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See a sample rate comparisonCPT 95955 Fee Schedule
Last Verified: October 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.
Electroencephalog (Eeg) During Nonintracranial Surg (Eg Carotid, Electroencephalogram (Eeg) During Nonintracranial Surgery (Eg Carotid
| 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 15 - Mobile Unit |
| Common Modifiers | 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $197.73 national non-facility rate (2026) · View Medicare rates for 95955 |
| Medicaid Fee Schedule | $159.745 median of the 8 states in the free preview · View Medicaid rates for 95955 |
National average reimbursement for CPT 95955 by major payers:
$224.43
$244.93
$324.07
$302.68
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CPT 95955
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$1,154.58Published rateJulie Sadhu
$364.51Published rateAlan Felthous
St Louis University
$212.63Published rateHenry David
University Of Chicago
$97.19Published rateRestorative Health Rehabilitation Inc
$60.00Published rate
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See a sample payer proposalCPT 95955 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95955 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 95955 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 |
|---|---|---|
| 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) |
| 95955-CPT | Moderate | Electroencephalog (Eeg) During Nonintracranial Surg (Eg Carotid, Electroencephalogram (Eeg) During Nonintracranial Surgery (Eg Carotid |
| 95958-CPT | Moderate | Computer Analysis Brain Waves, Eeg Recording That Is Analyzed By Computer To Identify The Specific Spiking Type Occurring During An Epileptic Seizure. |
| 95965-CPT | High | Map Of Brain Magnetic Activity, Magnetoencephalography (Meg) Is An Imaging Technique That Records Magnetic Forces Within The Brain. The Information Can Help To Pinpoint The Location Of Seizures Within The Brain. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95955. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95955 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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