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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 22 - On Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $67.80 national non-facility rate (2026) · View Medicare rates for 95930 |
| Medicaid Fee Schedule | $58.415 median of the 8 states in the free preview · View Medicaid rates for 95930 |
National average reimbursement for CPT 95930 by major payers:

$86.84

$112.56

$115.46

$129.57
Choose a payer to see a sample of rates for CPT 95930.
Khushbu Shah
Marla Hartzen
Advocate Health And Hospitals Corporation
Elizabeth Whitham
Jessica Nicholson
Advocate Health And Hospitals Corporation
Ann Steck
Toledo Hospital
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Rate Benchmarking
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See a sample payer proposalCPT 95930 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95930 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 95930 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, Quantitative Pupillometry With Physician Or Other Qualified Health Care Professional Interpretation And Report Unilateral Or Bilateral |
| 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 |
| 95929-CPT | Moderate | Cntral Motor Evoked Potenti Study (Transcrani Motor Stimul, Central Motor Evoked Potential Study (Transcranial Motor Stimulation); |
| 95930-CPT | Low | Visual Stimulation Test, This Cns Test Is Called A Visual Evoked Potential And Can Detect Blindness In People Who Cannot Communicate. The Test Stimulates The Visual Field (Area Of Seeing) Using Flashing Lights Or Flickering Checkerboards. 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 95930. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95930 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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