Medicare Fee Schedule

Medicare Fee Schedule CPT Code Descriptors 2013 2014 Change(%) from 2013 to 2014 20550 Inject tendon/ligament/cyst 1.72 1.65 -4% Practice Expense 0.89 0.82 -8% Physician work 0.75 0.75 0%

20551 Inject tendon origin/insert 1.78 1.71 -4%

Practice Expense 0.95 0.82 -14%

Physician work 0.75 0.75 0%

20552 Inject trigger point, 1 or 2 1.64 1.57 -4%

Practice Expense 0.91 0.84 -8%

Physician work 0.66 0.66 0%

20553 Inject trigger points, > 3 1.90 1.81 -5%

Practice Expense 1.08 0.99 -8%

Physician work 0.75 0.75 0%

37215 Transcath stent, cca w/eps 32.28 31.48 -2%

Practice Expense 8.41 7.80 -7%

Physician work 19.68 19.68 0%

37216 Transcath stent, cca w/o eps 29.94 29.35 -2%

Practice Expense 9.66 9.13 -5%

Physician work 18.95 18.95 0%

62270 Lumbar Puncture 4.82 4.51 -6%

Practice Expense 3.22 2.92 -9%

Physician work 1.37 1.37 0%

64405 nerve Block, greater occipital nerve 3.04 2.86 -6%

Practice Expense 1.91 1.76 -8%

Physician work 0.94 0.94 0%

64611 Chemodenerwation, salivary glands 3.37 3.19 -5%

Practice Expense 1.86 1.88 1%

Physician work 1.03 1.03 0%

64612 Destroy nerve, face muscle 4.08 3.91 -4%

Practice Expense 2.21 2.06 -7%

Physician work 1.41 1.41 0%

64613 Destroy nerve, spine muscle 5.15 4.91 -5%

Practice Expense 2.55 2.34 -8%

Physician work 2.01 2.01 0%

64614 Destroy nerve, extrem musc 5.52 5.25 -5%

Practice Expense 2.90 2.65 -9%

Physician work 2.20 2.20 0%

Total RVUs

While this document compares the current Medicare 2013 relative value units (RVUs) to the proposed 2014 RVUs, it will not reflect actual changes in payment. For 2014, Medicare is proposing a broad policy change that would increase the conversion factor through an across-the-board reduction in practice expense (PE) values, as can be observed in this document. A second proposed policy change would further reduce the PE values for certain codes, including EEG and motor evoked potential studies. The AAN is reviewing the implications of each of the proposed policy changes and will submit comments to CMS in the best interest of neurologists.

CPT Code Descriptors 2013 2014

Change(%) from 2013 to 2014

Total RVUs

64615 Chemodenervation musc migraine 4.23 4.07 -4%

Practice Expense 1.78 1.65 -7%

Physician work 1.85 1.85 0%

64650 Chemodenervation, eccrine glands 3.75 3.48 -7%

Practice Expense 2.94 2.67 -9%

Physician work 0.70 0.70 0%

64653 Chemodenervation, eccrine glands 4.52 4.28 -5%

Practice Expense 3.40 3.17 -7%

Physician work 0.88 0.88 0%

67345 Destroy nerve of eye muscle 7.56 7.25 -4%

Practice Expense 3.75 3.48 -7%

Physician work 3.01 3.01 0%

70554 fMRI, brain by tech 14.72 12.67 -14%

Practice Expense 11.70 10.43 -11% Professional Component 3.02 3.00 -1% Practice Expense - PC 0.76 0.77 1% Technical Component 11.70 9.67 -17% Practice Expense - TC 11.67 9.66 -17% Physician work 2.11 2.11 0%

70555 fMRI, brain by phy/pshch N/A N/A N/A

Professional Component 3.72 3.69 -1%

Practice Expense - PC 0.94 0.92 -2%

Technical Component N/A N/A N/A

Practice Expense - TC N/A N/A N/A

Physician work 2.54 2.54 0% 92540 Vestibular testing 2.96 2.88 -3% Practice Expense 1.41 1.33 -6% Professional Component 2.29 2.26 -1% Practice Expense - PC 0.75 0.72 -4% Technical Component 0.67 0.62 -7% Practice Expense - TC 0.66 0.61 -8% Physician work 1.50 1.50 0% 92585 Brainstem Auditory EP 3.85 3.68 -4% Practice Expense 3.33 3.16 -5% Professional Component 0.76 0.75 -1% Practice Expense - PC 0.25 0.24 -4% Technical Component 3.09 2.93 -5% Practice Expense - TC 3.08 2.92 -5% Physician work 0.50 0.50 0%

Medicare Fee Schedule CPT Code Descriptors 2013 2014 Change(%) from 2013 to 2014

Total RVUs

93880 Carotid Duplex Scan 7.21 6.53 -9%

Practice Expense 6.56 5.88 -10% Professional Component 0.86 0.84 -2% Practice Expense - PC 0.22 0.20 -9% Technical Component 6.35 5.69 -10% Practice Expense - TC 6.34 5.68 -10% Physician work 0.60 0.60 0%

93882 Carotid Duplex Scan 5.18 4.67 -10%

Practice Expense 4.72 4.21 -11% Professional Component 0.58 0.57 -2% Practice Expense - PC 0.13 0.12 -8% Technical Component 4.60 4.10 -11% Practice Expense - TC 4.59 4.09 -11% Physician work 0.40 0.40 0% 93886 Transcranial Doppler 11.20 10.03 -10% Practice Expense 10.21 9.04 -11% Professional Component 1.39 1.38 -1% Practice Expense - PC 0.41 0.40 -2% Technical Component 9.81 8.65 -12% Practice Expense - TC 9.80 8.64 -12% Physician work 0.94 0.94 0% 93888 Transcranial Doppler 6.51 5.88 -10% Practice Expense 5.84 5.21 -11% Professional Component 0.91 0.89 -2% Practice Expense - PC 0.25 0.23 -8% Technical Component 5.60 4.99 -11% Practice Expense - TC 5.59 4.98 -11% Physician work 0.62 0.62 0% 93890 TCD, vasoreactivity study 8.82 8.08 -8% Practice Expense 7.77 7.03 -10% Professional Component 1.45 1.44 -1% Practice Expense - PC 0.41 0.40 -2% Technical Component 7.37 6.64 -10% Practice Expense - TC 7.36 6.63 -10% Physician work 1.00 1.00 0%

93892 TCD, emboli detection w/o inj 9.96 9.40 -6%

Practice Expense 8.75 8.19 -6% Professional Component 1.68 1.67 -1% Practice Expense - PC 0.48 0.47 -2% Technical Component 8.28 7.73 -7% Practice Expense - TC 8.27 7.72 -7% Physician work 1.15 1.15 0%

CPT Code Descriptors 2013 2014

Change(%) from 2013 to 2014

Total RVUs

93893 TCD, emboli detection w/inj 10.61 9.72 -8%

Practice Expense 9.40 8.51 -9% Professional Component 1.70 1.68 -1% Practice Expense - PC 0.50 0.48 -4% Technical Component 8.91 8.04 -10% Practice Expense - TC 8.90 8.03 -10% Physician work 1.15 1.15 0%

94660 CPAP initiation and management 1.88 1.78 -5%

Practice Expense 1.07 0.97 -9%

Physician work 0.76 0.76 0%

95800

Sleep study, unattended, simultaneous

recording 5.37 5.01 -7% Practice Expense 4.27 3.91 -8% Professional Component 1.29 1.48 15% Practice Expense - PC 0.41 0.39 -5% Technical Component 3.87 3.53 -9% Practice Expense - TC 3.86 3.52 -9% Physician work 1.05 1.05 0%

