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See a sample rate comparisonCPT 96001 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.
Analysis Of Body Movement, A Complete Analysis Of How The Body Is Moving Based On Statistical Analysis Of Video Recorded Information. The Analysis May Look At A Particular Area Of The Body.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office 19 - Off Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $86.84 national non-facility rate (2026) · View Medicare rates for 96001 |
| Medicaid Fee Schedule | $72.285 median of the 8 states in the free preview · View Medicaid rates for 96001 |
National average reimbursement for CPT 96001 by major payers:
$147.88
$141.08
$140.36
$187.31
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CPT 96001
5 of 25 sample ratesHigher to lower in this preview
Khushbu Shah
$247.96Published rateElliot Gershon
University Of Chicago
$201.75Published rateSyed Waliuddin
Valley Psychiatry And Counseling LLC
$189.25Published rateJohn Millichap
$155.08Published rateThomas Herrmann
Hoopeston Community Memorial Hospital
$94.26Published rate
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See a sample payer proposalCPT 96001 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 96001 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 96001 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 |
|---|---|---|
| 96000-CPT | Low | Analysis Of Body Movement, A Complete Analysis Of How The Body Is Moving Based On Statistical Analysis Of Video Recorded Information. The Analysis May Look At A Particular Area Of The Body. |
| 96001-CPT | Low | Analysis Of Body Movement, A Complete Analysis Of How The Body Is Moving Based On Statistical Analysis Of Video Recorded Information. The Analysis May Look At A Particular Area Of The Body. |
| 96002-CPT | Low | Dynamic Surfac Electromyograph During Walking Or Other Funct A, Dynamic Surface Electromyography During Walking Or Other Functional A |
| 96004-CPT | Low | Phys Review Of Motion Tests, Review And Interpretation By Physician Or Other Qualified Health Care Professional Of Comprehensive Computer Based Motion Analysis Dynamic Plantar Pressure Measurements Dynamic Surface Electromyography During Walking Or Other Functional Activities And Dynamic Fine Wire Electromyography With Written Report |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 96001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 96001 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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