Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee...

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Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 20550 Inject tendon/ligament/cyst 1.50 1.56 4% Practice Expense 0.67 0.72 7% Physician work 0.75 0.75 0% 20551 Inject tendon origin/insert 1.53 1.60 5% Practice Expense 0.70 0.76 9% Physician work 0.75 0.75 0% 20552 Inject trigger point, 1 or 2 1.57 1.59 1% Practice Expense 0.84 0.84 0% Physician work 0.66 0.66 0% 20553 Inject trigger points, > 3 1.81 1.82 1% Practice Expense 0.98 0.98 0% Physician work 0.75 0.75 0% 62270 Lumbar Puncture 4.22 3.97 -6% Practice Expense 2.67 2.59 -3% Physician work 1.37 1.22 -11% 64405 Nerve Block, greater occipital nerve 2.37 2.07 -13% Practice Expense 1.23 0.92 -25% Physician work 0.94 0.94 0% 64611 Chemodenerwation, salivary glands 3.45 3.47 1% Practice Expense 2.02 2.09 3% Physician work 1.03 1.03 0% 64612 Destroy nerve, face muscle 3.83 3.82 0% Practice Expense 2.12 2.14 1% Physician work 1.41 1.41 0% 64615 Chemodenervation musc migraine 4.27 4.32 1% Practice Expense 1.81 1.89 4% Physician work 1.85 1.85 0% 64616 Chemodenerv musc neck dyston 3.80 3.82 1% Practice Expense 1.75 1.81 3% Physician work 1.53 1.53 0% 64642 Chemodenerv 1 extremity 1-4 4.15 4.19 1% Practice Expense 2.12 2.19 3% Physician work 1.65 1.65 0% American Academy of Neurology Page 1 of 39

Transcript of Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee...

Page 1: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

20550 Inject tendon/ligament/cyst 1.50 1.56 4%

Practice Expense 0.67 0.72 7%

Physician work 0.75 0.75 0%

20551 Inject tendon origin/insert 1.53 1.60 5%

Practice Expense 0.70 0.76 9%

Physician work 0.75 0.75 0%

20552 Inject trigger point, 1 or 2 1.57 1.59 1%

Practice Expense 0.84 0.84 0%

Physician work 0.66 0.66 0%

20553 Inject trigger points, > 3 1.81 1.82 1%

Practice Expense 0.98 0.98 0%

Physician work 0.75 0.75 0%

62270 Lumbar Puncture 4.22 3.97 -6%

Practice Expense 2.67 2.59 -3%

Physician work 1.37 1.22 -11%

64405 Nerve Block, greater occipital nerve 2.37 2.07 -13%

Practice Expense 1.23 0.92 -25%

Physician work 0.94 0.94 0%

64611 Chemodenerwation, salivary glands 3.45 3.47 1%

Practice Expense 2.02 2.09 3%

Physician work 1.03 1.03 0%

64612 Destroy nerve, face muscle 3.83 3.82 0%

Practice Expense 2.12 2.14 1%

Physician work 1.41 1.41 0%

64615 Chemodenervation musc migraine 4.27 4.32 1%

Practice Expense 1.81 1.89 4%

Physician work 1.85 1.85 0%

64616 Chemodenerv musc neck dyston 3.80 3.82 1%

Practice Expense 1.75 1.81 3%

Physician work 1.53 1.53 0%

64642 Chemodenerv 1 extremity 1-4 4.15 4.19 1%

Practice Expense 2.12 2.19 3%

Physician work 1.65 1.65 0%

American Academy of Neurology Page 1 of 39

Page 2: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

64643 Chemodenerv 1 extrem 1-4 ea 2.65 2.65 0%

Practice Expense 1.19 1.21 2%

Physician work 1.22 1.22 0%

64644 Chemodenerv 1 extrem 5/> mus 4.82 4.89 1%

Practice Expense 2.59 2.70 4%

Physician work 1.82 1.82 0%

64645 Chemodenerv 1 extrem 5/> ea 3.33 3.35 1%

Practice Expense 1.62 1.68 4%

Physician work 1.39 1.39 0%

64646 Chemodenerv trunk musc 1-5 4.35 4.41 1%

Practice Expense 2.12 2.20 4%

Physician work 1.80 1.80 0%

64647 Chemodenerv trunk musc 6/> 5.12 5.09 -1%

Practice Expense 2.39 2.42 1%

Physician work 2.11 2.11 0%

64650 Chemodenervation, eccrine glands 2.25 2.30 2%

Practice Expense 1.42 1.49 5%

Physician work 0.70 0.70 0%

64653 Chemodenervation, eccrine glands 2.76 2.79 1%

Practice Expense 1.66 1.72 4%

Physician work 0.88 0.88 0%

67345 Destroy nerve of eye muscle 6.96 6.92 -1%

Practice Expense 3.53 3.50 -1%

Physician work 3.01 3.01 0%

70554 fMRI, brain by tech 12.40 12.16 -2%

Practice Expense 10.14 9.93 -2%

Professional Component 3.00 2.99 0%

Practice Expense - PC 0.77 0.79 3%

Technical Component 9.37 9.17 -2%

Practice Expense - TC 9.40 9.14 -3%

Physician work 2.11 2.11 0%

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

Professional Component 3.58 3.57 0%

Practice Expense - PC 0.90 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%