95801 Sleep study, unattended 2.80 2.66 -5%

Practice Expense 1.75 1.61 -8% Professional Component 1.40 1.39 -1% Practice Expense - PC 0.36 0.35 -3% Technical Component 1.40 1.27 -9% Practice Expense - TC 1.39 1.26 -9% Physician work 1.00 1.00 0% 95803 Actigraphy testing 4.48 3.59 -20% Practice Expense 3.53 2.64 -25% Professional Component 1.29 1.23 -5% Practice Expense - PC 0.35 0.29 -17% Technical Component 3.19 2.36 -26% Practice Expense - TC 3.18 2.35 -26% Physician work 0.90 0.90 0%

95805 Multiple Sleep Latency Test 12.62 11.76 -7%

Practice Expense 11.34 10.48 -8% Professional Component 1.69 1.68 -1% Practice Expense - PC 0.44 0.44 0% Technical Component 10.93 10.08 -8% Practice Expense - TC 10.89 10.04 -8% Physician work 1.20 1.20 0%

Medicare Fee Schedule CPT Code Descriptors 2013 2014 Change(%) from 2013 to 2014

Total RVUs

95806 Sleep Study, Unattended 5.39 4.83 -10%

Practice Expense 4.06 3.50 -14% Professional Component 1.79 1.75 -2% Practice Expense - PC 0.49 0.45 -8% Technical Component 3.60 3.08 -14% Practice Expense - TC 3.57 3.05 -15% Physician work 1.25 1.25 0% 95807 Sleep Study 14.69 13.23 -10% Practice Expense 13.26 11.80 -11% Professional Component 1.79 1.77 -1% Practice Expense - PC 0.46 0.44 -4% Technical Component 12.90 11.46 -11% Practice Expense - TC 12.80 11.36 -11% Physician work 1.28 1.28 0% 95808 Polysomnography, 1-3 19.23 17.77 -8% Practice Expense 17.32 15.86 -8% Professional Component 2.49 2.48 0% Practice Expense - PC 0.68 0.67 -1% Technical Component 16.74 15.29 -9% Practice Expense - TC 16.64 15.19 -9% Physician work 1.74 1.74 0% 95810 Polysomnography, 4 or more 18.99 17.25 -9% Practice Expense 16.28 14.54 -11% Professional Component 3.52 3.46 -2% Practice Expense - PC 0.92 0.86 -7% Technical Component 15.47 13.79 -11% Practice Expense - TC 15.36 13.68 -11% Physician work 2.50 2.50 0% 95811 Polysomnography w/CPAP 19.92 18.11 -9% Practice Expense 17.09 15.28 -11% Professional Component 3.66 3.60 -2% Practice Expense - PC 0.95 0.89 -6% Technical Component 16.26 14.51 -11% Practice Expense - TC 16.14 14.39 -11% Physician work 2.60 2.60 0%

95782 Polysom <6 yrs 4/> paramtrs 31.35 27.89 -11%

Practice Expense 28.46 25.01 -12% Professional Component 3.75 3.70 -1% Practice Expense - PC 1.05 1.00 -5% Technical Component 27.60 24.19 -12% Practice Expense - TC 27.41 24.01 -12% Physician work 2.60 2.60 0%

CPT Code Descriptors 2013 2014

Change(%) from 2013 to 2014

Total RVUs

95783 Polysom <6 yrs cpap/bilvl 32.83 29.77 -9%

Practice Expense 29.67 26.63 -10% Professional Component 4.09 4.03 -1% Practice Expense - PC 1.14 1.09 -4% Technical Component 28.74 25.74 -10% Practice Expense - TC 28.53 25.54 -10% Physician work 2.83 2.83 0% 95812 Extended EEG, < 1 hr 13.32 6.73 -49% Practice Expense 12.17 5.58 -54% Professional Component 1.64 1.63 -1% Practice Expense - PC 0.52 0.51 -2% Technical Component 11.68 5.10 -56% Practice Expense - TC 11.65 5.07 -56% Physician work 1.08 1.08 0% 95813 Extended EEG, > 1 hr 15.31 7.71 -50% Practice Expense 13.47 5.87 -56% Professional Component 2.63 2.60 -1% Practice Expense - PC 0.83 0.80 -4% Technical Component 12.68 5.11 -60% Practice Expense - TC 12.64 5.07 -60% Physician work 1.73 1.73 0% 95816 Awake EEG 12.22 6.74 -45% Practice Expense 11.06 5.58 -50% Professional Component 1.66 1.64 -1% Practice Expense - PC 0.53 0.51 -4% Technical Component 10.56 5.10 -52% Practice Expense - TC 10.53 5.07 -52% Physician work 1.08 1.08 0%

95819 Awake and Asleep EEG 14.04 6.73 -52%

Practice Expense 12.89 5.58 -57% Professional Component 1.65 1.63 -1% Practice Expense - PC 0.53 0.51 -4% Technical Component 12.39 5.10 -59% Practice Expense - TC 12.36 5.07 -59% Physician work 1.08 1.08 0% 95822 Sleep EEG 12.55 6.73 -46% Practice Expense 11.40 5.58 -51% Professional Component 1.65 1.63 -1% Practice Expense - PC 0.53 0.51 -4% Technical Component 10.90 5.10 -53% Practice Expense - TC 10.87 5.07 -53% Physician work 1.08 1.08 0%

Medicare Fee Schedule CPT Code Descriptors 2013 2014 Change(%) from 2013 to 2014

Total RVUs

95824 EEG for Brain Death 0.00 0.00 0%

Practice Expense N/A N/A N/A

Professional Component 1.15 1.14 -1%

Practice Expense - PC 0.36 0.35 -3%

Technical Component N/A N/A N/A

Practice Expense - TC N/A N/A N/A

Physician work 0.74 0.74 0% 95827 Overnight EEG 23.88 6.78 -72% Practice Expense 22.67 5.57 -75% Professional Component 1.65 1.63 -1% Practice Expense - PC 0.52 0.50 -4% Technical Component 22.23 5.15 -77% Practice Expense - TC 22.15 5.07 -77% Physician work 1.08 1.08 0% 95829 Surgery Electrocorticogram 57.96 51.57 -11% Practice Expense 51.55 45.16 -12% Professional Component 9.36 9.23 -1% Practice Expense - PC 3.00 2.87 -4% Technical Component 48.60 42.34 -13% Practice Expense - TC 48.55 42.34 -13% Physician work 6.20 6.20 0%

95830 Insert Sphenoidal Electrodes 7.90 7.06 -11%

Practice Expense 6.06 5.22 -14%

Physician work 1.70 1.70 0%

95860 EMG, One Limb 3.74 3.41 -9%

Practice Expense 2.74 2.41 -12% Professional Component 1.49 1.47 -1% Practice Expense - PC 0.50 0.48 -4% Technical Component 2.25 1.94 -14% Practice Expense - TC 1.45 1.93 33% Physician work 0.96 0.96 0%

95861 EMG, Two Limbs 5.13 4.71 -8%

Practice Expense 3.53 3.11 -12% Professional Component 2.38 2.33 -2% Practice Expense - PC 0.79 0.74 -6% Technical Component 2.75 2.38 -13% Practice Expense - TC 2.74 2.37 -14% Physician work 1.54 1.54 0%

CPT Code Descriptors 2013 2014

Change(%) from 2013 to 2014

Total RVUs

95863 EMG, Three Limbs 6.27 5.18 -17%

Practice Expense 4.32 3.23 -25% Professional Component 2.87 2.82 -2% Practice Expense - PC 0.93 0.88 -5% Technical Component 3.40 2.36 -31% Practice Expense - TC 3.39 2.35 -31% Physician work 1.87 1.87 0%

95864 EMG, Four Limbs 7.18 5.36 -25%

Practice Expense 4.32 3.29 -24% Professional Component 3.05 3.00 -2% Practice Expense - PC 0.99 0.94 -5% Technical Component 4.13 2.36 -43% Practice Expense - TC 4.12 2.35 -43% Physician work 1.99 1.99 0% 95865 EMG, larynx 4.00 3.82 -5% Practice Expense 2.38 2.20 -8% Professional Component 2.36 2.34 -1% Practice Expense - PC 0.75 0.73 -3% Technical Component 1.64 1.48 -10% Practice Expense - TC 1.63 1.47 -10% Physician work 1.57 1.57 0% 95866 EMG, hemidiaphragm 4.09 3.71 -9% Practice Expense 2.78 2.40 -14% Professional Component 1.93 1.92 -1% Practice Expense - PC 0.63 0.62 -2% Technical Component 2.16 1.79 -17% Practice Expense - TC 2.15 1.78 -17% Physician work 1.25 1.25 0%

