Total RVUs - Medicare Physician Fee Schedule

Total RVUs - Medicare Physician Fee Schedule

Total RVUs - Medicare Physician Fee Schedule
CPT Code
20550
Descriptors
Inject tendon/ligament/cyst
Practice Expense
Physician work
2015
1.68
0.84
0.75
2016
1.68
0.84
0.75
Change(%)
from
2015 to 2016
0%
0%
0%
20551
Inject tendon origin/insert
Practice Expense
Physician work
1.72
0.88
0.75
1.73
0.89
0.75
1%
1%
0%
20552
Inject trigger point, 1 or 2
Practice Expense
Physician work
1.56
0.84
0.66
1.57
0.84
0.66
1%
0%
0%
20553
Inject trigger points, > 3
Practice Expense
Physician work
1.81
0.99
0.75
1.82
0.98
0.75
1%
-1%
0%
37215
Transcath stent, cca w/eps
Practice Expense
Physician work
31.90
7.65
19.68
29.41
7.21
18.00
-8%
-6%
-9%
62270
Lumbar Puncture
Practice Expense
Physician work
4.56
2.98
1.37
4.53
2.97
1.37
-1%
0%
0%
64405
Nerve Block, greater occipital nerve
Practice Expense
Physician work
2.88
1.75
0.94
2.89
1.76
0.94
0%
1%
0%
64611
Chemodenerwation, salivary glands
Practice Expense
Physician work
3.35
1.92
1.03
3.34
1.92
1.03
0%
0%
0%
64612
Destroy nerve, face muscle
Practice Expense
Physician work
3.74
2.03
1.41
3.77
2.05
1.41
1%
1%
0%
64615
Chemodenervation musc migraine
Practice Expense
Physician work
4.21
1.68
1.85
4.14
1.67
1.85
-2%
-1%
0%
64616
Chemodenerv musc neck dyston
Practice Expense
Physician work
3.57
1.54
1.53
3.62
1.58
1.53
1%
3%
0%
64617
Chemodener muscle larynx emg
Practice Expense
Physician work
5.42
3.23
1.90
5.59
3.10
1.90
3%
-4%
0%
64642
Chemodenerv 1 extremity 1-4
Practice Expense
Physician work
4.04
2.01
1.65
4.06
2.02
1.65
0%
0%
0%
64643
Chemodenerv 1 extrem 1-4 ea
Practice Expense
Physician work
2.68
1.16
1.22
2.66
1.18
1.22
-1%
2%
0%
64644
Chemodenerv 1 extrem 5/> mus
Practice Expense
Physician work
4.65
2.39
1.82
4.66
2.41
1.82
0%
1%
0%
American Academy of Neurology Page 1 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
64645
Descriptors
Chemodenerv 1 extrem 5/> ea
Practice Expense
Physician work
2015
3.26
1.54
1.39
2016
3.28
1.56
1.39
Change(%)
from
2015 to 2016
1%
1%
0%
64646
Chemodenerv trunk musc 1-5
Practice Expense
Physician work
4.39
2.15
1.80
4.31
2.08
1.80
-2%
-3%
0%
64647
Chemodenerv trunk musc 6/>
Practice Expense
Physician work
5.07
2.46
2.11
5.08
2.45
2.11
0%
0%
0%
64650
Chemodenervation, eccrine glands
Practice Expense
Physician work
2.22
1.40
0.70
2.21
1.38
0.70
0%
-1%
0%
64653
Chemodenervation, eccrine glands
Practice Expense
Physician work
2.71
1.59
0.88
2.76
1.63
0.88
2%
3%
0%
67345
Destroy nerve of eye muscle
Practice Expense
Physician work
6.88
3.46
3.01
6.90
3.47
3.01
0%
0%
0%
70554
fMRI, brain by tech
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
12.65
10.37
3.06
0.80
9.59
9.57
2.11
12.66
10.39
3.03
0.79
9.63
9.60
2.11
0%
0%
-1%
-1%
0%
0%
0%
70555
fMRI, brain by phy/pshch
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
N/A
3.69
0.94
N/A
N/A
2.54
N/A
3.60
0.92
N/A
N/A
2.54
N/A
-2%
-2%
N/A
N/A
0%
American Academy of Neurology Page 2 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
92540
Descriptors
Vestibular testing
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2015
2.87
1.32
2.24
0.70
0.63
0.62
1.50
2016
2.87
1.31
2.25
0.70
0.62
0.61
1.50
Change(%)
from
2015 to 2016
0%
-1%
0%
0%
-2%
-2%
0%
92541
Spontaneous nystagmus test
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
0.63
0.21
0.59
0.18
0.04
0.03
0.40
0.68
0.26
0.59
0.18
0.09
0.08
0.40
8%
24%
0%
0%
125%
167%
0%
92542
Postional syntagmus test
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
0.74
0.24
0.70
0.21
0.04
0.03
0.48
0.79
0.28
0.71
0.21
0.08
0.07
0.48
7%
17%
1%
0%
100%
133%
0%
92537
92538
Caloric vstblr test w/rec, bithermal
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
1.14
0.51
0.90
0.28
0.24
0.23
0.60
Caloric vstblr test w/rec, monothermal
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
0.58
0.26
0.45
0.14
0.13
0.12
0.30
American Academy of Neurology Page 3 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
Descriptors
2015
2016
Change(%)
from
2015 to 2016
92544
Optokinetic nystagmus test
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
0.44
0.15
0.40
0.12
0.04
0.03
0.27
0.47
0.18
0.40
0.12
0.07
0.06
0.27
7%
20%
0%
0%
75%
100%
0%
92585
Brainstem Auditory EP
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
3.81
3.29
0.75
0.24
3.06
3.05
0.50
3.82
3.28
0.76
0.24
3.06
3.04
0.50
0%
0%
1%
0%
0%
0%
0%
93880
Carotid Duplex Scan
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
5.71
4.84
1.12
0.27
4.59
4.57
0.80
5.74
4.85
1.14
0.27
4.60
4.58
0.80
1%
0%
2%
0%
0%
0%
0%
93882
Carotid Duplex Scan
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
3.64
3.08
0.70
0.15
2.94
2.93
0.50
3.67
3.09
0.72
0.15
2.95
2.94
0.50
1%
0%
3%
0%
0%
0%
0%
93886
Transcranial Doppler
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
8.12
7.15
1.32
0.37
6.80
6.78
0.91
7.98
6.98
1.35
0.37
6.63
6.61
0.91
-2%
-2%
2%
0%
-3%
-3%
0%
93888
Transcranial Doppler
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
4.22
3.68
0.72
0.19
3.50
3.49
0.50
4.17
3.62
0.73
0.19
3.44
3.43
0.50
-1%
-2%
1%
0%
-2%
-2%
0%
American Academy of Neurology Page 4 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
93890
Descriptors
TCD, vasoreactivity study
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2015
8.22
7.16
1.44
0.40
6.78
6.76
1.00
2016
8.18
7.10
1.47
0.41
6.71
6.69
1.00
Change(%)
from
2015 to 2016
0%
-1%
2%
2%
-1%
-1%
0%
93892
TCD, emboli detection w/o inj
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
9.53
8.31
1.67
0.47
7.86
7.84
1.15
9.46
8.18
1.74
0.48
7.72
7.70
1.15
-1%
-2%
4%
2%
-2%
-2%
0%
93893
TCD, emboli detection w/inj
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
9.78
8.56
1.67
0.47
8.11
8.09
1.15
9.82
8.57
1.70
0.47
8.12
8.10
1.15
0%
0%
2%
0%
0%
0%
0%
94660
CPAP initiation and management
Practice Expense
Physician work
1.77
0.96
0.76
1.79
0.97
0.76
1%
1%
0%
Sleep study, unattended, simultaneous
recording
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
5.07
3.97
1.47
0.38
3.60
3.59
1.05
5.02