American Academy of Neurology Page 2 of 39

Page 3: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

92537 Caloric vstblr test w/rec, bithermal 1.16 1.18 2%

Practice Expense 0.53 0.56 6%

Professional Component 0.90 0.90 0%

Practice Expense - PC 0.28 0.29 4%

Technical Component 0.26 0.28 8%

Practice Expense - TC 0.25 0.27 8%

Physician work 0.60 0.60 0%

92538 Caloric vstblr test w/rec, monothermal 0.60 0.64 7%

Practice Expense 0.28 0.32 14%

Professional Component 0.45 0.46 2%

Practice Expense - PC 0.14 0.15 7%

Technical Component 0.15 0.18 20%

Practice Expense - TC 0.14 0.17 21%

Physician work 0.30 0.30 0%

92540 Vestibular testing 2.95 3.04 3%

Practice Expense 1.39 1.48 6%

Professional Component 2.25 2.26 0%

Practice Expense - PC 0.70 0.71 1%

Technical Component 0.70 0.78 11%

Practice Expense - TC 0.69 0.77 12%

Physician work 1.50 1.50 0%

92541 Spontaneous nystagmus test 0.71 0.72 1%

Practice Expense 0.29 0.30 3%

Professional Component 0.60 0.60 0%

Practice Expense - PC 0.19 0.19 0%

Technical Component 0.11 0.12 9%

Practice Expense - TC 0.10 0.11 10%

Physician work 0.40 0.40 0%

92542 Postional syntagmus test 0.82 0.84 2%

Practice Expense 0.31 0.34 10%

Professional Component 0.72 0.72 0%

Practice Expense - PC 0.22 0.23 5%

Technical Component 0.10 0.12 20%

Practice Expense - TC 0.09 0.11 22%

Physician work 0.48 0.48 0%

92544 Optokinetic nystagmus test 0.49 0.50 2%

Practice Expense 0.20 0.21 5%

Professional Component 0.41 0.41 0%

Practice Expense - PC 0.13 0.13 0%

Technical Component 0.08 0.09 13%

Practice Expense - TC 0.07 0.08 14%

Physician work 0.27 0.27 0%

American Academy of Neurology Page 3 of 39

Page 4: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

92585 Brainstem Auditory EP 3.81 3.82 0%

Practice Expense 3.27 3.28 0%

Professional Component 0.76 0.76 0%

Practice Expense - PC 0.24 0.24 0%

Technical Component 3.05 3.06 0%

Practice Expense - TC 3.03 3.04 0%

Physician work 0.50 0.50 0%

93880 Carotid Duplex Scan 5.70 5.64 -1%

Practice Expense 4.81 4.76 -1%

Professional Component 1.14 1.13 -1%

Practice Expense - PC 0.27 0.27 0%

Technical Component 4.56 4.51 -1%

Practice Expense - TC 4.54 4.49 -1%

Physician work 0.80 0.80 0%

93882 Carotid Duplex Scan 3.64 3.64 0%

Practice Expense 3.06 3.04 -1%

Professional Component 0.71 0.72 1%

Practice Expense - PC 0.14 0.14 0%

Technical Component 2.93 2.92 0%

Practice Expense - TC 2.92 2.90 -1%

Physician work 0.50 0.50 0%

93886 Transcranial Doppler 7.67 7.70 0%

Practice Expense 6.68 6.71 0%

Professional Component 1.34 1.35 1%

Practice Expense - PC 0.37 0.38 3%

Technical Component 6.33 6.35 0%

Practice Expense - TC 6.31 6.33 0%

Physician work 0.91 0.91 0%

93888 Transcranial Doppler 4.47 4.59 3%

Practice Expense 3.91 4.02 3%

Professional Component 0.74 0.75 1%

Practice Expense - PC 0.19 0.20 5%

Technical Component 3.73 3.84 3%

Practice Expense - TC 3.72 3.82 3%

Physician work 0.50 0.50 0%

93890 TCD, vasoreactivity study 7.82 7.82 0%

Practice Expense 6.74 6.75 0%

Professional Component 1.46 1.47 1%

Practice Expense - PC 0.40 0.42 5%

Technical Component 6.36 6.35 0%

Practice Expense - TC 6.34 6.33 0%

Physician work 1.00 1.00 0%

American Academy of Neurology Page 4 of 39

Page 5: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

93892 TCD, emboli detection w/o inj 8.81 8.81 0%

Practice Expense 7.55 7.55 0%

Professional Component 1.71 1.71 0%

Practice Expense - PC 0.47 0.48 2%

Technical Component 7.10 7.10 0%

Practice Expense - TC 7.08 7.07 0%

Physician work 1.15 1.15 0%

93893 TCD, emboli detection w/inj 9.81 10.10 3%

Practice Expense 8.50 8.86 4%

Professional Component 1.71 1.71 0%

Practice Expense - PC 0.49 0.50 2%

Technical Component 8.10 8.39 4%

Practice Expense - TC 8.08 8.36 3%

Physician work 1.15 1.15 0%

94660 CPAP initiation and management 1.81 1.81 0%

Practice Expense 0.99 0.99 0%

Physician work 0.76 0.76 0%

95800 Sleep study, unattended, simultaneous recording 4.79 4.68 -2%

Practice Expense 3.89 3.79 -3%

Professional Component 1.20 1.20 0%

Practice Expense - PC 0.31 0.30 -3%

Technical Component 3.59 3.50 -3%

Practice Expense - TC 3.58 3.49 -3%

Physician work 0.85 0.85 0%

95801 Sleep study, unattended, w/ analysis 2.57 2.52 -2%

Practice Expense 1.67 1.63 -2%

Professional Component 1.19 1.18 -1%

Practice Expense - PC 0.30 0.30 0%

Technical Component 1.38 1.34 -3%

Practice Expense - TC 1.37 1.33 -3%

Physician work 0.85 0.85 0%

95803 Actigraphy testing 4.06 4.22 4%

Practice Expense 3.11 3.28 5%

Professional Component 1.25 1.27 2%

Practice Expense - PC 0.31 0.34 10%

Technical Component 2.81 2.95 5%

Practice Expense - TC 2.80 2.94 5%

Physician work 0.90 0.90 0%

American Academy of Neurology Page 5 of 39

Page 6: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

95805 Multiple Sleep Latency Test 11.87 11.72 -1%

Practice Expense 10.55 10.37 -2%

Professional Component 1.68 1.68 0%

Practice Expense - PC 0.43 0.43 0%

Technical Component 10.19 10.03 -2%

Practice Expense - TC 10.12 9.94 -2%

Physician work 1.20 1.20 0%

95806 Sleep Study, Unattended 3.90 3.30 -15%

Practice Expense 2.92 2.33 -20%

Professional Component 1.41 1.28 -9%

Practice Expense - PC 0.44 0.32 -27%

Technical Component 2.49 2.02 -19%

Practice Expense - TC 2.48 2.01 -19%

Physician work 0.93 0.93 0%

95807 Sleep Study 12.15 11.49 -5%

Practice Expense 10.74 10.07 -6%

Professional Component 1.76 1.75 -1%

Practice Expense - PC 0.42 0.42 0%

Technical Component 10.39 9.74 -6%

Practice Expense - TC 10.32 9.65 -6%

Physician work 1.28 1.28 0%

95808 Polysomnography, 1-3 18.96 18.42 -3%

Practice Expense 17.06 16.53 -3%

Professional Component 2.50 2.49 0%

Practice Expense - PC 0.68 0.69 1%

Technical Component 16.46 15.93 -3%

Practice Expense - TC 16.38 15.84 -3%

Physician work 1.74 1.74 0%

95810 Polysomnography, 4 or more 17.35 17.21 -1%

Practice Expense 14.65 14.51 -1%

Professional Component 3.45 3.45 0%

Practice Expense - PC 0.84 0.86 2%

Technical Component 13.90 13.76 -1%

Practice Expense - TC 13.81 13.65 -1%

Physician work 2.50 2.50 0%

95811 Polysomnography w/CPAP 18.19 17.98 -1%

Practice Expense 15.38 15.18 -1%

Professional Component 3.58 3.58 0%

Practice Expense - PC 0.87 0.89 2%

Technical Component 14.61 14.40 -1%

Practice Expense - TC 14.51 14.29 -2%

Physician work 2.60 2.60 0%

American Academy of Neurology Page 6 of 39

