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See a sample rate comparisonCPT 95981 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.
Io Anal Gast N Stim Subsq, Electronic Analysis Of Implanted Neurostimulator Pulse Generator System Eg Rate Pulse Amplitude And Duration Configuration Of Wave Form Battery Status Electrode Selectability Output Modulation Cycling Impedance And Patient Measurements Gastric Neurostimulator Pulse Generator Transmitter Subsequent Without Reprogramming
| 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 | PN - Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital 59 - Distinct Procedural Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $43.76 national non-facility rate (2026) · View Medicare rates for 95981 |
| Medicaid Fee Schedule | $34.91 median of the 8 states in the free preview · View Medicaid rates for 95981 |
National average reimbursement for CPT 95981 by major payers:
$43.59
$42.28
$44.15
$38.26
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CPT 95981
5 of 25 sample ratesHigher to lower in this preview
Ravi Ramasamy
Seattle Childrens Hospital
$93.62Published rateNeil Jariwala
$70.29Published rateJoseph Mcnally
Mcnally And Gara Psychiatric Solutions LLC
$62.83Published rateGregg Bean
South Texas Radiology Group, P.A.
$43.49Published rateLauren Prest
$21.20Published rate
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See a sample payer proposalCPT 95981 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95981 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 95981 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 |
|---|---|---|
| 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 |
| 95980-CPT | Low | Io Anal Gast N Stim Init, Electronic Analysis Of Implanted Neurostimulator Pulse Generator System Eg Rate Pulse Amplitude And Duration Configuration Of Wave Form Battery Status Electrode Selectability Output Modulation Cycling Impedance And Patient Measurements Gastric Neurostimulator Pulse Generator Transmitter Intraoperative With Programming |
| 95981-CPT | Low | Io Anal Gast N Stim Subsq, Electronic Analysis Of Implanted Neurostimulator Pulse Generator System Eg Rate Pulse Amplitude And Duration Configuration Of Wave Form Battery Status Electrode Selectability Output Modulation Cycling Impedance And Patient Measurements Gastric Neurostimulator Pulse Generator Transmitter Subsequent Without Reprogramming |
| 95982-CPT | Low | Io Ga N Stim Subsq W Reprog, Electronic Analysis Of Implanted Neurostimulator Pulse Generator System Eg Rate Pulse Amplitude And Duration Configuration Of Wave Form Battery Status Electrode Selectability Output Modulation Cycling Impedance And Patient Measurements Gastric Neurostimulator Pulse Generator Transmitter Subsequent With Reprogramming |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95981. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95981 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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