3.92
1.47
0.38
3.55
3.54
1.05
-1%
-1%
0%
0%
-1%
-1%
0%
95801
Sleep study, unattended
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2.59
1.54
1.40
0.36
1.19
1.18
1.00
2.56
1.50
1.40
0.35
1.16
1.15
1.00
-1%
-3%
0%
-3%
-3%
-3%
0%
95803
Actigraphy testing
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
3.99
3.05
1.22
0.29
2.77
2.76
0.90
3.99
3.04
1.24
0.30
2.75
2.74
0.90
0%
0%
2%
3%
-1%
-1%
0%
95800
American Academy of Neurology Page 5 of 31
Total RVUs - Medicare Physician Fee Schedule
Descriptors
2015
2016
Change(%)
from
2015 to 2016
95805
Multiple Sleep Latency Test
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
11.82
10.52
1.67
0.43
10.15
10.10
1.20
12.06
10.74
1.68
0.43
10.38
10.31
1.20
2%
2%
1%
0%
2%
2%
0%
95806
Sleep Study, Unattended
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
4.74
3.44
1.72
0.43
3.02
3.01
1.25
4.75
3.44
1.73
0.43
3.02
3.01
1.25
0%
0%
1%
0%
0%
0%
0%
95807
Sleep Study
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
13.20
11.82
1.75
0.43
11.45
11.39
1.28
13.51
12.10
1.77
0.43
11.74
11.67
1.28
2%
2%
1%
0%
3%
2%
0%
95808
Polysomnography, 1-3
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
16.97
15.12
2.45
0.67
14.52
14.45
1.74
17.79
15.89
2.49
0.67
15.30
15.22
1.74
5%
5%
2%
0%
5%
5%
0%
95810
Polysomnography, 4 or more
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
17.50
14.82
3.44
0.85
14.06
13.97
2.50
17.60
14.90
3.46
0.85
14.14
14.05
2.50
1%
1%
1%
0%
1%
1%
0%
95811
Polysomnography w/CPAP
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
18.38
15.59
3.57
0.88
14.81
14.71
2.60
18.49
15.67
3.60
0.88
14.89
14.79
2.60
1%
1%
1%
0%
1%
1%
0%
CPT Code
American Academy of Neurology Page 6 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
95782
Descriptors
Polysom <6 yrs 4/> paramtrs
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2015
25.73
22.84
3.46
0.74
22.27
22.10
2.60
2016
28.98
26.09
3.59
0.87
25.39
25.22
2.60
Change(%)
from
2015 to 2016
13%
14%
4%
18%
14%
14%
0%
95783
Polysom <6 yrs cpap/bilvl
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
35.10
31.95
4.19
1.22
30.91
30.73
2.83
30.46
27.36
3.98
1.06
26.48
26.30
2.83
-13%
-14%
-5%
-13%
-14%
-14%
0%
95812
Extended EEG, < 1 hr
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
11.80
10.64
1.63
0.50
10.17
10.14
1.08
9.85
8.68
1.64
0.50
8.21
8.18
1.08
-17%
-18%
1%
0%
-19%
-19%
0%
95813
Extended EEG, > 1 hr
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
14.11
12.25
2.62
0.80
11.49
11.45
1.73
11.90
10.05
2.61
0.79
9.29
9.26
1.73
-16%
-18%
0%
-1%
-19%
-19%
0%
95816
Awake EEG
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
10.11
8.96
1.63
0.50
8.48
8.46
1.08
10.20
9.03
1.64
0.50
8.56
8.53
1.08
1%
1%
1%
0%
1%
1%
0%
95819
Awake and Asleep EEG
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
11.53
10.37
1.63
0.50
9.90
9.87
1.08
11.67
10.49
1.64
0.50
10.03
9.99
1.08
1%
1%
1%
0%
1%
1%
0%
95822
Sleep EEG
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
10.43
9.27
1.63
0.50
8.80
8.77
1.08
10.51
9.34
1.64
0.50
8.87
8.84
1.08
1%
1%
1%
0%
1%
1%
0%
American Academy of Neurology Page 7 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
Descriptors
2015
2016
Change(%)
from
2015 to 2016
95824
EEG for Brain Death
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
0.00
N/A
1.14
0.34
N/A
N/A
0.74
0.00
N/A
1.12
0.34
N/A
N/A
0.74
0%
N/A
-2%
0%
N/A
N/A
0%
95827
Overnight EEG
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
22.10
20.87
1.62
0.49
20.48
20.38
1.08
19.65
18.40
1.62
0.48
18.03
17.92
1.08
-11%
-12%
0%
-2%
-12%
-12%
0%
95829
Surgery Electrocorticogram
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
53.11
46.52
9.39
2.85
43.72
43.67
6.20
53.09
46.31
9.57
2.85
43.52
43.46
6.20
0%
0%
2%
0%
0%
0%
0%
95830
Insert Sphenoidal Electrodes
Practice Expense
Physician work
6.94
5.09
1.70
6.93
5.09
1.70
0%
0%
0%
95860
EMG, One Limb
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
3.47
2.46
1.47
0.47
2.00
1.99
0.96
3.45
2.44
1.47
0.47
1.98
1.97
0.96
-1%
-1%
0%
0%
-1%
-1%
0%
95861
EMG, Two Limbs
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
4.87
3.25
2.33
0.72
2.54
2.53
1.54
4.84
3.20
2.36
0.73
2.48
2.47
1.54
-1%
-2%
1%
1%
-2%
-2%
0%
95863
EMG, Three Limbs
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
6.01
4.04
2.85
0.89
3.16
3.15
1.87
6.01
4.04
2.84
0.88
3.17
3.16
1.87
0%
0%
0%
-1%
0%
0%
0%
American Academy of Neurology Page 8 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
95864
Descriptors
EMG, Four Limbs
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2015
6.84
4.74
3.04
0.95
3.80
3.79
1.99
2016
6.78
4.64
3.07
0.94
3.71
3.70
1.99
Change(%)
from
2015 to 2016
-1%
-2%
1%
-1%
-2%
-2%
0%
95865
EMG, larynx
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
4.07
2.40
2.38
0.72
1.69
1.68
1.57
4.08
2.39
2.41
0.73
1.67
1.66
1.57
0%
0%
1%
1%
-1%
-1%
0%
95866
EMG, hemidiaphragm
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
3.76
2.45
1.92
0.62
1.84
1.83
1.25
3.77
2.46
1.91
0.61
1.86
1.85
1.25
0%
0%
-1%
-2%
1%
1%
0%
95867
EMG, Cranial Unilateral
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2.63
1.80
1.18
0.36
1.45
1.44
0.79
2.67
1.83
1.19
0.36
1.48
1.47
0.79
2%
2%
1%
0%
2%
2%
0%
95868
EMG, Cranial Bilateral
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
3.73
2.48
1.79
0.55
1.94
1.93
1.18
3.75
2.49
1.80
0.55
1.95
1.94
1.18
1%
0%
1%
0%
1%
1%
0%
95869
EMG, Thoracic Paraspinal
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2.30
1.90
0.56
0.17
1.74
1.73
0.37
2.63
2.23
0.57
0.18
2.06
2.05
0.37
14%
17%
2%
6%
18%
18%
0%
95870
EMG, Other
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2.49
2.10
0.55
0.17
1.94
1.93
0.37
2.62
2.22
0.56
0.17
2.06
2.05
0.37
5%
6%
2%
0%
6%
6%
0%
American Academy of Neurology Page 9 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
95872
Descriptors
EMG, Single Fiber
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2015
5.59
2.56
4.37
1.35
1.22
1.21
2.88
2016
5.55
2.50
4.37
1.33
1.18
1.17
2.88
Change(%)
from
2015 to 2016
-1%
-2%
0%
-1%