Page 7: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

95782 Polysom <6 yrs 4/> paramtrs 25.65 25.49 -1%

Practice Expense 22.79 22.61 -1%

Professional Component 3.58 3.59 0%

Practice Expense - PC 0.89 0.90 1%

Technical Component 22.07 21.90 -1%

Practice Expense - TC 21.90 21.71 -1%

Physician work 2.60 2.60 0%

95783 Polysom <6 yrs cpap/bilvl 27.31 27.10 -1%

Practice Expense 24.20 23.96 -1%

Professional Component 3.90 3.90 0%

Practice Expense - PC 0.97 0.98 1%

Technical Component 23.41 23.20 -1%

Practice Expense - TC 23.23 22.98 -1%

Physician work 2.83 2.83 0%

95812 Extended EEG, < 1 hr 9.19 9.29 1%

Practice Expense 8.03 8.13 1%

Professional Component 1.65 1.64 -1%

Practice Expense - PC 0.51 0.51 0%

Technical Component 7.54 7.65 1%

Practice Expense - TC 7.52 7.62 1%

Physician work 1.08 1.08 0%

95813 Extended EEG, > 1 hr 11.42 11.55 1%

Practice Expense 9.67 9.79 1%

Professional Component 2.48 2.49 0%

Practice Expense - PC 0.76 0.78 3%

Technical Component 8.94 9.06 1%

Practice Expense - TC 8.91 9.01 1%

Physician work 1.63 1.63 0%

95816 Awake EEG 10.27 10.30 0%

Practice Expense 9.10 9.14 0%

Professional Component 1.65 1.64 -1%

Practice Expense - PC 0.51 0.51 0%

Technical Component 8.62 8.66 0%

Practice Expense - TC 8.59 8.63 0%

Physician work 1.08 1.08 0%

95819 Awake and Asleep EEG 12.08 12.23 1%

Practice Expense 10.90 11.05 1%

Professional Component 1.65 1.65 0%

Practice Expense - PC 0.51 0.52 2%

Technical Component 10.43 10.58 1%

Practice Expense - TC 10.39 10.53 1%

Physician work 1.08 1.08 0%

American Academy of Neurology Page 7 of 39

Page 8: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

95822 Sleep EEG 10.90 11.09 2%

Practice Expense 9.73 9.91 2%

Professional Component 1.66 1.65 -1%

Practice Expense - PC 0.52 0.52 0%

Technical Component 9.24 9.44 2%

Practice Expense - TC 9.21 9.39 2%

Physician work 1.08 1.08 0%

95824 EEG for Brain Death 0.00 0.00 0%

Practice Expense N/A N/A N/A

Professional Component 1.13 1.12 -1%

Practice Expense - PC 0.35 0.35 0%

Technical Component N/A N/A N/A

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

Physician work 0.74 0.74 0%

95829 Surgery Electrocorticogram 53.66 52.92 -1%

Practice Expense 46.82 46.16 -1%

Professional Component 9.69 9.63 -1%

Practice Expense - PC 2.91 2.95 1%

Technical Component 43.97 43.29 -2%

Practice Expense - TC 43.91 43.21 -2%

Physician work 6.20 6.20 0%

95830 Insert Sphenoidal Electrodes 10.97 14.23 30%

Practice Expense 9.13 12.40 36%

Physician work 1.70 1.70 0%

95836 Electrocorticogram, implntd brain neurostim 3.14 3.19 2%

Practice Expense 0.84 0.86 2%

Physician work 1.98 1.98 0%

95860 EMG, One Limb 3.43 3.40 -1%

Practice Expense 2.42 2.38 -2%

Professional Component 1.47 1.49 1%

Practice Expense - PC 0.47 0.48 2%

Technical Component 1.96 1.91 -3%

Practice Expense - TC 1.95 1.90 -3%

Physician work 0.96 0.96 0%

95861 EMG, Two Limbs 4.90 4.87 -1%

Practice Expense 3.26 3.24 -1%

Professional Component 2.36 2.36 0%

Practice Expense - PC 0.73 0.74 1%

Technical Component 2.54 2.51 -1%

Practice Expense - TC 2.53 2.50 -1%

Physician work 1.54 1.54 0%

American Academy of Neurology Page 8 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

95863 EMG, Three Limbs 6.15 6.02 -2%

Practice Expense 4.18 4.06 -3%

Professional Component 2.85 2.85 0%

Practice Expense - PC 0.89 0.90 1%

Technical Component 3.30 3.17 -4%

Practice Expense - TC 3.29 3.16 -4%

Physician work 1.87 1.87 0%

95864 EMG, Four Limbs 7.07 7.07 0%

Practice Expense 4.96 4.98 0%

Professional Component 3.05 3.04 0%

Practice Expense - PC 0.95 0.96 1%

Technical Component 4.02 4.03 0%

Practice Expense - TC 4.01 4.02 0%

Physician work 1.99 1.99 0%

95865 EMG, larynx 4.25 4.34 2%

Practice Expense 2.59 2.68 3%

Professional Component 2.38 2.40 1%

Practice Expense - PC 0.73 0.75 3%

Technical Component 1.87 1.94 4%

Practice Expense - TC 1.86 1.93 4%

Physician work 1.57 1.57 0%

95866 EMG, hemidiaphragm 3.90 3.83 -2%

Practice Expense 2.56 2.52 -2%

Professional Component 1.94 1.91 -2%

Practice Expense - PC 0.61 0.61 0%

Technical Component 1.96 1.92 -2%

Practice Expense - TC 1.95 1.91 -2%

Physician work 1.25 1.25 0%

95867 EMG, Cranial Unilateral 3.00 3.05 2%

Practice Expense 2.15 2.20 2%

Professional Component 1.21 1.22 1%

Practice Expense - PC 0.37 0.38 3%

Technical Component 1.79 1.83 2%

Practice Expense - TC 1.78 1.82 2%

Physician work 0.79 0.79 0%

95868 EMG, Cranial Bilateral 3.93 4.00 2%

Practice Expense 2.68 2.76 3%

Professional Component 1.81 1.80 -1%

Practice Expense - PC 0.57 0.57 0%

Technical Component 2.12 2.20 4%

Practice Expense - TC 2.11 2.19 4%

Physician work 1.18 1.18 0%

American Academy of Neurology Page 9 of 39

Page 10: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

95869 EMG, Thoracic Paraspinal 2.67 2.71 1%

Practice Expense 2.27 2.31 2%

Professional Component 0.57 0.57 0%

Practice Expense - PC 0.18 0.18 0%

Technical Component 2.10 2.14 2%

Practice Expense - TC 2.09 2.13 2%

Physician work 0.37 0.37 0%

95870 EMG, Other 2.58 2.56 -1%

Practice Expense 2.18 2.16 -1%

Professional Component 0.57 0.57 0%

Practice Expense - PC 0.18 0.18 0%

Technical Component 2.01 1.99 -1%

Practice Expense - TC 2.00 1.98 -1%

Physician work 0.37 0.37 0%

95872 EMG, Single Fiber 5.64 5.66 0%

Practice Expense 2.55 2.64 4%

Professional Component 4.41 4.35 -1%

Practice Expense - PC 1.33 1.34 1%

Technical Component 1.23 1.31 7%

Practice Expense - TC 1.22 1.30 7%

Physician work 2.88 2.88 0%

95873 Electrical stimulation, chemodenervation 2.13 2.17 2%

Practice Expense 1.79 1.79 0%

Professional Component 0.57 0.57 0%

Practice Expense - PC 0.19 0.19 0%

Technical Component 1.56 1.60 3%

Practice Expense - TC 1.56 1.60 3%

Physician work 0.37 0.37 0%

95874 EMG, chemodenervation 2.18 2.23 2%

Practice Expense 1.79 1.85 3%

Professional Component 0.57 0.56 -2%

Practice Expense - PC 0.18 0.18 0%

Technical Component 1.61 1.67 4%

Practice Expense - TC 1.61 1.67 4%

Physician work 0.37 0.37 0%

95885

Needle EMG when performed with nerve

conduction test; limited 1.73 1.77 2%

Practice Expense 1.36 1.41 4%

Professional Component 0.54 0.53 -2%

Practice Expense - PC 0.17 0.17 0%

Technical Component 1.19 1.24 4%

Practice Expense - TC 1.19 1.24 4%

Physician work 0.35 0.35 0%

American Academy of Neurology Page 10 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

