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See a sample rate comparisonCPT 95962 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.
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
| 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 | 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $307.96 national non-facility rate (2026) · View Medicare rates for 95962 |
| Medicaid Fee Schedule | $247.615 median of the 8 states in the free preview · View Medicaid rates for 95962 |
National average reimbursement for CPT 95962 by major payers:
$313.04
$322.47
$337.58
$411.78
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CPT 95962
5 of 25 sample ratesHigher to lower in this preview
David Hsu
Aurora Medical Group Inc
$969.28Published rateAparna Sharma
Loyola University Medical Center
$500.13Published rateDavid Banayan
$323.45Published rateAsmita Ambardekar
Town Center Orthopaedic Associates, P.C.
$173.96Published rateColleen Buhrfiend
Veterans Assistance Commission C
$86.55Published rate
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See a sample payer proposalCPT 95962 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95962 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 95962 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 |
|---|---|---|
| 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 |
| 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 95962. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95962 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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