95867 EMG, Cranial Unilateral 3.39 2.62 -23%

Practice Expense 2.56 1.79 -30% Professional Component 1.21 1.20 -1% Practice Expense - PC 0.39 0.38 -3% Technical Component 2.18 1.42 -35% Practice Expense - TC 2.17 1.41 -35% Physician work 0.79 0.79 0%

95868 EMG, Cranial Bilateral 4.25 3.65 -14%

Practice Expense 3.02 2.42 -20% Professional Component 1.80 1.78 -1% Practice Expense - PC 0.58 0.56 -3% Technical Component 2.45 1.87 -24% Practice Expense - TC 2.44 1.86 -24% Physician work 1.18 1.18 0%

Medicare Fee Schedule CPT Code Descriptors 2013 2014 Change(%) from 2013 to 2014

Total RVUs

95869 EMG, Thoracic Paraspinal 2.56 1.83 -29%

Practice Expense 2.17 1.44 -34% Professional Component 0.56 0.55 -2% Practice Expense - PC 0.18 0.17 -6% Technical Component 2.00 1.28 -36% Practice Expense - TC 1.99 1.27 -36% Physician work 0.37 0.37 0% 95870 EMG, Other 2.69 1.83 -32% Practice Expense 2.30 1.44 -37% Professional Component 0.57 0.55 -4% Practice Expense - PC 0.19 0.17 -11% Technical Component 2.12 1.28 -40% Practice Expense - TC 2.11 1.27 -40% Physician work 0.37 0.37 0%

95872 EMG, Single Fiber 5.96 5.71 -4%

Practice Expense 2.96 2.71 -8% Professional Component 4.41 4.37 -1% Practice Expense - PC 1.42 1.38 -3% Technical Component 1.55 1.34 -14% Practice Expense - TC 1.54 1.33 -14% Physician work 2.88 2.71 -6%

95873 Electrical stimulation, chemodenervation 2.30 2.08 -10%

Practice Expense 1.91 1.69 -12% Professional Component 0.59 0.58 -2% Practice Expense - PC 0.21 0.20 -5% Technical Component 1.71 1.50 -12% Practice Expense - TC 1.70 1.49 -12% Physician work 0.37 0.37 0% 95874 EMG, chemodenervation 2.20 2.01 -9% Practice Expense 1.81 1.62 -10% Professional Component 0.57 0.56 -2% Practice Expense - PC 0.19 0.18 -5% Technical Component 1.63 1.45 -11% Practice Expense - TC 1.62 1.44 -11% Physician work 0.37 0.37 0%

95875 Limb Exercise Test 3.77 3.56 -6%

Practice Expense 2.61 2.40 -8% Professional Component 1.69 1.67 -1% Practice Expense - PC 0.54 0.52 -4% Technical Component 2.08 1.89 -9% Practice Expense - TC 2.07 1.88 -9% Physician work 1.10 1.10 0% 95885

Needle EMG when performed with nerve

conduction test; limited 1.80 1.63 -9%

Practice Expense 1.43 1.26 -12% Professional Component 0.54 0.53 -2% Practice Expense - PC 0.18 0.17 -6% Technical Component 1.26 1.10 -13% Practice Expense - TC 1.25 1.09 -13% Physician work 0.35 0.35 0%

CPT Code Descriptors 2013 2014 Change(%) from 2013 to 2014

Total RVUs

95886

Needle EMG when performed with nerve

conduction test; complex 2.49 2.31 -7%

Practice Expense 1.76 1.58 -10% Professional Component 1.08 1.07 -1% Practice Expense - PC 0.36 0.35 -3% Technical Component 1.41 1.24 -12% Practice Expense - TC 1.40 1.23 -12% Physician work 0.70 0.70 0% 95887

Needle EMG when performed with nerve

conduction test; non-extremity 2.09 2.04 -2%

Practice Expense 1.60 1.55 -3% Professional Component 0.71 0.70 -1% Practice Expense - PC 0.23 0.22 -4% Technical Component 1.38 1.34 -3% Practice Expense - TC 1.37 1.33 -3% Physician work 0.47 0.47 0% 95905 NCV, Preconfig. Array 2.09 1.91 -9% Practice Expense 1.60 1.84 15% Professional Component 0.08 0.08 0% Practice Expense - PC 0.02 0.02 0% Technical Component 2.01 1.83 -9% Practice Expense - TC 2.00 1.82 -9% Physician work 0.05 0.05 0% 95907 Motor&/sens 1-2 nrv cndj tst 2.78 2.62 -6% Practice Expense 1.72 1.56 -9% Professional Component 1.52 1.50 -1% Practice Expense - PC 0.49 0.47 -4% Technical Component 1.26 1.12 -11% Practice Expense - TC 1.23 1.09 -11% Physician work 1.00 1.00 0% 95908 Motor&/sens 3-4 nrv cndj tst 3.43 3.22 -6% Practice Expense 2.11 1.90 -10% Professional Component 1.91 1.88 -2% Practice Expense - PC 0.62 0.59 -5% Technical Component 1.52 1.34 -12% Practice Expense - TC 1.49 1.31 -12% Physician work 1.25 1.25 0%

Medicare Fee Schedule CPT Code Descriptors 2013 2014 Change(%) from 2013 to 2014

Total RVUs

95909 Motor&/sens 5-6 nrv cndj tst 4.11 3.85 -6% Practice Expense 2.52 2.26 -10% Professional Component 2.28 2.24 -2% Practice Expense - PC 0.74 0.70 -5% Technical Component 1.83 1.61 -12% Practice Expense - TC 1.78 1.56 -12% Physician work 1.50 1.50 0% 95910 Motor&/sens 7-8 nrv cndj tst 5.41 5.09 -6% Practice Expense 3.29 2.97 -10% Professional Component 3.05 3.00 -2% Practice Expense - PC 0.99 0.94 -5% Technical Component 2.36 2.09 -11% Practice Expense - TC 2.30 2.03 -12% Physician work 2.00 2.00 0% 95911 Motor&/sens 9-10 nrv cndj tst 6.54 6.17 -6% Practice Expense 3.89 3.52 -10% Professional Component 3.80 3.74 -2% Practice Expense - PC 1.23 1.17 -5% Technical Component 2.74 2.43 -11% Practice Expense - TC 2.66 2.35 -12% Physician work 2.50 2.50 0% 95912 Motor&/sens 11-12 nrv cndj tst 7.67 7.24 -6% Practice Expense 4.49 4.06 -10% Professional Component 4.57 4.49 -2% Practice Expense - PC 1.48 1.40 -5% Technical Component 3.10 2.75 -11% Practice Expense - TC 3.01 2.66 -12% Physician work 3.00 3.00 0% 95913 Motor&/sens 13/> nrv cndj tst 8.88 8.41 -5% Practice Expense 5.11 4.64 -9% Professional Component 5.41 5.33 -1% Practice Expense - PC 1.75 1.67 -5% Technical Component 3.47 3.08 -11% Practice Expense - TC 3.36 2.97 -12% Physician work 3.56 3.56 0%