95886

Needle EMG when performed with nerve

conduction test; complex 2.68 2.75 3%

Practice Expense 1.78 1.86 4%

Professional Component 1.32 1.31 -1%

Practice Expense - PC 0.42 0.42 0%

Technical Component 1.36 1.44 6%

Practice Expense - TC 1.36 1.44 6%

Physician work 0.86 0.86 0%

95887

Needle EMG when performed with nerve

conduction test; non-extremity 2.33 2.40 3%

Practice Expense 1.58 1.66 5%

Professional Component 1.08 1.08 0%

Practice Expense - PC 0.33 0.34 3%

Technical Component 1.25 1.32 6%

Practice Expense - TC 1.25 1.32 6%

Physician work 0.71 0.71 0%

95905 NCV, Preconfig. Array 1.80 1.53 -15%

Practice Expense 1.73 1.46 -16%

Professional Component 0.08 0.08 0%

Practice Expense - PC 0.02 0.02 0%

Technical Component 1.72 1.45 -16%

Practice Expense - TC 1.71 1.44 -16%

Physician work 0.05 0.05 0%

95907 Motor&/sens 1-2 nrv cndj tst 2.72 2.71 0%

Practice Expense 1.66 1.65 -1%

Professional Component 1.53 1.54 1%

Practice Expense - PC 0.48 0.49 2%

Technical Component 1.19 1.17 -2%

Practice Expense - TC 1.18 1.16 -2%

Physician work 1.00 1.00 0%

95908 Motor&/sens 3-4 nrv cndj tst 3.52 3.44 -2%

Practice Expense 2.20 2.13 -3%

Professional Component 1.93 1.92 -1%

Practice Expense - PC 0.62 0.62 0%

Technical Component 1.59 1.52 -4%

Practice Expense - TC 1.58 1.51 -4%

Physician work 1.25 1.25 0%

95909 Motor&/sens 5-6 nrv cndj tst 4.20 4.12 -2%

Practice Expense 2.62 2.55 -3%

Professional Component 2.30 2.30 0%

Practice Expense - PC 0.73 0.74 1%

Technical Component 1.90 1.82 -4%

Practice Expense - TC 1.89 1.81 -4%

Physician work 1.50 1.50 0%

American Academy of Neurology Page 11 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

95910 Motor&/sens 7-8 nrv cndj tst 5.51 5.42 -2%

Practice Expense 3.40 3.32 -2%

Professional Component 3.07 3.08 0%

Practice Expense - PC 0.97 0.99 2%

Technical Component 2.44 2.34 -4%

Practice Expense - TC 2.43 2.33 -4%

Physician work 2.00 2.00 0%

95911 Motor&/sens 9-10 nrv cndj tst 6.62 6.49 -2%

Practice Expense 3.99 3.89 -3%

Professional Component 3.83 3.81 -1%

Practice Expense - PC 1.21 1.22 1%

Technical Component 2.79 2.68 -4%

Practice Expense - TC 2.78 2.67 -4%

Physician work 2.50 2.50 0%

95912 Motor&/sens 11-12 nrv cndj tst 7.44 7.43 0%

Practice Expense 4.28 4.30 0%

Professional Component 4.56 4.54 0%

Practice Expense - PC 1.41 1.43 1%

Technical Component 2.88 2.89 0%

Practice Expense - TC 2.87 2.87 0%

Physician work 3.00 3.00 0%

95913 Motor&/sens 13/> nrv cndj tst 8.59 8.60 0%

Practice Expense 4.85 4.89 1%

Professional Component 5.40 5.39 0%

Practice Expense - PC 1.67 1.70 2%

Technical Component 3.19 3.21 1%

Practice Expense - TC 3.18 3.19 0%

Physician work 3.56 3.56 0%

95921 Autonomic Parasympathetic 2.36 2.43 3%

Practice Expense 1.41 1.49 6%

Professional Component 1.29 1.29 0%

Practice Expense - PC 0.35 0.36 3%

Technical Component 1.07 1.14 7%

Practice Expense - TC 1.06 1.13 7%

Physician work 0.90 0.90 0%

95922 Autonomic Sympathetic 2.70 2.79 3%

Practice Expense 1.68 1.76 5%

Professional Component 1.37 1.38 1%

Practice Expense - PC 0.36 0.37 3%

Technical Component 1.33 1.41 6%

Practice Expense - TC 1.32 1.39 5%

Physician work 0.96 0.96 0%

American Academy of Neurology Page 12 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

95923 Autonomic Sudomotor 3.64 3.64 0%

Practice Expense 2.68 2.68 0%

Professional Component 1.31 1.31 0%

Practice Expense - PC 0.36 0.36 0%

Technical Component 2.33 2.33 0%

Practice Expense - TC 2.32 2.32 0%

Physician work 0.90 0.90 0%

95924 Ans parasymp & symp w/tilt 4.25 4.26 0%

Practice Expense 2.39 2.42 1%

Professional Component 2.54 2.51 -1%

Practice Expense - PC 0.69 0.69 0%

Technical Component 1.71 1.75 2%

Practice Expense - TC 1.70 1.76 4%

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%

95925 Somatosensory EPs, Upper Limbs 3.73 3.95 6%

Practice Expense 3.14 3.36 7%

Professional Components 0.79 0.80 1%

Practice Expense - PC 0.22 0.23 5%

Technical Components 2.94 3.15 7%

Practice Expense - TC 2.92 3.13 7%

Physician work 0.54 0.54 0%

95926 Somatosensory EPs, Lower Limbs 3.61 3.76 4%

Practice Expense 3.02 3.18 5%

Professional Components 0.78 0.78 0%

Practice Expense - PC 0.21 0.22 5%

Technical Components 2.83 2.98 5%

Practice Expense - TC 2.81 2.96 5%

Physician work 0.54 0.54 0%

95927 Somatosensory EPs, Trunk or Head 3.74 3.75 0%

Practice Expense 3.14 3.16 1%

Professional Components 0.78 0.77 -1%

Practice Expense - PC 0.21 0.21 0%

Technical Components 2.96 2.98 1%

Practice Expense - TC 2.93 2.95 1%

Physician work 0.54 0.54 0%

Contractor

Priced code

American Academy of Neurology Page 13 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

95928 C motor evoked, upper limbs 6.20 6.38 3%

Practice Expense 4.62 4.81 4%

Professional Components 2.27 2.28 0%

Practice Expense - PC 0.70 0.72 3%

Technical Components 3.93 4.10 4%

Practice Expense - TC 3.92 4.09 4%

Physician work 1.50 1.50 0%

95929 C motor evoked, lower limbs 6.35 6.57 3%

Practice Expense 4.77 5.00 5%

Professional Components 2.28 2.28 0%

Practice Expense - PC 0.71 0.72 1%

Technical Components 4.07 4.29 5%

Practice Expense - TC 4.06 4.28 5%

Physician work 1.50 1.50 0%

95930 Visual Evoked Potential 1.94 1.88 -3%

Practice Expense 1.57 1.51 -4%

Professional Components 0.54 0.53 -2%

Practice Expense - PC 0.18 0.17 -6%

Technical Components 1.40 1.35 -4%

Practice Expense - TC 1.39 1.34 -4%

Physician work 0.35 0.35 0%

95933 Blink Reflex Test 2.30 2.33 1%

Practice Expense 1.67 1.70 2%

Professional Components 0.90 0.90 0%

Practice Expense - PC 0.28 0.28 0%

Technical Components 1.40 1.43 2%

Practice Expense - TC 1.39 1.42 2%

Physician work 0.59 0.59 0%

95937 Neuromuscular Junction Test 2.48 2.66 7%

Practice Expense 1.79 1.97 10%

Professional Components 0.98 0.99 1%

Practice Expense - PC 0.30 0.31 3%

Technical Components 1.50 1.67 11%

Practice Expense - TC 1.49 1.66 11%

Physician work 0.65 0.65 0%

95938 Somatosensory testing 9.79 9.88 1%

Practice Expense 8.85 8.92 1%

Professional Components 1.32 1.32 0%

Practice Expense - PC 0.41 0.41 0%

Technical Components 8.47 8.56 1%

Practice Expense - TC 8.44 8.51 1%

Physician work 0.86 0.86 0%

American Academy of Neurology Page 14 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