-3%
-3%
0%
95873
Electrical stimulation, chemodenervation
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2.11
1.72
0.58
0.20
1.53
1.52
0.37
2.08
1.70
0.57
0.19
1.51
1.51
0.37
-1%
-1%
-2%
-5%
-1%
-1%
0%
95874
EMG, chemodenervation
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2.03
1.64
0.56
0.18
1.47
1.46
0.37
2.06
1.67
0.57
0.18
1.49
1.49
0.37
1%
2%
2%
0%
1%
2%
0%
95875
Limb Exercise Test
Practice Expense
Professional Component
3.41
2.25
1.65
3.53
2.35
1.68
4%
4%
2%
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
0.50
1.76
1.75
1.10
0.51
1.85
1.84
1.10
2%
5%
5%
0%
Needle EMG when performed with nerve
conduction test; limited
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
1.65
1.28
0.53
0.17
1.12
1.11
0.35
1.65
1.28
0.54
0.17
1.11
1.11
0.35
0%
0%
2%
0%
-1%
0%
0%
Needle EMG when performed with nerve
conduction test; complex
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2.57
1.67
1.30
0.41
1.27
1.26
0.86
2.57
1.67
1.31
0.41
1.26
1.26
0.86
0%
0%
1%
0%
-1%
0%
0%
95885
95886
American Academy of Neurology Page 10 of 31
Total RVUs - Medicare Physician Fee Schedule
Descriptors
Needle EMG when performed with nerve
conduction test; non-extremity
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2015
2016
Change(%)
from
2015 to 2016
2.30
1.55
1.08
0.34
1.22
1.21
0.71
2.29
1.54
1.08
0.33
1.21
1.21
0.71
0%
-1%
0%
-3%
-1%
0%
0%
95905
NCV, Preconfig. Array
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2.02
1.95
0.08
0.02
1.94
1.93
0.05
1.99
1.92
0.08
0.02
1.91
1.90
0.05
-1%
-2%
0%
0%
-2%
-2%
0%
95907
Motor&/sens 1-2 nrv cndj tst
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2.74
1.69
1.51
0.47
1.23
1.22
1.00
2.70
1.64
1.52
0.47
1.18
1.17
1.00
-1%
-3%
1%
0%
-4%
-4%
0%
95908
Motor&/sens 3-4 nrv cndj tst
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
3.52
2.21
1.91
0.61
1.61
1.60
1.25
3.34
2.02
1.89
0.58
1.45
1.44
1.25
-5%
-9%
-1%
-5%
-10%
-10%
0%
95909
Motor&/sens 5-6 nrv cndj tst
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
4.17
2.60
2.28
0.72
1.89
1.88
1.50
4.08
2.50
2.28
0.71
1.80
1.79
1.50
-2%
-4%
0%
-1%
-5%
-5%
0%
95910
Motor&/sens 7-8 nrv cndj tst
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
5.54
3.44
3.05
0.96
2.49
2.48
2.00
5.42
3.31
3.05
0.95
2.37
2.36
2.00
-2%
-4%
0%
-1%
-5%
-5%
0%
95911
Motor&/sens 9-10 nrv cndj tst
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
6.59
3.97
3.80
1.19
2.79
2.78
2.50
6.55
3.92
3.81
1.19
2.74
2.73
2.50
-1%
-1%
0%
0%
-2%
-2%
0%
CPT Code
95887
American Academy of Neurology Page 11 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
Descriptors
2015
2016
Change(%)
from
2015 to 2016
95912
Motor&/sens 11-12 nrv cndj tst
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
7.35
4.20
4.51
1.37
2.84
2.83
3.00
7.34
4.18
4.52
1.37
2.82
2.81
3.00
0%
0%
0%
0%
-1%
-1%
0%
95913
Motor&/sens 13/> nrv cndj tst
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
8.33
4.60
5.32
1.60
3.01
3.00
3.56
8.39
4.64
5.35
1.61
3.04
3.03
3.56
1%
1%
1%
1%
1%
1%
0%
95921
Autonomic Parasympathetic
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2.47
1.53
1.29
0.36
1.18
1.17
0.90
2.43
1.48
1.29
0.35
1.14
1.13
0.90
-2%
-3%
0%
-3%
-3%
-3%
0%
95922
Autonomic Sympathetic
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
2.83
1.83
1.37
0.38
1.46
1.45
0.96
2.85
1.84
1.38
0.38
1.47
1.46
0.96
1%
1%
1%
0%
1%
1%
0%
95923
Autonomic Sudomotor
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
5.40
4.46
1.30
0.37
4.10
4.09
0.90
4.21
3.66
1.32
0.36
3.31
3.30
0.90
-22%
-18%
2%
-3%
-19%
-19%
0%
95924
Ans parasymp & symp w/tilt
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
4.32
2.52
2.51
0.72
1.81
1.80
1.73
4.21
2.36
2.54
0.70
1.67
1.66
1.73
-3%
-6%
1%
-3%
-8%
-8%
0%
95943
Parasymp&symp hrt rate test
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0%
0%
0%
0%
0%
0%
0%
American Academy of Neurology Page 12 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
95925
Descriptors
Somatosensory EPs, Upper Limbs
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
2015
4.43
3.84
0.80
0.23
3.63
3.61
0.54
2016
4.39
3.80
0.80
0.23
3.59
3.57
0.54
Change(%)
from
2015 to 2016
-1%
-1%
0%
0%
-1%
-1%
0%
95926
Somatosensory EPs, Lower Limbs
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
4.06
3.48
0.77
0.21
3.29
3.27
0.54
3.88
3.29
0.78
0.21
3.10
3.08
0.54
-4%
-5%
1%
0%
-6%
-6%
0%
95927
Somatosensory EPs, Trunk or Head
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
4.30
3.72
0.78
0.22
3.52
3.50
0.54
4.01
3.41
0.78
0.21
3.23
3.20
0.54
-7%
-8%
0%
-5%
-8%
-9%
0%
95928
C motor evoked, upper limbs
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
7.30
5.71
2.27
0.70
5.03
5.01
1.50
6.35
4.76
2.28
0.70
4.07
4.06
1.50
-13%
-17%
0%
0%
-19%
-19%
0%
95929
C motor evoked, lower limbs
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
7.29
5.75
2.22
0.70
5.07
5.05
1.50
6.39
4.78
2.29
0.69
4.10
4.09
1.50
-12%
-17%
3%
-1%
-19%
-19%
0%
95930
Visual Evoked Potential
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
3.62
3.24
0.52
0.16
3.10
3.08
0.35
3.61
3.23
0.52
0.16
3.09
3.07
0.35
0%
0%
0%
0%
0%
0%
0%
95933
Blink Reflex Test
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
2.37
1.74
0.89
0.27
1.48
1.47
0.59
2.12
1.49
0.89
0.27
1.23
1.22
0.59
-11%
-14%
0%
0%
-17%
-17%
0%
American Academy of Neurology Page 13 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
Descriptors
2015
2016
Change(%)
from
2015 to 2016
95937
Neuromuscular Junction Test
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
2.34
1.65
0.98
0.30
1.36
1.35
0.65
2.30
1.60
0.98
0.29
1.32
1.31
0.65
-2%
-3%
0%
-3%
-3%
-3%
0%
95938
Somatosensory testing
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
9.62
8.70
1.29
0.40
8.33
8.30
0.86
9.63
8.69
1.31
0.40
8.32
8.29
0.86
0%
0%
2%
0%
0%
0%
0%
95939
C motor evoked upper and lower limbs
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
14.17
11.73
3.44
1.03
10.73
10.70
2.25
14.12
11.71
3.40
1.03
10.72
10.68
2.25
0%
0%
-1%
0%
0%
0%
0%
95940
IONM in operatng room 15 min
