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See a sample rate comparisonCPT 95961 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.
Electrode Stimulation Brain, Functional Cortical And Subcortical Mapping By Stimulation And Or Recording Of Electrodes On Brain Surface Or Of Depth Electrodes To Provoke Seizures Or Identify Vital Brain Structures Initial Hour Of Attendance By A Physician Or Other Qualified Health Care Professional
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 95961 |
| Medicaid Fee Schedule | View Medicaid rates for 95961 |
National average reimbursement for CPT 95961 by major payers:
$373.64
$367.48
$409.24
$474.14
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CPT 95961
5 of 25 sample ratesHigher to lower in this preview
Rahul Sharma
Advocate Health And Hospitals Corporation
$652.28Published rateAlma Ramic
Veterans Assistance Commission C
$316.66Published rateChelsea Curry
Advocate Health And Hospitals Corporation
$245.91Published rateJohn Millichap
Community Care Network Inc
$199.36Published rateRestorative Health Rehabilitation Inc
$35.00Published rate
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See a sample payer proposalCPT 95961 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95961 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 95961 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 |
| 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. |
| 95961-CPT | Moderate | Electrode Stimulation Brain, Functional Cortical And Subcortical Mapping By Stimulation And Or Recording Of Electrodes On Brain Surface Or Of Depth Electrodes To Provoke Seizures Or Identify Vital Brain Structures Initial Hour Of Attendance By A Physician Or Other Qualified Health Care Professional |
| 95962-CPT | Moderate | Electrode Stim Brain Add On, Functional Cortical And Subcortical Mapping By Stimulation And Or Recording Of Electrodes On Brain Surface Or Of Depth Electrodes To Provoke Seizures Or Identify Vital Brain Structures Each Additional Hour Of Attendance By A Physician Or Other Qualified Health Care Professional List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95961. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95961 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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