95939 C motor evoked upper and lower limbs 14.55 14.84 2%

Practice Expense 12.14 12.45 3%

Professional Components 3.42 3.41 0%

Practice Expense - PC 1.05 1.07 2%

Technical Components 11.13 11.43 3%

Practice Expense - TC 11.09 11.38 3%

Physician work 2.25 2.25 0%

95940 IONM in operatng room 15 min 0.93 0.94 1%

all the 0.29 0.29 0%

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 0.93 0.94 1%

Practice Expense 0.28 0.29 4%

Physician work 0.60 0.60 0%

95954 EEG Monitoring/Giving Drugs 11.32 11.03 -3%

Practice Expense 8.70 8.41 -3%

Professional Components 3.30 3.24 -2%

Practice Expense - PC 0.73 0.68 -7%

Technical Components 8.02 7.79 -3%

Practice Expense - TC 7.97 7.73 -3%

Physician work 2.45 2.45 0%

95955 EEG During Surgery 5.95 5.94 0%

Practice Expense 4.87 4.87 0%

Professional Components 1.55 1.54 -1%

Practice Expense - PC 0.48 0.48 0%

Technical Components 4.40 4.40 0%

Practice Expense - TC 4.39 4.39 0%

Physician work 1.01 1.01 0%

95700 EEG set up C

95705 Eeg w/o vid 2-12 hr unmntr C

95706 Eeg wo vid 2-12hr intmt mntr C

95707 Eeg w/o vid 2-12hr cont mntr C

95708 Eeg w/o vid ea 12-26hr unmntr C

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

American Academy of Neurology Page 15 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

95709 Eeg w/o vid ea 12-26hr intmt C

95710 Eeg w/o vid ea 12-26hr cont C

95711 VEEG 2-12 hr unmonitored C

95712 VEEG 2-12 hr intmt mntr C

95713 VEEG 2-12 hr cont mntr C

95714 VEEG ea 12-26 hr unmntr C

95715 VEEG ea 12-26 hr intmt mntr C

95716 VEEG ea 12-26 hr cont mntr C

95717 EEG phys/qhp 2-12 hr w/o vid 2.94

Physician work 2.00

Practice Expense 0.82

95718 EEG phys/qhp 2-12 hr w/veeg 3.87

Physician work 2.50

Practice Expense 1.19

95719 EEG phys/qhp ea incr w/o vid 4.55

Physician work 3.00

Practice Expense 1.34

95720 VEEG phy/qhp ea incr 5.99

Physician work 3.86

Practice Expense 1.85

95721 EEG phy/qhp>36<60 hr w/o vid 6.04

Physician work 3.86

Practice Expense 1.90

95722 VEEG phy/qhp>36<60 hr 7.33

Physician work 4.70

Practice Expense 2.28

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

American Academy of Neurology Page 16 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

95723 EEG phy/qhp>60<84 hr w/o vid 7.49

Physician work 4.75

Practice Expense 2.37

95724 VEEG phy/qhp>60<84 hr 9.36

Physician work 6.00

Practice Expense 2.92

95725 EEG phy/qhp>84 hr w/o vid 8.55

Physician work 5.40

Practice Expense 2.73

95726 VEEG phy/qhp>84 hr 11.83

Physician work 7.58

Practice Expense 3.69

95957 EEG Digital Analysis 7.62 7.24 -5%

Practice Expense 5.51 5.14 -7%

Professional Components 2.95 2.94 0%

Practice Expense - PC 0.87 0.87 0%

Technical Components 4.67 4.30 -8%

Practice Expense - TC 4.64 4.27 -8%

Physician work 1.98 1.98 0%

95958 Wada Test 16.34 16.49 1%

Practice Expense 11.70 11.85 1%

Professional Components 6.48 6.49 0%

Practice Expense - PC 1.89 1.93 2%

Technical Components 9.86 10.00 1%

Practice Expense - TC 9.81 9.92 1%

Physician work 4.24 4.24 0%

95961 Grid: Cortex Stimulation 8.69 8.79 1%

Practice Expense 5.44 5.55 2%

Professional Components 4.64 4.62 0%

Practice Expense - PC 1.40 1.40 0%

Technical Components 4.06 4.17 3%

Practice Expense - TC 4.04 4.15 3%

Physician work 2.97 2.97 0%

95962 Grid: Cortex Stimulation 7.46 7.44 0%

Practice Expense 4.02 4.03 0%

Professional Components 4.95 4.93 0%

Practice Expense - PC 1.52 1.54 1%

Technical Components 2.51 2.51 0%

Practice Expense - TC 2.50 2.49 0%

Physician work 3.21 3.21 0%

American Academy of Neurology Page 17 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

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

Practice Expense N/A N/A N/A

Professional Components 12.07 12.01 0%

Practice Expense - PC 3.66 3.67 0%

Technical Components N/A N/A N/A

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

Physician work 7.99 7.99 0%

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

Practice Expense N/A N/A N/A

Professional Components 6.11 6.09 0%

Practice Expense - PC 1.90 1.92 1%

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 5.34 5.32 0%

Practice Expense - PC 1.66 1.68 1%

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 0.54 0.55 2%

Practice Expense 0.16 0.17 6%

Physician work 0.35 0.35 0%

95971 Simple neurostim analyze 1.44 1.44 0%

Practice Expense 0.59 0.58 -2%

Physician work 0.78 0.78 0%

95972 Complex neurostim analyze 1.62 1.62 0%

Practice Expense 0.74 0.73 -1%

Physician work 0.80 0.80 0%

95976 Analysis, simple cranial neurostim, w/ prgm 1.16 1.18 2%

Practice Expense 0.36 0.37 3%

Physician work 0.73 0.73 0%

95977 Analysis, complex cranial neurostim, w/ prgm 1.54 1.50 -3%

Practice Expense 0.48 0.48 0%

Physician work 0.97 0.97 0%

95983 Analysis brain neurostim, 15 min 1.46 1.46 0%

Practice Expense 0.45 0.46 2%

Physician work 0.91 0.91 0%

American Academy of Neurology Page 18 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