Practice Expense
Physician work
0.93
0.28
0.60
0.93
0.28
0.60
0%
0%
0%
95941
IONM remote/>1 pt or per hr
0.00
0.00
0%
G0453
Cont intraop neuro monitor
Practice Expense
Physician work
0.93
0.28
0.60
0.93
0.28
0.60
0%
0%
0%
95950
Ambulatory Cassette EEG
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
9.26
7.66
2.26
0.68
7.00
6.98
1.51
9.32
7.70
2.27
0.68
7.05
7.02
1.51
1%
1%
0%
0%
1%
1%
0%
95951
Video-EEG Long-Term Monitoring
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
0.00
N/A
9.27
2.77
N/A
N/A
5.99
0.00
N/A
9.08
2.76
N/A
N/A
5.99
0%
N/A
-2%
0%
N/A
N/A
0%
95953
Automated Ambulatory
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
11.80
8.53
4.65
1.40
7.15
7.13
3.08
11.89
8.60
4.66
1.40
7.23
7.20
3.08
1%
1%
0%
0%
1%
1%
0%
American Academy of Neurology Page 14 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
Descriptors
2015
2016
Change(%)
from
2015 to 2016
95954
EEG Monitoring/Giving Drugs
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
12.94
10.33
3.54
0.97
9.40
9.36
2.45
12.83
10.20
3.56
0.98
9.27
9.22
2.45
-1%
-1%
1%
1%
-1%
-1%
0%
95955
EEG During Surgery
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
6.02
4.95
1.52
0.46
4.50
4.49
1.01
6.09
5.01
1.54
0.47
4.55
4.54
1.01
1%
1%
1%
2%
1%
1%
0%
95956
EEG Monitoring, No Video
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
47.02
43.04
5.43
1.64
41.59
41.40
3.61
46.24
42.24
5.44
1.63
40.80
40.61
3.61
-2%
-2%
0%
-1%
-2%
-2%
0%
95957
EEG Digital Analysis
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
8.92
6.81
2.99
0.90
5.93
5.91
1.98
8.88
6.77
2.99
0.90
5.89
5.87
1.98
0%
-1%
0%
0%
-1%
-1%
0%
95958
Wada Test
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
16.39
11.87
6.36
1.89
10.03
9.98
4.24
16.15
11.55
6.43
1.89
9.72
9.66
4.24
-1%
-3%
1%
0%
-3%
-3%
0%
95961
Grid: Cortex Stimulation
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
8.18
5.04
4.47
1.34
3.71
3.70
2.97
8.32
5.05
4.62
1.36
3.70
3.69
2.97
2%
0%
3%
1%
0%
0%
0%
95962
Grid: Cortex Stimulation
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
7.23
3.92
4.77
1.47
2.46
2.45
3.21
7.40
3.95
4.93
1.49
2.47
2.46
3.21
2%
1%
3%
1%
0%
0%
0%
American Academy of Neurology Page 15 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
95965
Descriptors
MEG, Spontaneous
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
2015
N/A
N/A
12.26
3.57
N/A
N/A
7.99
2016
N/A
N/A
11.93
3.52
N/A
N/A
7.99
Change(%)
from
2015 to 2016
N/A
N/A
-3%
-1%
N/A
N/A
0%
95966
MEG, evoked, single
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
N/A
N/A
6.18
1.85
N/A
N/A
3.99
N/A
N/A
6.05
1.84
N/A
N/A
3.99
N/A
N/A
-2%
-1%
N/A
N/A
0%
95967
MEG, evoked, each additional
Practice Expense
Professional Components
Practice Expense - PC
Technical Components
Practice Expense - TC
Physician work
N/A
N/A
5.41
1.62
N/A
N/A
3.49
N/A
N/A
5.27
1.59
N/A
N/A
3.49
N/A
N/A
-3%
-2%
N/A
N/A
0%
95970
Neurostim analyze, no program
Practice Expense
Physician work
1.89
1.40
0.45
1.93
1.44
0.45
2%
3%
0%
95971
Simple neurostim analyze
Practice Expense
Physician work
1.62
0.78
0.78
1.42
0.57
0.78
-12%
-27%
0%
95972
Complex neurostim analyze
Practice Expense
Physician work
1.56
0.69
0.80
1.66
0.78
0.80
6%
13%
0%
95974
Complex cranial neurostim
Practice Expense
Physician work
5.89
2.59
3.00
5.87
2.58
3.00
0%
0%
0%
95975
Complex cranial neurostim
Practice Expense
Physician work
3.16
1.31
1.70
3.16
1.31
1.70
0%
0%
0%
95978
Analyze neurostim brain/1 hour
Practice Expense
Physician work
7.05
3.20
3.50
7.05
3.19
3.50
0%
0%
0%
95979
Analyze neurostim brain/add on
Practice Expense
Physician work
3.07
1.28
1.64
3.06
1.27
1.64
0%
-1%
0%
95992
Canalith Repositioning
Practice Expense
Physician work
1.20
0.42
0.75
1.22
0.43
0.75
2%
2%
0%
American Academy of Neurology Page 16 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
Descriptors
2015
2016
Change(%)
from
2015 to 2016
96000
Motion analysis, video/3D
Practice Expense
Physician work
2.70
0.78
1.80
2.70
0.78
1.80
0%
0%
0%
96001
Motion test w/ft pressure meas
Practice Expense
Physician work
2.87
0.56
2.15
3.04
0.67
2.15
6%
20%
0%
96002
Dynamic surface EMG
Practice Expense
Physician work
0.62
0.18
0.41
0.61
0.17
0.41
-2%
-6%
0%
96004
Phys rewiey of motion tests
Practice Expense
Physician work
3.33
1.02
2.14
3.32
1.02
2.14
0%
0%
0%
96020
Functional Brain Mapping
Practice Expense
Professional Component
Practice Expense - PC
Technical Component
Practice Expense - TC
Physician work
N/A
N/A
4.78
1.07
N/A
N/A
3.43
N/A
N/A
4.64
1.05
N/A
N/A
3.43
N/A
N/A
-3%
-2%
N/A
N/A
0%
99201
Office/outpatient visit, new
Practice Expense
Physician work
1.23
0.71
0.48
1.24
0.71
0.49
1%
0%
2%
99202
Office/outpatient visit, new
Practice Expense
Physician work
2.10
1.10
0.93
2.11
1.10
0.93
0%
0%
0%
99203
Office/outpatient visit, new
Practice Expense
Physician work
3.05
1.48
1.42
3.05
1.48
1.42
0%
0%
0%
99204
Office/outpatient visit, new
Practice Expense
Physician work
4.64
1.99
2.43
4.64
1.99
2.43
0%
0%
0%
99205
Office/outpatient visit, new
Practice Expense
Physician work
5.83
2.37
3.17
5.82
2.36
3.17
0%
0%
0%
99211
Office/outpatient visit, est
Practice Expense
Physician work
0.56
0.37
0.18
0.56
0.37
0.18
0%
0%
0%
99212
Office/outpatient visit, est
Practice Expense
Physician work
1.23
0.71
0.48
1.23
0.71
0.48
0%
0%
0%
99213
Office/outpatient visit, est
Practice Expense
Physician work
2.04
1.01
0.97
2.05
1.01
0.97
0%
0%
0%
99214
Office/outpatient visit, est
Practice Expense
Physician work
3.03
1.43
1.50
3.02
1.42
1.50
0%
-1%
0%
American Academy of Neurology Page 17 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
Descriptors
2015
2016
Change(%)
from
2015 to 2016
99215
Office/outpatient visit, est
Practice Expense
Physician work
4.09
1.82
2.11
4.07
1.81
2.11
0%
-1%
0%
99221
Initial hospital care
Practice Expense
Physician work
2.87
0.76
1.92
2.86
0.75
1.92
0%
-1%
0%
99222
Initial hospital care
Practice Expense
Physician work
3.87
1.05
2.61
3.86
1.04
2.61
0%
-1%
0%
99223
Initial hospital care
Practice Expense
Physician work
5.73
1.57
3.86
