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See a sample rate comparisonCPT 95999 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.
Unlisted Neurological Or Neuromuscular Diagnos Proc, Unlisted Neurological Or Neuromuscular Diagnostic Procedure
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 15 - Mobile Unit |
| Common Modifiers | 59 - Distinct Procedural Service GY - Notice of Liability Not Issued, Not Required Under Payer Policy. |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 95999 |
| Medicaid Fee Schedule | $52.25 median of the 3 states in the free preview · View Medicaid rates for 95999 |
National average reimbursement for CPT 95999 by major payers:
$915.72
$41.09
$2,786.91
$287.81
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CPT 95999
5 of 25 sample ratesHigher to lower in this preview
Peacehealth, St. John Medical Center
$1,076.78Published rateBellin Memorial Hospital Inc.
Bellin Memorial Hospital Inc
$515.84Published rateCentral Iowa Hospital Corporation, Iowa Methodist Medical Center
Central Iowa Hospital Corporation
$401.79Published rateCentral Iowa Hospital Corporation, Unitypoint Health - Des Moines Iowa Methodist Medical Center
Central Iowa Hospital Corporation
$350.92Published rateThe Health Care Authority Of The City Of Anniston, Northeast Alabama Regional Medical Center
The Health Care Authority Of The City Of Anniston
$163.17Published rate
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See a sample payer proposalCPT 95999 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95999 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 95999 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 |
|---|---|---|
| 95983-CPT | Low | Alys Brn Npgt Prgrmg 15 Min, 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 Neurostimulator Pulse Generator Transmitter Programming First 15 Minutes Face To Face Time With Physician Or Other Qualified Health Care Professional |
| 95984-CPT | Low | Alys Brn Npgt Prgrmg Addl 15, 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 Neurostimulator Pulse Generator Transmitter Programming Each Additional 15 Minutes Face To Face Time With Physician Or Other Qualified Health Care Professional List Separately In Addition To Code For Primary Procedure |
| 95990-CPT | Low | Spin Brain Pump Refil Main, Refilling And Maintenance Of Implantable Pump Or Reservoir For Drug Delivery Spinal Intrathecal Epidural Or Brain Intraventricular Includes Electronic Analysis Of Pump When Performed |
| 95999-CPT | Moderate | Unlisted Neurological Or Neuromuscular Diagnos Proc, Unlisted Neurological Or Neuromuscular Diagnostic Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95999. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95999 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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