+95984 Analysis brain neurostim, addtl 15 min 1.27 1.29 2%

Practice Expense 0.39 0.40 3%

Physician work 0.80 0.80 0%

95992 Canalith Repositioning 1.25 1.27 2%

Practice Expense 0.46 0.47 2%

Physician work 0.75 0.75 0%

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

Practice Expense N/A N/A N/A

Professional Component 4.67 4.65 0%

Practice Expense - PC 1.08 1.11 3%

Technical Component N/A N/A N/A

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

Physician work 3.43 3.43 0%

96116 Neurobehav status exam, first hour 2.70 2.76 2%

Practice Expense 0.75 0.81 8%

Physician work 1.86 1.86 0%

+96121 Neurobehav status exam, each addt'l hour 2.32 2.39 3%

Practice Expense 0.53 0.59 11%

Physician work 1.71 1.71 0%

96132 Neuropsych testing eval svcs, first hour 3.71 3.78 2%

Practice Expense 1.06 1.13 7%

Physician work 2.56 2.56 0%

+96133 Neuropsych testing eval svcs, each addtl hour' 2.83 2.84 0%

Practice Expense 0.80 0.80 0%

Physician work 1.96 1.96 0%

96136Psych/neuropsych test admin/scoring, by MD or QHP,

2+tests, first 30min 1.33 1.33 0%

Practice Expense 0.75 0.75 0%

Physician work 0.55 0.55 0%

+96137Psych/neuropsych test admin/scoring, by MD or QHP, 2+

tests, addtl 30min 1.23 1.22 -1%

Practice Expense 0.75 0.74 -1%

Physician work 0.46 0.46 0%

96138Psych/neuropsych test admin/scoring, by tech, 2+tests, first

30min 1.08 1.07 -1%

Practice Expense 1.07 1.06 -1%

+96139Psych/neuropsych test admin/scoring, by tech, 2+tests, addtl

30min 1.08 1.07 -1%

Practice Expense 1.07 1.06 -1%

96146 Psych/neuropsych test, automated 0.06 0.06 0%

Practice Expense 0.05 0.05 0%

American Academy of Neurology Page 19 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

99201 Office/outpatient visit, new 1.29 1.29 0%

Practice Expense 0.76 0.76 0%

Physician work 0.48 0.48 0%

99202 Office/outpatient visit, new 2.15 2.14 0%

Practice Expense 1.14 1.12 -2%

Physician work 0.93 0.93 0%

99203 Office/outpatient visit, new 3.05 3.03 -1%

Practice Expense 1.49 1.48 -1%

Physician work 1.42 1.42 0%

99204 Office/outpatient visit, new 4.63 4.63 0%

Practice Expense 1.99 1.98 -1%

Physician work 2.43 2.43 0%

99205 Office/outpatient visit, new 5.82 5.85 1%

Practice Expense 2.38 2.40 1%

Physician work 3.17 3.17 0%

99211 Office/outpatient visit, est 0.64 0.65 2%

Practice Expense 0.45 0.46 2%

Physician work 0.18 0.18 0%

99212 Office/outpatient visit, est 1.27 1.28 1%

Practice Expense 0.75 0.75 0%

Physician work 0.48 0.48 0%

99213 Office/outpatient visit, est 2.10 2.11 1%

Practice Expense 1.05 1.06 1%

Physician work 0.97 0.97 0%

99214 Office/outpatient visit, est 3.06 3.06 0%

Practice Expense 1.46 1.45 -1%

Physician work 1.50 1.50 0%

99215 Office/outpatient visit, est 4.10 4.11 0%

Practice Expense 1.84 1.85 1%

Physician work 2.11 2.11 0%

99221 Initial hospital care 2.86 2.88 1%

Practice Expense 0.75 0.77 3%

Physician work 1.92 1.92 0%

99222 Initial hospital care 3.86 3.89 1%

Practice Expense 1.04 1.06 2%

Physician work 2.61 2.61 0%

American Academy of Neurology Page 20 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

99223 Initial hospital care 5.70 5.71 0%

Practice Expense 1.56 1.57 1%

Physician work 3.86 3.86 0%

99231 Subsequent hospital care 1.11 1.11 0%

Practice Expense 0.29 0.29 0%

Physician work 0.76 0.76 0%

99232 Subsequent hospital care 2.05 2.04 0%

Practice Expense 0.56 0.56 0%

Physician work 1.39 0.39 -72%

99233 Subsequent hospital care 2.93 2.94 0%

Practice Expense 0.79 0.81 3%

Physician work 2.00 2.00 0%

99234 Observ/hosp same date 3.75 3.77 1%

Practice Expense 0.99 1.00 1%

Physician work 2.56 2.56 0%

99235 Observ/hosp same date 4.77 4.77 0%

Practice Expense 1.30 1.30 0%

Physician work 3.24 3.24 0%

99236 Observ/hosp same date 6.13 6.14 0%

Practice Expense 1.65 1.64 -1%

Physician work 4.20 4.20 0%

99238 Hospital discharge day 2.06 2.06 0%

Practice Expense 0.69 0.69 0%

Physician work 1.28 1.28 0%

99358 Prolonged E/M service; first hour 3.15 3.15 0%

Practice Expense 0.90 0.92 2%

Physician work 2.10 2.10 0%

99359 Prolonged E/M service; each addt'l 30 min 1.52 1.54 1%

Practice Expense 0.45 0.46 2%

Physician work 1.00 1.00 0%

99415 Prolonged clinical staff services 0.28 0.28 0%

Practice Expense 0.27 0.27 0%

Physician work N/A N/A N/A

99416 Prolonged clinical staff services, addtl 0.12 0.12 0%

Practice Expense 0.12 0.12 0%

Physician work N/A N/A N/A

American Academy of Neurology Page 21 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

99446 Interprof Telephone / internet consultation 0.51 0.51 0%

Practice Expense 0.14 0.13 -7%

Physician work 0.35 0.35 0%

99447 11-20 mins 1.01 1.03 2%

Practice Expense 0.27 0.27 0%

Physician work 0.70 0.70 0%

99448 21-30 mins 1.52 1.54 1%

Practice Expense 0.41 0.40 -2%

Physician work 1.05 1.05 0%

99449 31+ minutes 2.02 2.05 1%

Practice Expense 0.54 0.54 0%

Physician work 1.40 1.40 0%

99487 Cmplx chron care w/o pt vsit 2.58 2.56 -1%

Practice Expense 1.52 1.50 -1%

Physician work 1.00 1.00 0%

99489 Cmplx chron care addl 30 min 1.29 1.24 -4%

Practice Expense 0.76 0.71 -7%

Physician work 0.50 0.50 0%

99490 Chronic care management services 1.17 1.17 0%

Practice Expense 0.52 0.51 -2%

Physician work 0.61 0.61 0%

99491 Physician CCM services, 30 min 2.33 2.33 0%

Practice Expense 0.79 0.79 0%

Physician work 1.45 1.45 0%

99495 Trans care mgmt 14 day disch 4.62 5.20 13%

Practice Expense 2.38 2.71 14%

Physician work 2.11 2.36 12%

99496 Trans care mgmt 7 day disch 6.52 6.87 5%

Practice Expense 3.27 3.58 9%

Physician work 3.05 3.10 2%

99497 Advncd care plan 30 minutes 2.40 2.41 0%

Practice Expense 0.80 0.82 2%

Physician work 1.50 1.50 0%

99498 Advncd care plan addl 30 minutes 2.11 2.11 0%

Practice Expense 0.62 0.62 0%

Physician work 1.40 1.40 0%

American Academy of Neurology Page 22 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