5.70
1.55
3.86
-1%
-1%
0%
99231
Subsequent hospital care
Practice Expense
Physician work
1.10
0.29
0.76
1.11
0.29
0.76
1%
0%
0%
99232
Subsequent hospital care
Practice Expense
Physician work
2.04
0.56
1.39
2.03
0.55
1.39
0%
-2%
0%
99233
Subsequent hospital care
Practice Expense
Physician work
2.94
0.80
2.00
2.93
0.79
2.00
0%
-1%
0%
99234
Observ/hosp same date
Practice Expense
Physician work
3.78
1.01
2.56
3.76
1.00
2.56
-1%
-1%
0%
99235
Observ/hosp same date
Practice Expense
Physician work
4.77
1.30
3.24
4.76
1.29
3.24
0%
-1%
0%
99236
Observ/hosp same date
Practice Expense
Physician work
6.15
1.65
4.20
6.13
1.64
4.20
0%
-1%
0%
99238
Hospital discharge day
Practice Expense
Physician work
2.06
0.69
1.28
2.04
0.68
1.28
-1%
-1%
0%
99415
99416
Prolonged clinical staff services
Practice Expense
Physician work
0.25
0.24
0.00
Prolonged clinical staff services, addtl
Practice Expense
Physician work
0.02
0.01
0.00
99446*
Interprof Telephone / internet consultation
Practice Expense
Physician work
0.00
0.00
0.00
0.00
0.00
0.00
0%
0%
0%
99447*
11-20 mins
Practice Expense
Physician work
0.00
0.00
0.00
0.00
0.00
0.00
0%
0%
0%
American Academy of Neurology Page 18 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
99448*
Descriptors
21-30 mins
Practice Expense
Physician work
2015
0.00
0.00
0.00
2016
0.00
0.00
0.00
Change(%)
from
2015 to 2016
0%
0%
0%
99449*
31+ minutes
Practice Expense
Physician work
0.00
0.00
0.00
0.00
0.00
0.00
0%
0%
0%
99490
Chronic care management services
Practice Expense
Physician work
1.20
0.54
0.61
1.14
0.49
0.61
-5%
-9%
0%
99487*
Cmplx chron care w/o pt vsit
Practice Expense
Physician work
0.00
0.00
0.00
0.00
0.00
0.00
0%
0%
0%
99489*
Cmplx chron care addl 30 min
Practice Expense
Physician work
0.00
0.00
0.00
0.00
0.00
0.00
0%
0%
0%
99495
Trans care mgmt 14 day disch
Practice Expense
Physician work
4.63
2.38
2.11
4.60
2.36
2.11
-1%
-1%
0%
99496
Trans care mgmt 7 day disch
Practice Expense
Physician work
6.50
3.26
3.05
6.49
3.25
3.05
0%
0%
0%
99497
Advncd care plan 30 minutes
Practice Expense
Physician work
0.00
0.00
0.00
2.40
0.80
1.50
N/A
N/A
N/A
99498
Advncd care plan addl 30 minutes
Practice Expense
Physician work
0.00
0.00
0.00
2.09
0.59
1.40
N/A
N/A
N/A
99241 *
Office consultation
Physician work
1.37
0.64
1.34
0.64
-2%
0%
99242 *
Office consultation
Physician work
2.57
1.34
2.52
1.34
-2%
0%
99243 *
Office consultation
Physician work
3.51
1.88
3.45
1.88
-2%
0%
99244 *
Office consultation
Physician work
5.19
3.02
5.16
3.02
-1%
0%
American Academy of Neurology Page 19 of 31
Total RVUs - Medicare Physician Fee Schedule
CPT Code
Descriptors
2015
2016
Change(%)
from
2015 to 2016
99245 *
Office consultation
Physician work
6.35
3.77
6.29
3.77
-1%
0%
99251 *
Inpatient consult
Physician work
1.39
1.00
1.38
1.00
-1%
0%
99252 *
Inpatient consult
Physician work
2.13
1.50
2.11
1.50
-1%
0%
99253 *
Inpatient consult
Physician work
3.25
2.27
3.24
2.27
0%
0%
99254 *
Inpatient consult
Physician work
4.69
3.29
4.72
3.29
1%
0%
99255 *
Inpatient consult
Physician work
5.67
4.00
5.68
4.00
0%
0%
99291
Critical care, first hour
Practice Expense
Physician work
7.77
2.87
4.50
7.74
2.85
4.50
0%
-1%
0%
99292
Critical care, addl 30 min
Practice Expense
Physician work
3.46
1.02
2.25
3.46
1.02
2.25
0%
0%
0%
Notes
* Indicates code which is not currently payable under Medicare
• Indicates new CPT code for 2016
American Academy of Neurology Page 20 of 31
Dollar Amounts, based on Medicare Conversion Factor
CPT Code
Descriptors
Medicare Conversion Factor
20550
Change ($) Change (%)
2015 - 2016 2015 -2016
(using CF of (using CF of
35.8279)
35.8279)
35.8279
35.8279
2015
35.9335
2016
35.8279
Inject tendon/ligament/cyst
$60.37
$60.19
-$0.18
0%
20551
Inject tendon origin/insert
$61.81
$61.98
$0.18
0%
20552
Inject trigger point, 1 or 2
$56.06
$56.25
$0.19
0%
20553
Inject trigger points, > 3
$65.04
$64.85
-$0.19
0%
37215
Transcath stent, cca w/eps
$1,146.28
$1,053.70
-$92.58
-8%
62270
Lumbar Puncture
$163.86
$163.02
-$0.84
-1%
64405
Nerve Block, greater occipital nerve
$102.77
$103.54
$0.77
1%
64611
Chemodenervation, salivary glands
$120.38
$119.67
-$0.71
-1%
64612
Destroy nerve, face muscle
$134.39
$135.07
$0.68
1%
64615
Chemodenervation musc migraine
$151.28
$148.33
-$2.95
-2%
64616
Chemodenervation, neck muscle(s)
$128.28
$129.70
$1.41
1%
64617
Chemodenevation of muscle(s); larynx$194.76
$200.28
$5.52
3%
64642
Chemodenervation, extr; 1-4 muscle(s)$145.17
$145.46
$0.29
0%
64643
Chemodenervation, addtl extremity; 1-4$96.30
muscle(s)
$95.30
-$1.00
-1%
64644
Chemodenervation of muscle(s) 5+ muscle(s)
$167.09
$166.96
-$0.13
0%
64645
Chemodenervation, addtl extr; 5+ muscle(s)
$117.14
$117.52
$0.37
0%
64646
Chemodenervation, trunk; 1-5 muscle(s)
$157.75
$154.42
-$3.33
-2%
64647
Chemodenervation, trunk; 6+ muscle(s)$182.18
$182.01
-$0.18
0%
64650
Chemodenervation, eccrine
$79.77
$79.18
-$0.59
-1%
64653
Chemodenervation, eccrine
$97.38
$98.89
$1.51
2%
67345
Destroy nerve of eye muscle
$247.22
$247.21
-$0.01
0%
70554
fMRI, brain by tech
Professional Component
Technical Component
$454.56
$109.96
$344.60
$453.58
$108.56
$345.02
-$0.98
-$1.40
$0.42
0%
-1%
0%
American Academy of Neurology Page 21 of 31
Dollar Amounts, based on Medicare Conversion Factor
CPT Code
Descriptors
2015
2016
Change ($) Change (%)
2015 - 2016 2015 -2016
(using CF of (using CF of
35.8279)
35.8279)
70555
fMRI, brain by phy/pshch
Professional Component
Technical Component
N/A
$133.31
N/A
N/A
$128.98
N/A
N/A
-$4.33
N/A
N/A
-3%
N/A
92540
Vestibular testing
Professional Component
Technical Component
$103.13
$80.49
$22.64
$102.83
$80.61
$22.21
-$0.30
$0.12
-$0.42
0%
0%
-2%
92541
Spontaneous nystagmus test
Professional Component
Technical Component
$22.64
$21.20
$1.44
$24.36
$21.14
$3.22
$1.72
-$0.06
$1.79
8%
0%
124%
92542
Positional nystagmus test
Professional Component
Technical Component
$26.59
$25.15
$1.44
$28.30
$25.44
$2.87
$1.71
$0.28
$1.43
6%
1%
99%
92537
92538
Caloric vstblr test w/rec, bithermal
Professional Component