CPT Code Descriptors 2013 2014 Change(%) from 2013 to 2014

Total RVUs

95921 Autonomic Parasympathetic 2.66 2.49 -6% Practice Expense 1.71 1.54 -10% Professional Component 1.32 1.31 -1% Practice Expense - PC 0.38 0.37 -3% Technical Component 1.34 1.18 -12% Practice Expense - TC 1.33 1.17 -12% Physician work 0.90 0.90 0% 95922 Autonomic Sympathetic 3.20 2.99 -7% Practice Expense 2.19 1.98 -10% Professional Component 1.42 1.41 -1% Practice Expense - PC 0.42 0.41 -2% Technical Component 1.78 1.58 -11% Practice Expense - TC 1.77 1.57 -11% Physician work 0.96 0.96 0% 95923 Autonomic Sudomotor 7.73 3.69 -52% Practice Expense 6.78 2.74 -60% Professional Component 1.37 1.33 -3% Practice Expense - PC 0.43 0.39 -9% Technical Component 6.36 2.36 -63% Practice Expense - TC 6.35 2.35 -63% Physician work 0.90 0.90 0%

95924 Ans parasymp & symp w/tilt 4.33 4.07 -6%

Practice Expense 2.51 2.25 -10% Professional Component 2.54 2.51 -1% Practice Expense - PC 0.73 0.70 -4% Technical Component 1.79 1.56 -13% Practice Expense - TC 1.78 1.55 -13% Physician work 1.73 1.73 0%

95943 Parasymp&symp hrt rate test 0.00 0.00 0%

Practice Expense 0.00 0.00 0% Professional Component 0.00 0.00 0% Practice Expense - PC 0.00 0.00 0% Technical Component 0.00 0.00 0% Practice Expense - TC 0.00 0.00 0% Physician work 0.00 0.00 0%

Medicare Fee Schedule CPT Code Descriptors 2013 2014 Change(%) from 2013 to 2014

Total RVUs

95925 Somatosensory EPs, Upper Limbs 5.79 4.84 -16%

Practice Expense 5.23 4.28 -18% Professional Components 0.81 0.79 -2% Practice Expense - PC 0.26 0.24 -8% Technical Components 4.98 4.05 -19% Practice Expense - TC 4.97 4.04 -19% Physician work 0.54 0.54 0%

95926 Somatosensory EPs, Lower Limbs 5.60 4.07 -27%

Practice Expense 5.02 3.49 -30% Professional Components 0.83 0.79 -5% Practice Expense - PC 0.26 0.22 -15% Technical Components 4.77 3.28 -31% Practice Expense - TC 4.76 3.27 -31% Physician work 0.54 0.54 0%

95927 Somatosensory EPs, Trunk or Head 5.07 4.52 -11%

Practice Expense 4.51 3.96 -12% Professional Components 0.79 0.77 -3% Practice Expense - PC 0.24 0.22 -8% Technical Components 4.28 3.75 -12% Practice Expense - TC 4.27 3.74 -12% Physician work 0.54 0.54 0%

95928 C motor evoked, upper limbs 8.71 4.66 -46%

Practice Expense 7.11 3.06 -57% Professional Components 2.30 2.28 -1% Practice Expense - PC 0.73 0.71 -3% Technical Components 6.41 2.38 -63% Practice Expense - TC 6.38 2.35 -63% Physician work 1.50 1.50 0%

95929 C motor evoked, lower limbs 8.76 4.64 -47%

Practice Expense 7.16 3.04 -58% Professional Components 2.30 2.26 -2% Practice Expense - PC 0.73 0.69 -5% Technical Components 6.46 2.38 -63% Practice Expense - TC 6.43 2.35 -63% Physician work 1.50 1.50 0%

95930 Visual Evoked Potential 4.83 3.73 -23%

Practice Expense 4.46 3.36 -25% Professional Components 0.53 0.52 -2% Practice Expense - PC 0.17 0.16 -6% Technical Components 4.30 3.21 -25% Practice Expense - TC 4.29 3.20 -25% Physician work 0.35 0.35 0%

95933 Blink Reflex Test 2.71 2.17 -20%

Practice Expense 2.08 1.54 -26% Professional Components 0.91 0.89 -2% Practice Expense - PC 0.29 0.27 -7% Technical Components 1.80 1.28 -29% Practice Expense - TC 1.79 1.27 -29% Physician work 0.59 0.59 0%

CPT Code Descriptors 2013 2014

Change(%) from 2013 to 2014

Total RVUs

95937 Neuromuscular Junction Test 2.33 2.25 -3%

Practice Expense 1.63 1.55 -5% Professional Components 0.99 0.98 -1% Practice Expense - PC 0.30 0.29 -3% Technical Components 1.34 1.27 -5% Practice Expense - TC 1.33 1.26 -5% Physician work 0.65 0.65 0% 95938 Somatosensory testing 9.81 9.41 -4% Practice Expense 8.88 8.48 -5% Professional Components 1.32 1.31 -1% Practice Expense - PC 0.42 0.41 -2% Technical Components 8.49 8.10 -5% Practice Expense - TC 8.46 8.07 -5% Physician work 0.86 0.86 0%

95939 C motor evoked upper and lower limbs 14.97 13.74 -8%

Practice Expense 12.57 11.34 -10% Professional Components 3.45 3.40 -1% Practice Expense - PC 1.09 1.04 -5% Technical Components 11.52 10.34 -10% Practice Expense - TC 11.48 10.30 -10% Physician work 2.25 2.25 0%

95940 IONM in operatng room 15 min 0.93 0.91 -2%

Practice Expense 0.30 0.28 -7%

Physician work 0.60 0.60 0%

95941 IONM remote/>1 pt or per hr 0.00 0.00 0%

G0453 Cont intraop neuro monitor 0.77 0.76 -1%

Practice Expense 0.24 0.23 -4%

Medicare Fee Schedule CPT Code Descriptors 2013 2014 Change(%) from 2013 to 2014

Total RVUs

95950 Ambulatory Cassette EEG 10.28 9.30 -10%

Practice Expense 8.67 7.69 -11% Professional Components 2.31 2.28 -1% Practice Expense - PC 0.73 0.70 -4% Technical Components 7.97 7.02 -12% Practice Expense - TC 7.94 6.99 -12% Physician work 1.51 1.51 0%

95951 Video-EEG Long-Term Monitoring 0.00 0.00 0%

Practice Expense N/A N/A N/A

Professional Components 9.40 9.25 -2%

Practice Expense - PC 2.93 2.80 -4%

Technical Components N/A N/A N/A

Practice Expense - TC N/A N/A N/A

Physician work 5.99 5.99 0% 95953 Automated Ambulatory 13.03 12.07 -7% Practice Expense 9.77 8.81 -10% Professional Components 4.71 4.64 -1% Practice Expense - PC 1.48 1.41 -5% Technical Components 8.32 7.43 -11% Practice Expense - TC 8.29 7.40 -11% Physician work 3.08 3.08 0%

95954 EEG Monitoring/Giving Drugs 14.03 12.31 -12%

Practice Expense 11.43 9.71 -15% Professional Components 3.56 3.48 -2% Practice Expense - PC 1.00 0.92 -8% Technical Components 10.47 8.83 -16% Practice Expense - TC 10.43 8.79 -16% Physician work 2.45 2.45 0%

95955 EEG During Surgery 7.02 6.38 -9%

Practice Expense 5.96 5.32 -11% Professional Components 1.55 1.53 -1% Practice Expense - PC 0.50 0.48 -4% Technical Components 5.47 4.85 -11% Practice Expense - TC 5.46 4.84 -11% Physician work 1.01 1.01 0%

CPT Code Descriptors 2013 2014

Change(%) from 2013 to 2014

Total RVUs

95956 EEG Monitoring, No Video 51.17 29.28 -43%

Practice Expense 47.24 25.35 -46% Professional Components 5.50 5.43 -1% Practice Expense - PC 1.73 1.66 -4% Technical Components 45.67 23.85 -48% Practice Expense - TC 45.51 23.69 -48% Physician work 3.61 3.61 0%

95957 EEG Digital Analysis 13.69 12.29 -10%

Practice Expense 11.60 10.20 -12% Professional Components 3.03 2.99 -1% Practice Expense - PC 0.95 0.91 -4% Technical Components 10.66 9.30 -13% Practice Expense - TC 10.65 9.29 -13% Physician work 1.98 1.98 0% 95958 Wada Test 17.24 11.46 -34% Practice Expense 12.74 6.97 -45% Professional Components 6.42 6.35 -1% Practice Expense - PC 1.96 1.90 -3% Technical Components 10.82 5.11 -53% Practice Expense - TC 10.78 5.07 -53% Physician work 4.24 4.24 0%

