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See a sample rate comparisonCPT 96002 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.
Dynamic Surfac Electromyograph During Walking Or Other Funct A, Dynamic Surface Electromyography During Walking Or Other Functional A
| 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 | $18.04 national non-facility rate (2026) · View Medicare rates for 96002 |
| Medicaid Fee Schedule | $14.86 median of the 8 states in the free preview · View Medicaid rates for 96002 |
National average reimbursement for CPT 96002 by major payers:
$28.62
$27.94
$28.47
$36.66
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CPT 96002
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$139.92Published rateJamie Evans
Loyola University Medical Center
$43.54Published rateAdventist Health Partners, Inc, Salt Creek Therapy Center
Adventist Health Partners Inc.
$33.83Published rateDavid Miller
Town Center Orthopaedic Associates, P.C.
$22.25Published rateClint Anthony
District Medical Group Inc
$18.27Published rate
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See a sample payer proposalCPT 96002 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 96002 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 96002 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 96002. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 96002 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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