Technical Component
$40.84
$32.25
$8.60
Caloric vstblr test w/rec, monothermal
Professional Component
Technical Component
$20.78
$16.12
$4.66
92544
Optokinetic nystagmus test
Professional Component
Technical Component
$15.81
$14.37
$1.44
$16.84
$14.33
$2.51
$1.03
-$0.04
$1.07
7%
0%
74%
92585
Brainstem Auditory EP
Professional Component
Technical Component
$136.91
$26.95
$109.96
$136.86
$27.23
$109.63
-$0.04
$0.28
-$0.32
0%
1%
0%
93880
Carotid Duplex Scan
Professional Component
Technical Component
$205.18
$40.25
$164.93
$205.65
$40.84
$164.81
$0.47
$0.60
-$0.13
0%
1%
0%
93882
Carotid Duplex Scan
Professional Component
Technical Component
$130.80
$25.15
$105.64
$131.49
$25.80
$105.69
$0.69
$0.64
$0.05
1%
3%
0%
93886
Transcranial Doppler
Professional Component
Technical Component
$291.78
$47.43
$244.35
$285.91
$48.37
$237.54
-$5.87
$0.94
-$6.81
-2%
2%
-3%
American Academy of Neurology Page 22 of 31
Dollar Amounts, based on Medicare Conversion Factor
CPT Code
Descriptors
2015
2016
Change ($) Change (%)
2015 - 2016 2015 -2016
(using CF of (using CF of
35.8279)
35.8279)
93888
Transcranial Doppler
Professional Component
Technical Component
$151.64
$25.87
$125.77
$149.40
$26.15
$123.25
-$2.24
$0.28
-$2.52
-1%
1%
-2%
93890
TCD, vasoreactivity study
Professional Component
Technical Component
$295.37
$51.74
$243.63
$293.07
$52.67
$240.41
-$2.30
$0.92
-$3.22
-1%
2%
-1%
93892
TCD, emboli detection w/o inj
Professional Component
Technical Component
$342.45
$60.01
$282.44
$338.93
$62.34
$276.59
-$3.51
$2.33
-$5.85
-1%
4%
-2%
93893
TCD, emboli detection w/inj
Professional Component
Technical Component
$351.43
$60.01
$291.42
$351.83
$60.91
$290.92
$0.40
$0.90
-$0.50
0%
1%
0%
94660
CPAP initiation and management
$63.60
$64.13
$0.53
1%
Sleep study, unattended,
simultaneous recording
Professional Component
Technical Component
$182.18
$52.82
$129.36
$179.86
$52.67
$127.19
-$2.33
-$0.16
-$2.17
-1%
0%
-2%
95801
Sleep study, unattended
Professional Component
Technical Component
$93.07
$50.31
$42.76
$91.72
$50.16
$41.56
-$1.35
-$0.15
-$1.20
-1%
0%
-3%
95803
Actigraphy testing
Professional Component
Technical Component
$143.37
$43.84
$99.54
$142.95
$44.43
$98.53
-$0.42
$0.59
-$1.01
0%
1%
-1%
95805
Multiple Sleep Latency Test
Professional Component
Technical Component
$424.73
$60.01
$364.73
$432.08
$60.19
$371.89
$7.35
$0.18
$7.17
2%
0%
2%
95806
Sleep Study, Unattended
Professional Component
Technical Component
$170.32
$61.81
$108.52
$170.18
$61.98
$108.20
-$0.14
$0.18
-$0.32
0%
0%
0%
95807
Sleep Study
Professional Component
Technical Component
$474.32
$62.88
$411.44
$484.03
$63.42
$420.62
$9.71
$0.53
$9.18
2%
1%
2%
95808
Polysomnography, 1-3
Professional Component
Technical Component
$609.79
$88.04
$521.75
$637.38
$89.21
$548.17
$27.59
$1.17
$26.41
5%
1%
5%
95800
American Academy of Neurology Page 23 of 31
Dollar Amounts, based on Medicare Conversion Factor
Change ($) Change (%)
2015 - 2016 2015 -2016
(using CF of (using CF of
35.8279)
35.8279)
$1.73
0%
$0.35
0%
$1.38
0%
CPT Code
Descriptors
95810
Polysomnography, 4 or more
Professional Component
Technical Component
2015
$628.84
$123.61
$505.23
2016
$630.57
$123.96
$506.61
95811
Polysomnography w/CPAP
Professional Component
Technical Component
$660.46
$128.28
$532.18
$662.46
$128.98
$533.48
$2.00
$0.70
$1.30
0%
1%
0%
95782
Polysom <6 yrs 4/> paramtrs
Professional Component
Technical Component
$924.57
$124.33
$800.24
$1,038.29
$128.62
$909.67
$113.72
$4.29
$109.43
12%
3%
14%
95783
Polysom <6 yrs cpap/bilvl
Professional Component
Technical Component
$1,261.27
$150.56
$1,110.70
$1,091.32
$142.60
$956.60
-$169.95
-$7.97
-$154.10
-13%
-5%
-14%
95812
Extended EEG, < 1 hr
Professional Component
Technical Component
$424.02
$58.57
$365.08
$352.90
$58.76
$294.15
-$71.11
$0.19
-$70.94
-17%
0%
-19%
95813
Extended EEG, > 1 hr
Professional Component
Technical Component
$507.02
$94.15
$412.88
$426.35
$93.51
$332.84
-$80.67
-$0.63
-$80.03
-16%
-1%
-19%
95816
Awake EEG
Professional Component
Technical Component
$363.29
$58.57
$304.72
$365.44
$58.76
$306.69
$2.16
$0.19
$1.97
1%
0%
1%
95819
Awake and Asleep EEG
Professional Component
Technical Component
$414.31
$58.57
$355.74
$418.11
$58.76
$359.35
$3.80
$0.19
$3.61
1%
0%
1%
95822
Sleep EEG
Professional Component
Technical Component
$374.79
$58.57
$316.21
$376.55
$58.76
$317.79
$1.76
$0.19
$1.58
0%
0%
0%
95824
EEG for Brain Death
Professional Component
Technical Component
N/A
$40.96
N/A
N/A
$40.13
N/A
N/A
-$0.84
N/A
N/A
-2%
N/A
95827
Overnight EEG
Professional Component
Technical Component
$794.13
$58.21
$735.92
$704.02
$58.04
$645.98
-$90.11
-$0.17
-$89.94
-11%
0%
-12%
95829
Surgery Electrocorticogram
Professional Component
Technical Component
$1,908.43
$337.42
$1,571.01
$1,902.10
$342.87
$1,559.23
-$6.32
$5.46
-$11.78
0%
2%
-1%
95830
Insert Sphenoidal Electrodes
$249.38
$248.29
-$1.09
0%
95860
EMG, One Limb
Professional Component
Technical Component
$124.69
$52.82
$71.87
$123.61
$52.67
$70.94
-$1.08
-$0.16
-$0.93
-1%
0%
-1%
American Academy of Neurology Page 24 of 31
Dollar Amounts, based on Medicare Conversion Factor
CPT Code
Descriptors
2015
2016
Change ($) Change (%)
2015 - 2016 2015 -2016
(using CF of (using CF of
35.8279)
35.8279)
95861
EMG, Two Limbs
Professional Component
Technical Component
$175.00
$83.73
$91.27
$173.41
$84.55
$88.85
-$1.59
$0.83
-$2.42
-1%
1%
-3%
95863
EMG, Three Limbs
Professional Component
Technical Component
$215.96
$102.41
$113.55
$215.33
$101.75
$113.57
-$0.63
-$0.66
$0.02
0%
-1%
0%
95864
EMG, Four Limbs
Professional Component
Technical Component
$245.79
$109.24
$136.55
$242.91
$109.99
$132.92
-$2.87
$0.75
-$3.63
-1%
1%
-3%
95865
EMG, larynx
Professional Component
Technical Component
$146.25
$85.52
$60.73
$146.18
$86.35
$59.83
-$0.07
$0.82
-$0.90
0%
1%
-1%
95866
EMG, hemidiaphragm
Professional Component
Technical Component
$135.11
$68.99
$66.12
$135.07
$68.43
$66.64
-$0.04
-$0.56
$0.52
0%
-1%
1%
95867
EMG, Cranial Unilateral
Professional Component
Technical Component
$94.51
$42.40