95961 Grid: Cortex Stimulation 8.44 8.00 -5%

Practice Expense 5.32 4.88 -8% Professional Components 4.53 4.45 -2% Practice Expense - PC 1.42 1.34 -6% Technical Components 3.91 3.55 -9% Practice Expense - TC 3.90 3.54 -9% Physician work 2.97 2.97 0%

95962 Grid: Cortex Stimulation 7.31 7.07 -3%

Practice Expense 3.95 3.71 -6% Professional Components 4.88 4.80 -2% Practice Expense - PC 1.53 1.45 -5% Technical Components 2.43 2.27 -7% Practice Expense - TC 2.42 2.26 -7% Physician work 3.21 3.21 0%

95965 MEG, Spontaneous N/A N/A N/A

Practice Expense N/A N/A N/A

Professional Components 12.55 12.11 -4%

Practice Expense - PC 3.92 3.51 -10%

Technical Components N/A N/A N/A

Practice Expense - TC N/A N/A N/A

Medicare Fee Schedule CPT Code Descriptors 2013 2014 Change(%) from 2013 to 2014

Total RVUs

95966 MEG, evoked, single N/A N/A N/A

Practice Expense N/A N/A N/A

Professional Components 5.77 6.16 7%

Practice Expense - PC 1.47 1.87 27%

Technical Components N/A N/A N/A

Practice Expense - TC N/A N/A N/A

Physician work 3.99 3.99 0%

95967 MEG, evoked, each additional N/A N/A N/A

Practice Expense N/A N/A N/A

Professional Components 5.07 5.41 7%

Practice Expense - PC 1.27 1.64 29%

Technical Components N/A N/A N/A

Practice Expense - TC N/A N/A N/A

Physician work 3.49 3.49 0%

95970 Neurostim analyze, no program 2.11 1.92 -9%

Practice Expense 1.49 1.43 -4%

Physician work 0.45 0.45 0%

95971 Simple neurostim analyze 1.77 1.70 -4%

Practice Expense 0.92 0.85 -8%

Physician work 0.78 0.78 0%

95972 Complex neurostim analyze 3.23 3.10 -4%

Practice Expense 1.59 1.46 -8%

Physician work 1.50 1.50 0%

95973 Complex neurostim analyze 1.85 1.80 -3%

Practice Expense 0.85 0.80 -6%

Physician work 0.92 0.92 0%

95974 Complex cranial neurostim 6.04 5.84 -3%

Practice Expense 2.78 2.59 -7%

Physician work 3.00 3.00 0%

95975 Complex cranial neurostim 3.23 3.13 -3%

Practice Expense 1.41 1.31 -7%

Physician work 1.70 1.70 0%

95978 Analyze neurostim brain/1 hour 7.35 7.04 -4%

Practice Expense 3.47 3.18 -8%

CPT Code Descriptors 2013 2014

Change(%) from 2013 to 2014

Total RVUs

95979 Analyze neurostim brain/add on 3.15 3.05 -3%

Practice Expense 1.37 1.27 -7%

Physician work 1.64 1.64 0%

95992 Canalith Repositioning 1.26 1.24 -2%

Practice Expense 0.46 0.44 -4%

Physician work 0.75 0.75 0%

96000 Motion analysis, video/3D 2.87 2.69 -6%

Practice Expense 0.96 0.78 -19%

Physician work 1.80 1.80 0%

96001 Motion test w/ft pressure meas 2.83 2.82 0%

Practice Expense 0.56 0.55 -2%

Physician work 2.15 2.15 0%

96002 Dynamic surface EMG 0.63 0.60 -5%

Practice Expense 0.19 0.16 -16%

Physician work 0.41 0.41 0%

96004 Phys rewiey of motion tests 3.29 3.33 1%

Practice Expense 1.01 1.05 4%

Physician work 2.14 2.14 0%

96020 Functional Brain Mapping N/A N/A N/A

Practice Expense N/A N/A N/A

Professional Component 4.84 4.79 -1%

Practice Expense - PC 1.10 1.06 -4%

Technical Component N/A N/A N/A

Practice Expense - TC N/A N/A N/A

Physician work 3.43 3.43 0%

99201 Office/outpatient visit, new 1.29 1.23 -5%

Practice Expense 0.77 0.71 -8%

Physician work 0.48 0.48 0%

99202 Office/outpatient visit, new 2.19 2.10 -4%

Practice Expense 1.19 1.10 -8%

Physician work 0.93 0.93 0%

99203 Office/outpatient visit, new 3.17 3.04 -4%

Practice Expense 1.61 1.48 -8%

Medicare Fee Schedule CPT Code Descriptors 2013 2014 Change(%) from 2013 to 2014

Total RVUs

99204 Office/outpatient visit, new 4.84 4.66 -4%

Practice Expense 2.18 2.01 -8%

Physician work 2.43 2.43 0%

99205 Office/outpatient visit, new 5.99 5.80 -3%

Practice Expense 2.55 2.37 -7%

Physician work 3.17 3.17 0%

99211 Office/outpatient visit, est 0.60 0.57 -5%

Practice Expense 0.41 0.38 -7%

Physician work 0.18 0.18 0%

99212 Office/outpatient visit, est 1.29 1.22 -5%

Practice Expense 0.77 0.70 -9%

Physician work 0.48 0.48 0%

99213 Office/outpatient visit, est 2.13 2.04 -4%

Practice Expense 1.09 1.00 -8%

Physician work 0.97 0.97 0%

99214 Office/outpatient visit, est 3.13 3.01 -4%

Practice Expense 1.53 1.41 -8%

Physician work 1.50 1.50 0%

99215 Office/outpatient visit, est 4.20 4.05 -4%

Practice Expense 1.95 1.80 -8%

Physician work 2.11 2.11 0%

99221 Initial hospital care 2.91 2.87 -1%

Practice Expense 0.81 0.77 -5%

Physician work 1.92 1.92 0%

99222 Initial hospital care 3.95 3.88 -2%

Practice Expense 1.12 1.06 -5%

Physician work 2.61 2.61 0%

99223 Initial hospital care 5.81 5.71 -2%

Practice Expense 1.66 1.57 -5%

Physician work 3.86 3.86 0%

99231 Subsequent hospital care 1.12 1.10 -2%

Practice Expense 0.31 0.29 -6%

Physician work 0.76 0.76 0%

99232 Subsequent hospital care 2.06 2.03 -1%

Practice Expense 0.59 0.56 -5%

Physician work 1.39 1.39 0%

99233 Subsequent hospital care 2.97 2.92 -2%

Practice Expense 0.85 0.80 -6%

CPT Code Descriptors 2013 2014

Change(%) from 2013 to 2014

Total RVUs

99234 Observ/hosp same date 3.86 3.80 -2%

Practice Expense 1.08 1.03 -5%

Physician work 2.56 2.56 0%

99235 Observ/hosp same date 4.83 4.75 -2%

Practice Expense 1.37 1.30 -5%

Physician work 3.24 3.24 0%

99236 Observ/hosp same date 6.24 6.13 -2%

Practice Expense 1.75 1.65 -6%

Physician work 4.20 4.20 0%

99238 Hospital discharge day 2.08 2.03 -2%

Practice Expense 0.73 0.68 -7%

Physician work 1.28 1.28 0%

99487* Cmplx chron care w/o pt vsit 2.41 2.30 -5%

Practice Expense 1.35 1.24 -8%

Physician work 1.00 1.00 0%

99488* Cmplx chron care w pt vsit 5.40 4.48 -17%

Practice Expense 2.73 1.81 -34%

Physician work 2.50 2.50 0%

99489* Complx chron care addl 30 min 1.21 1.04 -14%

Practice Expense 0.68 0.51 -25%

Physician work 0.50 0.50 0%

99495 Trans care mgmt 14 day disch 4.82 4.60 -5%

Practice Expense 2.57 2.35 -9%

Physician work 2.11 2.11 0%

99496 Trans care mgmt 7 day disch 6.77 6.48 -4%

Practice Expense 3.54 3.23 -9% Physician work 3.05 3.05 0% 99241

*

Office consultation 1.37 1.37 0% Physician work 0.64 0.64 0% 99242

*

Office consultation 2.58 2.57 0% Physician work 1.34 1.34 0% 99243

