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See a sample rate comparisonCPT 96020 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.
Neurofunctional Testing Selection And Administration During Noninvasive Imaging Functional Brain Mapping With Test Administered Entirely By A Physician Or Other Qualified Health Care Professional (Ie Psychologist) With Review Of Test Results And Report (Revised 01/01/13)
| 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 | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $151.64 national non-facility rate (2026) · View Medicare rates for 96020 |
| Medicaid Fee Schedule | $125.84 median of the 3 states in the free preview · View Medicaid rates for 96020 |
National average reimbursement for CPT 96020 by major payers:
$214.80
$332.69
$274.10
$507.56
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CPT 96020
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$1,419.36Published rateRhonda Lampen
Multicare Health System
$351.32Published rateVinod Alluri
Loyola University Medical Center
$309.02Published rateAsifa Choudhry
Carle West Physician Group Inc
$256.55Published rateMatteo Respino
Indiana University Health Care Associates Inc
$113.37Published rate
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See a sample payer proposalCPT 96020 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 96020 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 96020 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 |
| 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. |
| 96020-CPT | Moderate | Neurofunctional Testing Selection And Administration During Noninvasive Imaging Functional Brain Mapping With Test Administered Entirely By A Physician Or Other Qualified Health Care Professional (Ie Psychologist) With Review Of Test Results And Report (Revised 01/01/13) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 96020. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 96020 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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