$52.10
$95.66
$42.64
$53.03
$1.16
$0.23
$0.92
1%
1%
2%
95868
EMG, Cranial Bilateral
Professional Component
Technical Component
$134.03
$64.32
$69.71
$134.35
$64.49
$69.86
$0.32
$0.17
$0.15
0%
0%
0%
95869
EMG, Thoracic Paraspinal
Professional Component
Technical Component
$82.65
$20.12
$62.52
$94.23
$20.42
$73.81
$11.58
$0.30
$11.28
14%
1%
18%
95870
EMG, Other
Professional Component
Technical Component
$89.47
$19.76
$69.71
$93.87
$19.71
$73.81
$4.39
-$0.06
$4.09
5%
0%
6%
95872
EMG, Single Fiber
Professional Component
Technical Component
$200.87
$157.03
$43.84
$198.84
$156.57
$42.28
-$2.02
-$0.46
-$1.56
-1%
0%
-4%
95873
Electrical stimulation, chemodenervation
$75.82
Professional Component
$20.84
Technical Component
$54.98
$74.52
$20.42
$54.46
-$1.30
-$0.42
-$0.52
-2%
-2%
-1%
95874
EMG, chemodenervation
Professional Component
Technical Component
$72.95
$20.12
$52.82
$73.81
$20.42
$53.38
$0.86
$0.30
$0.56
1%
1%
1%
95875
Limb Exercise Test
Professional Component
Technical Component
$122.53
$59.29
$63.24
$126.47
$60.19
$66.28
$3.94
$0.90
$3.04
3%
2%
5%
American Academy of Neurology Page 25 of 31
Dollar Amounts, based on Medicare Conversion Factor
CPT Code
Change ($) Change (%)
2015 - 2016 2015 -2016
(using CF of (using CF of
35.8279)
35.8279)
Descriptors
2015
2016
Needle EMG when performed
with nerve conduction test; limited
Professional Component
Technical Component
$59.29
$19.04
$40.25
$59.12
$19.35
$39.77
-$0.17
$0.30
-$0.48
0%
2%
-1%
Needle EMG when performed with
nerve conduction test; complex
Professional Component
Technical Component
$92.35
$46.71
$45.64
$92.08
$46.93
$45.14
-$0.27
$0.22
-$0.49
0%
0%
-1%
Needle EMG when performed with
nerve conduction test; nonextremity
Professional Component
Technical Component
$82.65
$38.81
$43.84
$82.05
$38.69
$43.35
-$0.60
-$0.11
-$0.49
-1%
0%
-1%
95905
NCV, Preconfig array
Professional Component
Technical Component
$72.59
$2.87
$69.71
$71.30
$2.87
$68.43
-$1.29
-$0.01
-$1.28
-2%
0%
-2%
95907
Motor&/sens 1-2 nrv cndj tst
Professional Component
Technical Component
$98.46
$54.26
$44.20
$96.74
$54.46
$42.28
-$1.72
$0.20
-$1.92
-2%
0%
-4%
95908
Motor&/sens 3-4 nrv cndj tst
Professional Component
Technical Component
$126.49
$68.63
$57.85
$119.67
$67.71
$51.95
-$6.82
-$0.92
-$5.90
-5%
-1%
-10%
95909
Motor&/sens 5-6 nrv cndj tst
Professional Component
Technical Component
$149.84
$81.93
$67.91
$146.18
$81.69
$64.49
-$3.66
-$0.24
-$3.42
-2%
0%
-5%
95910
Motor&/sens 7-8 nrv cndj tst
Professional Component
Technical Component
$199.07
$109.60
$89.47
$194.19
$109.28
$84.91
-$4.88
-$0.32
-$4.56
-2%
0%
-5%
95911
Motor&/sens 9-10 nrv cndj tst
Professional Component
Technical Component
$236.80
$136.55
$100.25
$234.67
$136.50
$98.17
-$2.13
-$0.04
-$2.09
-1%
0%
-2%
95912
Motor&/sens 11-12 nrv cndj tst
Professional Component
Technical Component
$264.11
$162.06
$102.05
$262.98
$161.94
$101.03
-$1.13
-$0.12
-$1.02
0%
0%
-1%
95913
Motor&/sens 13/> nrv cndj tst
Professional Component
Technical Component
$299.33
$191.17
$108.16
$300.60
$191.68
$108.92
$1.27
$0.51
$0.76
0%
0%
1%
95921
Autonomic Parasympathetic
Professional Component
Technical Component
$88.76
$46.35
$42.40
$87.06
$46.22
$40.84
-$1.69
-$0.14
-$1.56
-2%
0%
-4%
95885
95886
95887
American Academy of Neurology Page 26 of 31
Dollar Amounts, based on Medicare Conversion Factor
CPT Code
Descriptors
2015
2016
Change ($) Change (%)
2015 - 2016 2015 -2016
(using CF of (using CF of
35.8279)
35.8279)
95922
Autonomic Sympathetic
Professional Component
Technical Component
$101.69
$49.23
$52.46
$102.11
$49.44
$52.67
$0.42
$0.21
$0.20
0%
0%
0%
95923
Autonomic Sudomotor
Professional Component
Technical Component
$194.04
$46.71
$147.33
$165.88
$47.29
$118.59
-$28.16
$0.58
-$28.74
-15%
1%
-20%
95924
Ans parasymp & symp w/tilt
Professional Component
Technical Component
$154.87
$90.19
$65.04
$150.84
$91.00
$59.83
-$4.04
$0.81
-$5.21
-3%
1%
-8%
95943
Parasymp&symp hrt rate test
Professional Component
Technical Component
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0%
0%
0%
95925
Somatosensory EPs, Upper Limbs
Professional Component
Technical Component
$159.19
$28.75
$130.44
$157.28
$28.66
$128.62
-$1.90
-$0.08
-$1.82
-1%
0%
-1%
95926
Somatosensory EPs, Lower Limbs
Professional Component
Technical Component
$145.89
$27.67
$118.22
$139.01
$27.95
$111.07
-$6.88
$0.28
-$7.15
-5%
1%
-6%
95927
Somatosensory EPs, Trunk or Head
Professional Component
Technical Component
$154.51
$28.03
$126.49
$143.67
$27.95
$115.72
-$10.84
-$0.08
-$10.76
-7%
0%
-9%
95928
C motor evoked, upper limbs
Professional Component
Technical Component
$262.31
$81.57
$180.75
$227.51
$81.69
$145.82
-$34.81
$0.12
-$34.93
-13%
0%
-19%
95929
C motor evoked, lower limbs
Professional Component
Technical Component
$274.89
$79.77
$182.18
$228.94
$82.05
$146.89
-$45.95
$2.27
-$35.29
-17%
3%
-19%
95930
Visual Evoked Potential
Professional Component
Technical Component
$130.08
$18.69
$111.39
$129.34
$18.63
$110.71
-$0.74
-$0.05
-$0.69
-1%
0%
-1%
95933
Blink Reflex Test
Professional Component
Technical Component
$85.16
$31.98
$53.18
$75.96
$31.89
$44.07
-$9.21
-$0.09
-$9.11
-11%
0%
-17%
95937
Neuromuscular Junction Test
Professional Component
Technical Component
$83.73
$35.21
$48.51
$82.40
$35.11
$47.29
-$1.32
-$0.10
-$1.22
-2%
0%
-3%
95938
Somatosensory testing
Professional Component
Technical Component
$345.68
$46.35
$299.33
$345.02
$46.93
$298.09
-$0.66
$0.58
-$1.24
0%
1%
0%
American Academy of Neurology Page 27 of 31
Dollar Amounts, based on Medicare Conversion Factor
Change ($) Change (%)
2015 - 2016 2015 -2016
(using CF of (using CF of
35.8279)
35.8279)
-$3.29
-1%
-$1.80
-1%
-$1.49
0%
CPT Code
2015
Descriptors
95939
C motor evoked upper and lower limbs$509.18
Professional Component
$123.61
Technical Component
$385.57
2016
$505.89
$121.81
$384.08
95940
IONM in operatng room 15 min
$33.42
$33.32
-$0.10
0%
95941*
IONM remote/>1 pt or per hr
$0.00
$0.00
$0.00
0%
G0453
Cont intraop neuro monitor
$33.42
$33.32
-$0.10
0%
95950
Ambulatory Cassette EEG