99241 * Office consultation 1.34 1.35 1%

Physician work 0.64 0.64 0%

99242 * Office consultation 2.52 2.55 1%

Physician work 1.34 1.34 0%

99243 * Office consultation 3.45 3.49 1%

Physician work 1.88 1.88 0%

99244 * Office consultation 5.16 5.23 1%

Physician work 3.02 3.02 0%

99245 * Office consultation 6.29 6.37 1%

Physician work 3.77 3.77 0%

99251 * Inpatient consult 1.38 1.41 2%

Physician work 1.00 1.00 0%

99252 * Inpatient consult 2.11 2.13 1%

Physician work 1.50 1.50 0%

99253 * Inpatient consult 3.25 3.29 1%

Physician work 2.27 2.27 0%

99254 * Inpatient consult 4.72 4.79 1%

Physician work 3.29 3.29 0%

99255 * Inpatient consult 5.68 5.76 1%

Physician work 4.00 4.00 0%

99291 Critical care, first hour 7.82 7.89 1%

Practice Expense 2.93 2.99 2%

Physician work 4.50 4.50 0%

99292 Critical care, addl 30 min 3.46 3.49 1%

Practice Expense 1.01 1.03 2%

Physician work 2.25 2.25 0%

99483 Assmt & care pln pt cog imp 7.32 7.35 0%

Practice Expense 3.64 3.67 1%

Physician work 3.44 3.44 0%

G0506 Comp asses care plan ccm svc 1.76 1.76 0%

Practice Expense 0.83 0.83 0%

Physician work 0.87 0.87 0%

G0508 Crit care telehea consult 60, initial 5.90 5.94 1%

Practice Expense N/A N/A N/A

Physician work 4.00 4.00 0%

American Academy of Neurology Page 23 of 39

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Total RVUs - Medicare 2020 Physician Fee Schedule

CPT Code Descriptors 2019 2020

Final

Change (%)

from 2019 to

2020

G0509 Crit care telehea consult 50, subsequent 5.57 5.48 -2%

Practice Expense N/A N/A N/A

Physician work 3.86 3.86 0%

G0513 Prolonged prev services, first 30 mins 1.83 1.85 1%

Physician work 1.17 1.17 0%

+G0514 Prolonged prev services, addtl 30 min 1.83 1.84 1%

Physician work 1.17 1.17 0%

G2010 Remote image submit by patient 0.35 0.34 -3%

Physician work 0.18 0.18 0%

G2012 Brief check in by md/qhp 0.41 0.41 0%

Physician work 0.25 0.25 0%

G2064 Principal care mgmt, MD, 30 mins 2.55

Physician work 1.45

G2065 Principal care mgmt, clinical staff, 30 mins 1.10

Physician work 0.61

G2058 CCM add on, addtl 20 mins 1.05

0.54

Notes

* Indicates code which is not currently payable under Medicare• Indicates new code for 2020

+ Indicates add-on code

C Indicates contractor-priced code. Contractors

establish RVUs and payment amounts for these

services.

American Academy of Neurology Page 24 of 39

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2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

Medicare Conversion Factor 36.0391 36.0896

20550 Inject tendon/ligament/cyst $54.42 $56.30 $1.88 3%

20551 Inject tendon origin/insert $55.14 $57.74 $2.60 5%

20552 Inject trigger point, 1 or 2 $56.58 $57.38 $0.80 1%

20553 Inject trigger points, > 3 $65.23 $65.68 $0.45 1%

62270 Lumbar Puncture $152.09 $143.28 -$8.81 -6%

64405 Nerve Block, greater occipital nerve $85.41 $74.71 -$10.71 -13%

64611 Chemodenervation, salivary glands $124.33 $125.23 $0.90 1%

64612 Destroy nerve, face muscle $138.03 $137.86 -$0.17 0%

64615 Chemodenervation musc migraine $153.89 $155.91 $2.02 1%

64616 Chemodenervation, neck muscle(s) $136.95 $137.86 $0.91 1%

64642 Chemodenervation, extr; 1-4 muscle(s) $149.56 $151.22 $1.65 1%

64643 Chemodenervation, addtl extremity; 1-4 muscle(s)$95.50 $95.64 $0.13 0%

64644 Chemodenervation of muscle(s) 5+ muscle(s)$173.71 $176.48 $2.77 2%

64645 Chemodenervation, addtl extr; 5+ muscle(s)$120.01 $120.90 $0.89 1%

64646 Chemodenervation, trunk; 1-5 muscle(s) $156.77 $159.16 $2.39 2%

64647 Chemodenervation, trunk; 6+ muscle(s) $184.52 $183.70 -$0.82 0%

64650 Chemodenervation, eccrine $81.09 $83.01 $1.92 2%

64653 Chemodenervation, eccrine $99.47 $100.69 $1.22 1%

67345 Destroy nerve of eye muscle $250.83 $249.74 -$1.09 0%

American Academy of Neurology Page 25 of 39

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2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

