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See a sample rate comparisonCPT 95954 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.
Pharmacological Or Physical Ac, Pharmacological Or Physical Activation Requiring Physician Or Other Qualified Health Care Professional Attendance During Eeg Recording Of Activation Phase (Eg Thiopental Activation Test)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 95954 |
| Medicaid Fee Schedule | View Medicaid rates for 95954 |
National average reimbursement for CPT 95954 by major payers:
$458.61
$468.41
$465.02
$605.08
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CPT 95954
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$2,472.36Published rateMary Fahrmeier
Loyola University Medical Center
$738.94Published rateJamie Evans
$542.17Published rateDenis Altman
Pediatric Faculty Foundation In
$396.58Published rateAlexandria Melendez-Zaidi
$155.30Published rate
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See a sample payer proposalCPT 95954 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95954 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 95954 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 |
|---|---|---|
| 95940-CPT | Low | Ionm In Operatng Room 15 Min, Continuous Intraoperative Neurophysiology Monitoring In The Operating Room One On One Monitoring Requiring Personal Attendance Each 15 Minutes List Separately In Addition To Code For Primary Procedure |
| 95941-CPT | Moderate | Ionm Remote 1 Pt Or Per Hr, Continuous Intraoperative Neurophysiology Monitoring From Outside The Operating Room Remote Or Nearby Or For Monitoring Of More Than One Case While In The Operating Room Per Hour List Separately In Addition To Code For Primary Procedure |
| 95954-CPT | Moderate | Pharmacological Or Physical Ac, Pharmacological Or Physical Activation Requiring Physician Or Other Qualified Health Care Professional Attendance During Eeg Recording Of Activation Phase (Eg Thiopental Activation Test) |
| 95957-CPT | Moderate | Computer Analysis Brain Waves, Eeg Recording That Is Analyzed By Computer To Identify The Specific Spiking Type Occurring During An Epileptic Seizure. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95954. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95954 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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