Professional Component
Technical Component
$332.74
$81.21
$251.53
$333.92
$81.33
$252.59
$1.17
$0.12
$1.05
0%
0%
0%
95951
Video-EEG Long-Term Monitoring
Professional Component
Technical Component
0.00
$333.10
0.00
0.00
$325.32
0.00
$0.00
-$7.79
$0.00
0%
-2%
0%
95953
Automated Ambulatory
Professional Component
Technical Component
$424.02
$167.09
$256.92
$425.99
$166.96
$259.04
$1.98
-$0.13
$2.11
0%
0%
1%
95954
EEG Monitoring/Giving Drugs
Professional Component
Technical Component
$464.98
$127.20
$337.77
$459.67
$127.55
$332.12
-$5.31
$0.34
-$5.65
-1%
0%
-2%
95955
EEG During Surgery
Professional Component
Technical Component
$216.32
$54.62
$161.70
$218.19
$55.17
$163.02
$1.87
$0.56
$1.32
1%
1%
1%
95956
EEG Monitoring, No Video
Professional Component
Technical Component
$1,689.59
$195.12
$1,494.47
$1,656.68
$194.90
$1,461.78
-$32.91
-$0.22
-$32.70
-2%
0%
-2%
95957
EEG Digital Analysis
Professional Component
Technical Component
$320.53
$107.44
$213.09
$318.15
$107.13
$211.03
-$2.38
-$0.32
-$2.06
-1%
0%
-1%
95958
Wada Test
Professional Component
Technical Component
$588.95
$228.54
$360.41
$578.62
$230.37
$348.25
-$10.33
$1.84
-$12.17
-2%
1%
-3%
95961
Grid: Cortex Stimulation
Professional Component
Technical Component
$293.94
$160.62
$133.67
$298.09
$165.52
$132.56
$4.15
$4.90
-$1.11
1%
3%
-1%
95962
Grid: Cortex Stimulation
Professional Component
Technical Component
$259.80
$171.40
$88.40
$265.13
$176.63
$88.49
$5.33
$5.23
$0.10
2%
3%
0%
95965
MEG, spontaneous
Professional Components
Technical Components
$0.0
$440.90
$0.0
$0.0
$427.43
$0.0
$0.00
-$13.48
$0.00
0%
-3%
0%
American Academy of Neurology Page 28 of 31
Dollar Amounts, based on Medicare Conversion Factor
CPT Code
Descriptors
2015
2016
Change ($) Change (%)
2015 - 2016 2015 -2016
(using CF of (using CF of
35.8279)
35.8279)
95966
MEG, evoked, single
Professional Components
Technical Components
$0.0
$222.07
$0.0
$0.0
$216.76
$0.0
$0.00
-$5.31
$0.00
0%
-2%
0%
95967
MEG, evoked, each additional
Professional Components
Technical Components
$0.0
$194.40
$0.0
$0.0
$188.81
$0.0
$0.00
-$5.59
$0.00
0%
-3%
0%
95970
Neurostim analyze, no program
$67.91
$69.15
$1.23
2%
95971
Simple neurostim analyze
$58.21
$50.88
-$7.34
-13%
95972
Complex neurostim analyze
$56.06
$59.47
$3.42
6%
95974
Complex cranial neurostim
$211.65
$210.31
-$1.34
-1%
95975
Complex cranial neurostim
$113.55
$113.22
-$0.33
0%
95992
Canalith Repositioning
$43.12
$43.71
$0.59
1%
96000
Motion analysis, video/3D
$97.02
$96.74
-$0.29
0%
96001
Motion test x/ft pressure meas
$103.13
$108.92
$5.79
6%
96002
Dynamic surface EMG
$22.28
$21.86
-$0.42
-2%
96003
Dynamic fine wire EMG
$19.40
$18.27
-$1.13
-6%
96004
Phys review of motion tests
$119.66
$118.95
-$0.71
-1%
96020
Functional Brain Mapping
Professional Component
Technical Component
$0.00
-$5.52
$0.00
0%
-3%
0%
99201
Office/outpatient visit, new
$44.20
$44.43
$0.23
1%
99202
Office/outpatient visit, new
$75.46
$75.60
$0.14
0%
99203
Office/outpatient visit, new
$109.60
$109.28
-$0.32
0%
99204
Office/outpatient visit, new
$166.73
$166.24
-$0.49
0%
99205
Office/outpatient visit, new
$209.49
$208.52
-$0.97
0%
99211
Office/outpatient visit, est
$20.12
$20.06
-$0.06
0%
99212
Office/outpatient visit, est
$44.20
$44.07
-$0.13
0%
99213
Office/outpatient visit, est
$73.30
$73.45
$0.14
0%
99214
Office/outpatient visit, est
$108.88
$108.20
-$0.68
-1%
$0.00
$171.76
$0.00
$0.00
$166.24
$0.00
American Academy of Neurology Page 29 of 31
Dollar Amounts, based on Medicare Conversion Factor
Change ($) Change (%)
2015 - 2016 2015 -2016
(using CF of (using CF of
35.8279)
35.8279)
-$1.15
-1%
CPT Code
Descriptors
99215
Office/outpatient visit, est
2015
$146.97
2016
$145.82
99221
Initial hospital care
$103.13
$102.47
-$0.66
-1%
99222
Initial hospital care
$139.06
$138.30
-$0.77
-1%
99223
Initial hospital care
$205.90
$204.22
-$1.68
-1%
99231
Subsequent hospital care
$39.53
$39.77
$0.24
1%
99232
Subsequent hospital care
$73.30
$72.73
-$0.57
-1%
99233
Subsequent hospital care
$105.64
$104.98
-$0.67
-1%
99234
Observ/hosp same date
$135.83
$134.71
-$1.12
-1%
99235
Observ/hosp same date
$171.40
$170.54
-$0.86
-1%
99236
Observ/hosp same date
$220.99
$219.63
-$1.37
-1%
99238
Hospital discharge day
$74.02
$73.09
-$0.93
-1%
99415
Prolonged clinical staff services
$8.96
99416
Prolonged clinical staff services, addtl
$0.72
99446*
Interprof phone/online 5-10 min
$0.00
$0.00
$0.00
0%
99447*
Interprof phone/online 11-20 min
$0.00
$0.00
$0.00
0%
99448*
Interprof phone/online 21-30 min
$0.00
$0.00
$0.00
0%
99449*
Interprof phone/online 31> min
$0.00
$0.00
$0.00
0%
99490
Chronic care mgmt services
$43.12
$40.84
-$2.28
-5%
99487*
Cmplx chron care w/o pt vsit
$0.00
$0.00
$0.00
0%
99489*
Complx chron care addl 30 min
$0.00
$0.00
$0.00
0%
99495
Trans care mgmt 14 day disch
$166.37
$164.81
-$1.56
-1%
99496
Trans care mgmt 7 day disch
$233.57
$232.52
-$1.04
0%
99497
Advance care planning
$0.00
$85.99
N/A
N/A
99498
Adv care planning, each adtl 30 min
$0.00
$74.88
N/A
N/A
American Academy of Neurology Page 30 of 31
Dollar Amounts, based on Medicare Conversion Factor
Change ($) Change (%)
2015 - 2016 2015 -2016
(using CF of (using CF of
35.8279)
35.8279)
-$1.22
-2%
CPT Code
Descriptors
99241 *
Office consultation
2015
$49.23
2016
$48.01
99242 *
Office consultation
$92.35
$90.29
-$2.06
-2%
99243 *
Office consultation
$126.13
$123.61
-$2.52
-2%
99244 *
Office consultation
$186.49
$184.87
-$1.62
-1%
99245 *
Office consultation
$228.18
$225.72
-$2.46
-1%
99251 *
Inpatient consult
$49.95
$49.44
-$0.51
-1%
99252 *
Inpatient consult
$76.54
$75.60
-$0.94
-1%
99253 *
Inpatient consult
$116.78
$116.08
-$0.70
-1%
99254 *
Inpatient consult
$168.53
$169.11
$0.58
0%
99255 *
Inpatient consult
$203.74
$203.50
-$0.24
0%
99291
Critical care, first hour
$279.20
$277.31
-$1.90
-1%
99292
Critical care, addl 30 min
$124.33
$123.96
-$0.37
0%
Notes
* Indicates code which is not currently payable under Medicare
• Indicates new CPT code for 2016
American Academy of Neurology Page 31 of 31