CPT 95970 Fee Schedule

Last Verified: July 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.

Alys Npgt W O Prgrmg, Electronic Analysis Of Implanted Neurostimulator Pulse Generator Transmitter Eg Contact Group S Interleaving Amplitude Pulse Width Frequency Hz On Off Cycling Burst Magnet Mode Dose Lockout Patient Selectable Parameters Responsive Neurostimulation Detection Algorithms Closed Loop Parameters And Passive Parameters By Physician Or Other Qualified Health Care Professional With Brain Cranial Nerve Spinal Cord Peripheral Nerve Or Sacral Nerve Neurostimulator Pulse Generator Transmitter Without Programming

Key Fact	Detail
Service Type	Neurostimulators Analysis-Programming Procedures Neurology and Neuromuscular Procedures
Common Place of Service	11 - Office 22 - On Campus Outpatient Hospital
Common Modifiers	None 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments
Complexity Level	Low
Medicare Fee Schedule	View Medicare rates for 95970

National average reimbursement for CPT 95970 by major payers:

$32.81

$46.35

$50.66

$36.38

Preview provider-level rates for...

For billing codeCPT 95970

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	95970	$34.02	1508922964 - COLLEEN BUHRFIEND	911780120 - (IL) RUSH UNIVERSITY MEDICAL CENTER	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	95970	$38.27	1730263617 - MARK ALTER	910844563	CA	Child & Adolescent Psychiatry Physician (2084P0804X)
United	95970	$25.39	1972063501 - PALOMA REINOSO	376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS	NY	Child & Adolescent Psychiatry Physician (2084P0804X)
United	95970	$33.15	1558867523 - SULAIMAN FAROOQUI	362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION	IL	Psychiatry Physician (2084P0800X)
United	95970	$38.27	1730263617 - MARK ALTER	910844563	WI	Child & Adolescent Psychiatry Physician (2084P0804X)
United	95970	$121.87	1871912683 - LAUREN SCHUMACHER	943281660	CA	Psychiatry Physician (2084P0800X)
United	95970	$103.08	1871054817 - ERIC ZIMMERMAN	376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS	IL	Psychiatry Physician (2084P0800X)
United	95970	$55.00	1649599168 - RESTORATIVE HEALTH REHABILITATION INC	272533824 - (FL) RESTORATIVE HEALTH REHABILITATION INC	FL	Home Health Agency (251E00000X)
United	95970	$31.45	1568752665 - ANDREW KNOX	362222696 - SWEDISHAMERICAN HOSPITAL	WI	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	95970	$34.43	1477181071 - KEVIN VARGHESE	363167726 - (IL) RIVERSIDE HEALTH SYSTEM	IL	Psychiatry Physician (2084P0800X)
United	95970	$25.39	1922010230 - STEVAN WEINE	376000511 - THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS	IL	Psychiatry Physician (2084P0800X)
United	95970	$37.59	1962664789 - JAMIE EVANS	364015560 - LOYOLA UNIVERSITY MEDICAL CENTER	MT	Psychiatry Physician (2084P0800X)
United	95970	$41.25	1164786836 - REBECCA GILFILLAN	362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION	IL	Psychiatry Physician (2084P0800X)
United	95970	$119.43	1811068554 - JAMES MACKENZIE	205547757 - (IL) LURIE CHILDRENS MEDICAL GROUP LLC	IL	Child & Adolescent Psychiatry Physician (2084P0804X)
United	95970	$40.00	1801164967 - DA PEDIATRIC REHABILITATION	270939565 - (FL) DA PEDIATRIC REHABILITATION	FL	Home Health Agency (251E00000X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 95970 vs. Other Neurology and Neuromuscular Procedures Codes

The CPT 95970 code is part of the Neurostimulators Analysis-Programming 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 95970 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
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.
95970-CPT	Low	Alys Npgt W O Prgrmg, Electronic Analysis Of Implanted Neurostimulator Pulse Generator Transmitter Eg Contact Group S Interleaving Amplitude Pulse Width Frequency Hz On Off Cycling Burst Magnet Mode Dose Lockout Patient Selectable Parameters Responsive Neurostimulation Detection Algorithms Closed Loop Parameters And Passive Parameters By Physician Or Other Qualified Health Care Professional With Brain Cranial Nerve Spinal Cord Peripheral Nerve Or Sacral Nerve Neurostimulator Pulse Generator Transmitter Without Programming
95971-CPT	Low	Alys Smpl Sp Pn Npgt W Prgrm, Electronic Analysis Of Implanted Neurostimulator Pulse Generator Transmitter Eg Contact Group S Interleaving Amplitude Pulse Width Frequency Hz On Off Cycling Burst Magnet Mode Dose Lockout Patient Selectable Parameters Responsive Neurostimulation Detection Algorithms Closed Loop Parameters And Passive Parameters By Physician Or Other Qualified Health Care Professional With Simple Spinal Cord Or Peripheral Nerve Eg Sacral Nerve Neurostimulator Pulse Generator Transmitter Programming By Physician Or Other Qualified Health Care Professional
95972-CPT	Low	Alys Cplx Sp Pn Npgt W Prgrm, Electronic Analysis Of Implanted Neurostimulator Pulse Generator Transmitter Eg Contact Group S Interleaving Amplitude Pulse Width Frequency Hz On Off Cycling Burst Magnet Mode Dose Lockout Patient Selectable Parameters Responsive Neurostimulation Detection Algorithms Closed Loop Parameters And Passive Parameters By Physician Or Other Qualified Health Care Professional With Complex Spinal Cord Or Peripheral Nerve Eg Sacral Nerve Neurostimulator Pulse Generator Transmitter Programming By Physician Or Other Qualified Health Care Professional

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95970. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 95970 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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