Records Nerve Responses. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95927. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95927 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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