*

Office consultation 3.52 3.51 0% Physician work 1.88 1.88 0%

Medicare Fee Schedule CPT Code Descriptors 2013 2014 Change(%) from 2013 to 2014

Total RVUs

99244

*

Office consultation 5.20 5.19 0% Physician work 3.02 3.02 0% 99245

*

Office consultation 6.36 6.35 0% Physician work 3.77 3.77 0% 99251

*

Inpatient consult 1.39 1.39 0% Physician work 1.00 1.00 0% 99252

*

Inpatient consult 2.14 2.13 0% Physician work 1.50 1.50 0% 99253

*

Inpatient consult 3.26 3.25 0% Physician work 2.27 2.27 0% 99254

*

Inpatient consult 4.70 4.67 -1% Physician work 3.29 3.29 0% 99255

*

Inpatient consult 5.84 5.67 -3% Physician work 4.00 4.00 0%

99291 Critical care, first hour 7.99 7.68 -4%

Practice Expense 3.15 2.86 -9%

Physician work 4.50 4.50 0%

99292 Critical care, addl 30 min 3.55 3.45 -3%

Practice Expense 1.12 1.02 -9%

Physician work 2.25 2.25 0%

*

Indicates code which is not currently payable under Medicare Notes

Dollar Amounts, based on Medicare Conversion Factor

CPT

Code

Descriptors

2013 (using

CF of

34.0230)

2014 (using

CF of

35.6653)

Change ($)

2013 - 2014

(using CF of

35.6653)

Medicare Conversion Factor

34.0230

35.6653

35.6653

20550

Inject tendon/ligament/cyst

$58.52

$58.85

$0.33

20551

Inject tendon origin/insert

$60.56

$60.99

$0.43

20552

Inject trigger point, 1 or 2

$55.80

$55.99

$0.20

20553

Inject trigger points, > 3

$64.64

$64.55

-$0.09

37215

Transcath stent, cca w/eps

$1,098.26

$1,122.74

$24.48

37216

Transcath stent, cca w/o eps

$1,018.65

$1,046.78

$28.13

62270

Lumbar Puncture

$163.99

$160.85

-$3.14

64405

Nerve Block, greater occipital nerve

$103.43

$102.00

-$1.43

64611

Chemodenervation, salivary glands

$114.66

$113.77

-$0.89

64612

Destroy nerve, face muscle

$138.81

$139.45

$0.64

64613

Destroy nerve, spine muscle

$175.22

$175.12

-$0.10

64614

Destroy nerve, extrem musc

$187.81

$187.24

-$0.56

64615

Chemodenervation musc migraine

$143.92

$145.16

$1.24

64650

Chemodenervation, eccrine

$127.59

$124.12

-$3.47

64653

Chemodenervation, eccrine

$153.78

$152.65

-$1.14

67345

Destroy nerve of eye muscle

$257.21

$258.57

$1.36

70554

fMRI, brain by tech

$500.82

$451.88

-$48.94

Professional Component

$102.75

$107.00

$4.25

Technical Component

$398.07

$344.88

-$53.19

Medicare Fee Schedule

Dollar Amounts, based on Medicare Conversion Factor

CPT

Code

Descriptors

2013 (using

CF of

34.0230)

2014 (using

CF of

35.6653)

Change ($)

2013 - 2014

(using CF of

35.6653)

92540

Vestibular testing

$100.71

$102.72

$2.01

Professional Component

$77.91

$80.60

$2.69

Technical Component

$22.80

$22.11

-$0.68

92585

Brainstem Auditory EP

$130.99

$131.25

$0.26

Professional Component

$25.86

$26.75

$0.89

Technical Component

$105.13

$104.50

-$0.63

93880

Carotid Duplex Scan

$245.31

$232.89

-$12.41

Professional Component

$29.26

$29.96

$0.70

Technical Component

$216.05

$202.94

-$13.11

93882

Carotid Duplex Scan

$176.24

$166.56

-$9.68

Professional Component

$19.73

$20.33

$0.60

Technical Component

$156.51

$146.23

-$10.28

93886

Transcranial Doppler

$381.06

$357.72

-$23.33

Professional Component

$47.29

$49.22

$1.93

Technical Component

$333.77

$308.50

-$25.26

93888

Transcranial Doppler

$221.49

$209.71

-$11.78

Professional Component

$30.96

$31.74

$0.78

Technical Component

$190.53

$177.97

-$12.56

93890

TCD, vasoreactivity study

$300.08

$288.18

-$11.91

Professional Component

$49.33

$51.36

$2.02

Technical Component

$250.75

$236.82

-$13.93

93892

TCD, emboli detection w/o inj

$338.87

$335.25

-$3.62

Professional Component

$57.16

$59.56

$2.40

Technical Component

$281.71

$275.69

-$6.02

93893

TCD, emboli detection w/inj

$360.98

$346.67

-$14.32

Professional Component

$57.84

$59.92

$2.08

Technical Component

$303.14

$286.75

-$16.40

94660

CPAP initiation and management

$63.96

$63.48

-$0.48

95800

Sleep study, unattended, simultaneous

recording

$182.70

$178.68

-$4.02

Professional Component

$51.03

$52.78

$1.75

Dollar Amounts, based on Medicare Conversion Factor

CPT

Code

Descriptors

2013 (using

CF of

34.0230)

2014 (using

CF of

35.6653)

Change ($)

2013 - 2014

(using CF of

35.6653)

95801

Sleep study, unattended

$95.26

$94.87

-$0.39

Professional Component

$47.63

$49.57

$1.94

Technical Component

$47.63

$45.29

-$2.34

95803

Actigraphy testing

$152.42

$128.04

-$24.38

Professional Component

$43.89

$43.87

-$0.02

Technical Component

$108.53

$84.17

-$24.36

95805

Multiple Sleep Latency Test

$429.37

$419.42

-$9.95

Professional Component

$57.50

$59.92

$2.42

Technical Component

$371.87

$359.51

-$12.37

95806

Sleep Study, Unattended

$183.38

$172.26

-$11.12

Professional Component

$60.90

$62.41

$1.51

Technical Component

$122.48

$109.85

-$12.63

95807

Sleep Study

$499.80

$471.85

-$27.95

Professional Component

$60.90

$63.13

$2.23

Technical Component

$438.90

$408.72

-$30.17

95808

Polysomnography, 1-3

$654.26

$633.77

-$20.49

Professional Component

$84.72

$88.45

$3.73

Technical Component

$569.55

$545.32

-$24.22

95810

Polysomnography, 4 or more

$646.10

$615.23

-$30.87

Professional Component

$119.76

$123.40

$3.64

Technical Component

$526.34

$491.82

-$34.51

95811

Polysomnography w/CPAP

$677.74

$645.90

-$31.84

Professional Component

$124.52

$128.40

$3.87

Technical Component

$553.21

$517.50

-$35.71

95782

Polysom <6 yrs 4/> paramtrs

$1,066.62

$994.71

-$71.92

Professional Component

$127.59

$131.96

$4.38

Technical Component

$939.03

$862.74

-$76.29

95783

Polysom <6 yrs cpap/bilvl

$1,116.98

$1,061.76

-$55.22

Professional Component

$139.15

$143.73

$4.58

Medicare Fee Schedule

Dollar Amounts, based on Medicare Conversion Factor

CPT

Code

Descriptors

2013 (using

CF of

34.0230)

2014 (using

CF of

35.6653)

Change ($)

2013 - 2014

(using CF of

35.6653)

