CPT 95971 Fee Schedule

Last Verified: August 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 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

Key Fact	Detail
Service Type	Medicine Services and 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 95971
Medicaid Fee Schedule	View Medicaid rates for 95971

National average reimbursement for CPT 95971 by major payers:

$59.48

$67.07

$71.56

$65.22

Preview provider-level rates for...

For billing codeCPT 95971

Payer	Code	Rate	NPI	Tax ID	State	Specialty
United	95971	$100.66	1144267865 - NITIN PATEL	205521741 - SOUTHERN ILLINOIS MEDICAL SERVICES NFP	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	95971	$90.33	1205831393 - PRITI SINGH	461302245 - (IL) ASSOCIATES IN PEDIATRIC NEUROLOGY SC	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	95971	$108.40	1821097924 - AFTAB POSHNI	363994258 - (IL) HORIZONS BEHAVIORAL HEALTH LLC	IL	Psychiatry Physician (2084P0800X)
United	95971	$121.33	1063471159 - MARK WAINWRIGHT	911336707 - THE ASSOCIATION OF CHRMC AND UNIVERSITY PHYSICIANS	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	95971	$100.22	1962664789 - JAMIE EVANS	910844563	VA	Psychiatry Physician (2084P0800X)
United	95971	$33.93	1922111657 - CLINT ANTHONY	208106540 - DISTRICT MEDICAL GROUP INC	IL	Psychiatry Physician (2084P0800X)
United	95971	$100.22	1366890857 - STEVEN SHARP	910844563	OK	Psychiatry Physician (2084P0800X)
United	95971	$106.26	1760461867 - RITA YADAVA	363878197 - (IL) RITA YADAVA MDSC	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	95971	$56.33	1275564197 - PAUL BERKOWITZ	842494027 - BRIGHTSIDE MEDICAL	IN	Psychiatry Physician (2084P0800X)
United	95971	$42.58	1912620980 - NIDHI MEHTA	541383504 - TOWN CENTER ORTHOPAEDIC ASSOCIATES, P.C.	VA	Physical Therapist (225100000X)
United	95971	$125.36	1073502985 - CHU CHEN	42484572 - MERRIMACK VALLEY PEDIATRIC ASSOCIATES, INC.	MA	Pediatrics Physician (208000000X)
United	95971	$71.69	1154511970 - ANDREA WARD	366006541 - (IL) VETERANS ASSISTANCE COMMISSION C	IL	Psychiatry Physician (2084P0800X)
United	95971	$98.76	1548279870 - VINOD ALLURI	364015560 - LOYOLA UNIVERSITY MEDICAL CENTER	IL	Psychiatry Physician (2084P0800X)
United	95971	$118.47	1295769297 - YOLANDA HOLLER-MANAGAN	363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	95971	$81.41	1962664789 - JAMIE EVANS	910844563	IL	Psychiatry Physician (2084P0800X)
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 95971 vs. Other Neurology and Neuromuscular Procedures Codes

The CPT 95971 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 95971 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
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.
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 95971. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 95971 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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