95813

Extended EEG, > 1 hr

$520.89

$274.98

-$245.91

Professional Component

$89.48

$92.73

$3.25

Technical Component

$431.41

$182.25

-$249.16

95816

Axake EEG

$415.76

$240.38

-$175.38

Professional Component

$56.48

$58.49

$2.01

Technical Component

$359.28

$181.89

-$177.39

95819

Axake and Asleep EEG

$477.68

$240.03

-$237.66

Professional Component

$56.14

$58.13

$2.00

Technical Component

$421.54

$181.89

-$239.65

95822

Sleep EEG

$426.99

$240.03

-$186.96

Professional Component

$56.14

$58.13

$2.00

Technical Component

$370.85

$181.89

-$188.96

95824

EEG for Brain Death

N/A

N/A

N/A

Professional Component

$39.13

$40.66

$1.53

Technical Component

N/A

N/A

N/A

95827

Overnight EEG

$812.47

$241.81

-$570.66

Professional Component

$56.14

$58.13

$2.00

Technical Component

$756.33

$183.68

-$572.65

95829

Surgery Electrocorticogram

$1,971.97

$1,839.26

-$132.71

Professional Component

$318.46

$329.19

$10.74

Technical Component

$1,657.26

$1,510.07

-$147.19

95830

Insert Sphenoidal Electrodes

$268.78

$251.80

-$16.98

95860

EMG, One Limb

$127.25

$121.62

-$5.63

Professional Component

$50.69

$52.43

$1.73

Technical Component

$76.55

$69.19

-$7.36

95861

EMG, Two Limbs

$174.54

$167.98

-$6.55

Professional Component

$80.97

$83.10

$2.13

Technical Component

$93.56

$84.88

-$8.68

95863

EMG, Three Limbs

$213.32

$184.75

-$28.58

Professional Component

$97.65

$100.58

$2.93

Dollar Amounts, based on Medicare Conversion Factor

CPT

Code

Descriptors

2013 (using

CF of

34.0230)

2014 (using

CF of

35.6653)

Change ($)

2013 - 2014

(using CF of

35.6653)

95864

EMG, Four Limbs

$244.29

$191.17

-$53.12

Professional Component

$103.77

$107.00

$3.23

Technical Component

$140.51

$84.17

-$56.34

95865

EMG, larynx

$136.09

$136.24

$0.15

Professional Component

$80.29

$83.46

$3.16

Technical Component

$140.51

$52.78

-$87.73

95866

EMG, hemidiaphragm

$139.15

$132.32

-$6.84

Professional Component

$65.66

$68.48

$2.81

Technical Component

$140.51

$63.84

-$76.67

95867

EMG, Cranial Unilateral

$115.34

$93.44

-$21.89

Professional Component

$41.17

$42.80

$1.63

Technical Component

$140.51

$50.64

-$89.87

95868

EMG, Cranial Bilateral

$144.60

$130.18

-$14.42

Professional Component

$61.24

$63.48

$2.24

Technical Component

$83.36

$66.69

-$16.66

95869

EMG, Thoracic Paraspinal

$87.10

$65.27

-$21.83

Professional Component

$19.05

$19.62

$0.56

Technical Component

$83.36

$45.65

-$37.70

95870

EMG, Other

$91.52

$65.27

-$26.25

Professional Component

$19.39

$19.62

$0.22

Technical Component

$72.13

$45.65

-$26.48

95872

EMG, Single Fiber

$202.78

$203.65

$0.87

Professional Component

$150.04

$155.86

$5.82

Technical Component

$52.74

$47.79

-$4.94

95873

Electrical stimulation, chemodenervation

$78.25

$74.18

-$4.07

Professional Component

$20.07

$20.69

$0.61

Technical Component

$58.18

$53.50

-$4.68

95874

EMG, chemodenervation

$74.85

$71.69

-$3.16

Medicare Fee Schedule

Dollar Amounts, based on Medicare Conversion Factor

CPT

Code

Descriptors

2013 (using

CF of

34.0230)

2014 (using

CF of

35.6653)

Change ($)

2013 - 2014

(using CF of

35.6653)

95885

Needle EMG when performed with nerve

conduction test; limited

$61.24

$58.13

-$3.11

Professional Component

$18.37

$18.90

$0.53

Technical Component

$42.87

$39.23

-$3.64

95886

Needle EMG when performed with nerve

conduction test; complex

$84.72

$82.39

-$2.33

Professional Component

$36.74

$38.16

$1.42

Technical Component

$47.97

$44.22

-$3.75

95887

Needle EMG when performed with nerve

conduction test; non-extremity

$71.11

$72.76

$1.65

Professional Component

$24.16

$24.97

$0.81

Technical Component

$46.95

$47.79

$0.84

95905

NCV, Preconfig array

$71.11

$68.12

-$2.99

Professional Component

$2.72

$2.85

$0.13

Technical Component

$68.39

$65.27

-$3.12

95907

Motor&/sens 1-2 nrv cndj tst

$94.58

$93.44

-$1.14

Professional Component

$51.71

$53.50

$1.78

Technical Component

$42.87

$39.95

-$2.92

95908

Motor&/sens 3-4 nrv cndj tst

$116.70

$114.84

-$1.86

Professional Component

$64.98

$67.05

$2.07

Technical Component

$51.71

$47.79

-$3.92

95909

Motor&/sens 5-6 nrv cndj tst

$139.83

$137.31

-$2.52

Professional Component

$77.57

$79.89

$2.32

Technical Component

$62.26

$57.42

-$4.84

95910

Motor&/sens 7-8 nrv cndj tst

$184.06

$181.54

-$2.53

Professional Component

$103.77

$107.00

$3.23

Technical Component

$80.29

$74.54

-$5.75

Dollar Amounts, based on Medicare Conversion Factor

CPT

Code

Descriptors

2013 (using

CF of

34.0230)

2014 (using

CF of

35.6653)

Change ($)

2013 - 2014

(using CF of

35.6653)

95911

Motor&/sens 9-10 nrv cndj tst

$222.51

$220.05

-$2.46

Professional Component

$129.29

$133.39

$4.10

Technical Component

$93.22

$86.67

-$6.56

95912

Motor&/sens 11-12 nrv cndj tst

$260.96

$258.22

-$2.74

Professional Component

$155.49

$160.14

$4.65

Technical Component

$105.47

$98.08

-$7.39

95913

Motor&/sens 13/> nrv cndj tst

$302.12

$299.95

-$2.18

Professional Component

$184.06

$190.10

$6.03

Technical Component

$105.47

$109.85

$4.38

95921

Autonomic Parasympathetic

$90.50

$88.81

-$1.69

Professional Component

$44.91

$46.72

$1.81

Technical Component

$45.59

$42.09

-$3.51

95922

Autonomic Sympathetic

$108.87

$106.64

-$2.23

Professional Component

$48.31

$50.29

$1.98

Technical Component

$60.56

$56.35

-$4.21

95923

Autonomic Sudomotor

$263.00

$131.60

-$131.39

Professional Component

$46.61

$47.43

$0.82

Technical Component

$216.39

$84.17

-$132.22

95924

Ans parasymp & symp w/tilt

$147.32

$145.16

-$2.16

Professional Component

$86.42

$89.52

$3.10

Technical Component

$60.90

$55.64

-$5.26

95943

Parasymp&symp hrt rate test

$0.00

$0.00

$0.00

Professional Component

$0.00

$0.00

$0.00

Technical Component

$0.00

$0.00

$0.00

95925

Somatosensory EPs, Upper Limbs

$196.99

$172.62

-$24.37

Professional Component

$27.56

$28.18

$0.62

Technical Component

$169.43

$144.44

-$24.99

95926

Somatosensory EPs, Lower Limbs

$190.53

$145.16

-$45.37

Medicare Fee Schedule

Dollar Amounts, based on Medicare Conversion Factor

CPT

Code

Descriptors

2013 (using

CF of

34.0230)

2014 (using

CF of

35.6653)

Change ($)

2013 - 2014

(using CF of

35.6653)

95928

C motor evoked, upper limbs

$296.34

$166.20

-$130.14

Professional Component

$78.25

$81.32

$3.06

Technical Component

$218.09

$84.88

-$133.20

95929

C motor evoked, lower limbs

$298.04

$165.49

-$132.55

Professional Component

$78.25

$80.60

$2.35

Technical Component

$219.79

$84.88

-$134.91

95930

Visual Evoked Potential

$164.33

$133.03

-$31.30

Professional Component

$18.03

$18.55

$0.51

Technical Component

$146.30

$114.49

-$31.81

95933

Blink Reflex Test

$92.20

$77.39

-$14.81

Professional Component

$30.96

$31.74

$0.78

Technical Component

$61.24

$45.65

-$15.59

95937

Neuromuscular Junction Test

$79.27

$80.25

$0.97

Professional Component

$33.68

$34.95

$1.27

Technical Component

$45.59

$45.29

-$0.30

95938

Somatosensory testing

$333.77

$335.61

$1.84

Professional Component

$44.91

$46.72

$1.81

Technical Component

$288.86

$288.89

$0.03

95939

C motor evoked upper and lower limbs

$509.32

$490.04

-$19.28

Professional Component

$117.38

$121.26

$3.88

Technical Component

$391.94

$368.78

-$23.17

95940

IONM in operatng room 15 min

$31.64

$32.46

$0.81

95941*

IONM remote/>1 pt or per hr

$0.00

$0.00

$0.00

G0453

Cont intraop neuro monitor

$26.20

$27.11

$0.91

95950

Ambulatory Cassette EEG

$349.76

$331.69

-$18.07

Professional Component

$78.59

$81.32

$2.72

Technical Component

$271.16

$250.37

-$20.79

95951

Video-EEG Long-Term Monitoring

0.00

0.00

0.00

Professional Component

$319.82

$329.90

$10.09

Technical Component

0.00

0.00

0.00

Dollar Amounts, based on Medicare Conversion Factor

CPT

Code

Descriptors

2013 (using

CF of

34.0230)

2014 (using

CF of

35.6653)

Change ($)

2013 - 2014

(using CF of

35.6653)

95954

EEG Monitoring/Giving Drugs

$480.40

$442.25

-$38.16

Professional Component

$121.12

$124.12

$2.99

Technical Component

$356.22

$314.92

-$41.30

95955

EEG During Surgery

$238.84

$227.54

-$11.30

Professional Component

$52.74

$54.57

$1.83

Technical Component

$186.11

$172.98

-$13.13

95956

EEG Monitoring, No Video

$1,740.96

$1,044.28

-$696.68

Professional Component

$187.13

$193.66

$6.54

Technical Component

$1,553.83

$850.62

-$703.21

95957

EEG Digital Analysis

$465.77

$438.33

-$27.45

Professional Component

$103.09

$106.64

$3.55

Technical Component

$362.69

$331.69

-$31.00

95958

Wada Test

$586.56

$408.72

-$177.83

Professional Component

$218.43

$226.47

$8.05

Technical Component

$368.13

$182.25

-$185.88

95961

Grid: Cortex Stimulation

$287.15

$285.32

-$1.83

Professional Component

$154.12

$158.71

$4.59

Technical Component

$133.03

$126.61

-$6.42

95962

Grid: Cortex Stimulation

$248.71

$252.15

$3.45

Professional Component

$166.03

$171.19

$5.16

Technical Component

$82.68

$80.96

-$1.72

95965

MEG, spontaneous

$0.0

$0.0

$0.00

Professional Components

$426.99

$431.91

$4.92

Technical Components

$0.0

$0.0

$0.00

95966

MEG, evoked, single

$0.0

$0.0

$0.00

Professional Components

$196.31

$219.70

$23.39

Technical Components

$0.0

$0.0

$0.00

95967

MEG, evoked, each additional

$0.0

$0.0

$0.00

Medicare Fee Schedule

Dollar Amounts, based on Medicare Conversion Factor

CPT

Code

Descriptors

2013 (using

CF of

34.0230)

2014 (using

CF of

35.6653)

Change ($)

2013 - 2014

(using CF of

35.6653)

95972

Complex neurostim analyze

$109.89

$110.56

$0.67

95973

Complex neurostim analyze

$62.94

$64.20

$1.25

95974

Complex cranial neurostim

$205.50

$208.29

$2.79

95975

Complex cranial neurostim

$109.89

$111.63

$1.74

95992

Canalith Repositioning

$42.87

$44.22

$1.36

96000

Motion analysis, video/3D

$97.65

$95.94

-$1.71

96001

Motion test x/ft pressure meas

$96.29

$100.58

$4.29

96002

Dynamic surface EMG

$21.43

$21.40

-$0.04

96003

Dynamic fine wire EMG

$16.67

$19.97

$3.30

96004

Phys review of motion tests

$111.94

$118.77

$6.83

96020

Functional Brain Mapping

$0.00

$0.00

$0.00

Professional Component

$164.67

$170.84

$6.17

Technical Component

$0.00

$0.00

$0.00

99201

Office/outpatient visit, new

$43.89

$43.87

-$0.02

99202

Office/outpatient visit, new

$74.51

$74.90

$0.39

99203

Office/outpatient visit, new

$107.85

$108.42

$0.57

99204

Office/outpatient visit, new

$164.67

$166.56

$1.89

99205

Office/outpatient visit, new

$203.80

$206.86

$3.06

99211

Office/outpatient visit, est

$20.41

$20.33

-$0.08

99212

Office/outpatient visit, est

$43.89

$43.51

-$0.38

99213

Office/outpatient visit, est

$72.47

$72.76

$0.29

99214

Office/outpatient visit, est

$106.49

$107.35

$0.86

Dollar Amounts, based on Medicare Conversion Factor

CPT

Code

Descriptors

2013 (using

CF of

34.0230)

2014 (using

CF of

35.6653)

Change ($)

2013 - 2014

(using CF of

35.6653)

99222

Initial hospital care

$134.39

$138.74

$4.35

99223

Initial hospital care

$197.67

$203.65

$5.98

99231

Subsequent hospital care

$53.42

$55.28

$1.87

99232

Subsequent hospital care

$70.09

$72.40

$2.31

99233

Subsequent hospital care

$101.05

$104.14

$3.09

99234

Observ/hosp same date

$131.33

$135.53

$4.20

99235

Observ/hosp same date

$164.33

$169.41

$5.08

99236

Observ/hosp same date

$212.30

$218.63

$6.32

99238

Hospital discharge day

$70.77

$72.40

$1.63

99487*

Cmplx chron care w/o pt vsit

$82.00

$82.03

$0.03

99488*

Cmplx chron care w pt vsit

$183.72

$159.78

-$23.94

99489*

Complx chron care addl 30 min

$41.17

$37.09

-$4.08

99495

Trans care mgmt 14 day disch

$163.99

$164.06

$0.07

99496

Trans care mgmt 7 day disch

$231.02

$231.11

$0.09

99241

*

Office consultation

$46.61

$48.86

$2.25

99242

*

Office consultation

$87.78

$91.66

$3.88

99243

*

Office consultation

$119.76

$125.19

$5.42

99244

*

Office consultation

$176.92

$185.10

$8.18

99245

*

Office consultation

$216.39

$226.47

$10.09

99251

*

Inpatient consult

$47.29

$49.57

$2.28

Medicare Fee Schedule

Dollar Amounts, based on Medicare Conversion Factor

CPT

Code

Descriptors

2013 (using

CF of

34.0230)

2014 (using

CF of

35.6653)

Change ($)

2013 - 2014

(using CF of

35.6653)

99254

*

Inpatient consult

$159.91

$167.27

$7.36

99255

*

Inpatient consult

$199.03

$202.22

$3.19

99291

Critical care, first hour

$271.84

$273.91

$2.07

99292

Critical care, addl 30 min

$120.78

$123.05

$2.26

* Indicates code which is not currently payable under Medicare

Notes