70554 fMRI, brain by tech $446.88 $438.85 -$8.04 -2%

Professional Component $108.12 $107.91 -$0.21 0%

Technical Component $338.77 $330.94 -$7.83 -2%

70555 fMRI, brain by phy/pshch N/A N/A N/A 0%

Professional Component $129.02 $128.84 -$0.18 0%

Technical Component N/A N/A N/A 0%

92540 Vestibular testing $104.15 $109.71 $5.56 5%

Professional Component $81.09 $81.56 $0.47 1%

Technical Component $25.23 $28.15 $2.92 12%

92541 Spontaneous nystagmus test $25.59 $25.98 $0.40 2%

Professional Component $21.62 $21.65 $0.03 0%

Technical Component $3.96 $4.33 $0.37 9%

92542 Positional nystagmus test $29.55 $30.32 $0.76 3%

Professional Component $25.95 $25.98 $0.04 0%

Technical Component $3.60 $4.33 $0.73 20%

92537 Caloric vstblr test w/rec, bithermal $41.81 $42.59 $0.78 2%

Professional Component $32.44 $32.48 $0.05 0%

Technical Component $9.37 $10.11 $0.73 8%

92538 Caloric vstblr test w/rec, monothermal $21.62 $23.10 $1.47 7%

Professional Component $16.22 $16.60 $0.38 2%

Technical Component $5.41 $6.50 $1.09 20%

92544 Optokinetic nystagmus test $17.66 $18.04 $0.39 2%

Professional Component $14.78 $14.80 $0.02 0%

Technical Component $2.88 $3.25 $0.36 13%

92585 Brainstem Auditory EP $137.31 $137.86 $0.55 0%

Professional Component $27.39 $27.43 $0.04 0%

Technical Component $109.92 $110.43 $0.51 0%

93880 Carotid Duplex Scan $205.42 $203.55 -$1.88 -1%

Professional Component $41.08 $40.78 -$0.30 -1%

Technical Component $164.34 $162.76 -$1.57 -1%

American Academy of Neurology Page 26 of 39

Page 27: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

93882 Carotid Duplex Scan $131.18 $131.37 $0.18 0%

Professional Component $25.59 $25.98 $0.40 2%

Technical Component $105.59 $106.10 $0.51 0%

93886 Transcranial Doppler $276.42 $277.89 $1.47 1%

Professional Component $48.29 $48.72 $0.43 1%

Technical Component $228.13 $229.17 $1.04 0%

93888 Transcranial Doppler $161.09 $165.65 $4.56 3%

Professional Component $26.67 $27.07 $0.40 1%

Technical Component $134.43 $138.58 $4.16 3%

93890 TCD, vasoreactivity study $281.83 $282.22 $0.39 0%

Professional Component $52.62 $53.05 $0.43 1%

Technical Component $229.21 $229.17 -$0.04 0%

93892 TCD, emboli detection w/o inj $317.50 $317.95 $0.44 0%

Professional Component $61.63 $61.71 $0.09 0%

Technical Component $255.88 $256.24 $0.36 0%

93893 TCD, emboli detection w/inj $353.54 $364.50 $10.96 3%

Professional Component $61.63 $61.71 $0.09 0%

Technical Component $291.92 $302.79 $10.88 4%

94660 CPAP initiation and management $65.23 $65.32 $0.09 0%

95800

Sleep study, unattended,

simultaneous recording $172.63 $168.90 -$3.73 -2%

Professional Component $43.25 $42.59 -$0.66 -2%

Technical Component $129.38 $126.31 -$3.07 -2%

95801 Sleep study, unattended, w/ analysis $92.62 $91.31 -$1.31 -1%

Professional Component $42.89 $42.59 -$0.30 -1%

Technical Component $49.73 $48.36 -$1.37 -3%

95803 Actigraphy testing $146.32 $152.30 $5.98 4%

Professional Component $45.05 $45.83 $0.78 2%

Technical Component $101.27 $106.46 $5.19 5%

95805 Multiple Sleep Latency Test $427.78 $422.61 -$5.17 -1%

Professional Component $60.55 $60.63 $0.08 0%

Technical Component $367.24 $361.98 -$5.26 -1%

American Academy of Neurology Page 27 of 39

Page 28: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

95806 Sleep Study, Unattended $140.55 $119.10 -$21.46 -15%

Professional Component $50.82 $46.19 -$4.62 -9%

Technical Component $89.74 $72.90 -$16.84 -19%

95807 Sleep Study $437.88 $414.67 -$23.21 -5%

Professional Component $63.43 $63.16 -$0.27 0%

Technical Component $374.45 $351.51 -$22.93 -6%

95808 Polysomnography, 1-3 $683.30 $664.77 -$18.53 -3%

Professional Component $90.10 $89.86 -$0.23 0%

Technical Component $593.20 $574.91 -$18.30 -3%

95810 Polysomnography, 4 or more $625.28 $621.10 -$4.18 -1%

Professional Component $124.33 $124.51 $0.17 0%

Technical Component $500.94 $496.59 -$4.35 -1%

95811 Polysomnography w/CPAP $655.55 $648.89 -$6.66 -1%

Professional Component $129.02 $129.20 $0.18 0%

Technical Component $526.53 $527.27 $0.74 0%

95782 Polysom <6 yrs 4/> paramtrs $924.40 $919.92 -$4.48 0%

Professional Component $129.02 $129.56 $0.54 0%

Technical Component $795.38 $790.36 -$5.02 -1%

95783 Polysom <6 yrs cpap/bilvl $984.23 $978.03 -$6.20 -1%

Professional Component $140.55 $140.75 $0.20 0%

Technical Component $843.68 $837.28 -$6.40 -1%

95812 Extended EEG, < 1 hr $331.20 $335.27 $4.07 1%

Professional Component $59.46 $59.19 -$0.28 0%

Technical Component $271.73 $276.09 $4.35 2%

95813 Extended EEG, > 1 hr $411.57 $416.83 $5.27 1%

Professional Component $89.38 $89.86 $0.49 1%

Technical Component $322.19 $326.97 $4.78 1%

95816 Awake EEG $370.12 $371.72 $1.60 0%

Professional Component $59.46 $59.19 -$0.28 0%

Technical Component $310.66 $312.54 $1.88 1%

American Academy of Neurology Page 28 of 39

Page 29: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

95819 Awake and Asleep EEG $435.35 $441.38 $6.02 1%

Professional Component $59.46 $59.55 $0.08 0%

Technical Component $375.89 $381.83 $5.94 2%

95822 Sleep EEG $392.83 $400.23 $7.41 2%

Professional Component $59.82 $59.55 -$0.28 0%

Technical Component $333.00 $340.69 $7.68 2%

95824 EEG for Brain Death N/A N/A $0.00 0%

Professional Component $40.72 $40.42 -$0.30 -1%

Technical Component N/A N/A $0.00 0%

95829 Surgery Electrocorticogram $1,933.86 $1,909.86 -$24.00 -1%

Professional Component $349.22 $347.54 -$1.68 0%

Technical Component $1,584.64 $1,562.32 -$22.32 -1%

95836 ECoG implanted $113.16 $115.13 $1.96 2%

95830 Insert Sphenoidal Electrodes $395.35 $513.56 $118.21 30%

95860 EMG, One Limb $123.61 $122.70 -$0.91 -1%

Professional Component $52.98 $53.77 $0.80 2%

Technical Component $70.64 $70.74 $0.10 0%

95861 EMG, Two Limbs $176.59 $175.76 -$0.84 0%

Professional Component $85.05 $85.17 $0.12 0%

Technical Component $91.54 $90.58 -$0.95 -1%

95863 EMG, Three Limbs $221.64 $217.26 -$4.38 -2%

Professional Component $102.71 $102.86 $0.14 0%

Technical Component $118.93 $114.40 -$4.52 -4%

95864 EMG, Four Limbs $254.80 $255.15 $0.36 0%

Professional Component $109.92 $109.71 -$0.21 0%

Technical Component $144.88 $145.44 $0.56 0%

95865 EMG, larynx $153.17 $156.63 $3.46 2%

Professional Component $85.77 $86.62 $0.84 1%

Technical Component $67.39 $70.01 $2.62 4%

American Academy of Neurology Page 29 of 39

Page 30: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

95866 EMG, hemidiaphragm $140.55 $138.22 -$2.33 -2%

Professional Component $69.92 $68.93 -$0.98 -1%

Technical Component $70.64 $69.29 -$1.34 -2%

95867 EMG, Cranial Unilateral $108.12 $110.07 $1.96 2%

Professional Component $43.61 $44.03 $0.42 1%

Technical Component $64.51 $66.04 $1.53 2%

95868 EMG, Cranial Bilateral $141.63 $144.36 $2.72 2%

Professional Component $65.23 $64.96 -$0.27 0%

Technical Component $76.40 $79.40 $2.99 4%

95869 EMG, Thoracic Paraspinal $96.22 $97.80 $1.58 2%

Professional Component $20.54 $20.57 $0.03 0%

Technical Component $75.68 $77.23 $1.55 2%

95870 EMG, Other $92.98 $92.39 -$0.59 -1%

Professional Component $20.54 $20.57 $0.03 0%

Technical Component $72.44 $71.82 -$0.62 -1%

95872 EMG, Single Fiber $203.26 $204.27 $1.01 0%

Professional Component $158.93 $156.99 -$1.94 -1%

Technical Component $44.33 $47.28 $2.95 7%

95873 Electrical stimulat, chemodenervation $76.76 $78.31 $1.55 2%

Professional Component $20.54 $20.57 $0.03 0%

Technical Component $56.22 $57.74 $1.52 3%

95874 EMG, chemodenervation $78.57 $80.48 $1.91 2%

Professional Component $20.54 $20.21 -$0.33 -2%

Technical Component $58.02 $60.27 $2.25 4%

95885

Needle EMG when performed with

nerve conduction test; limited $62.35 $63.88 $1.53 2%

Professional Component $19.46 $19.13 -$0.33 -2%

Technical Component $42.89 $44.75 $1.86 4%

95886

Needle EMG when performed with

nerve conduction test; complex $96.58 $99.25 $2.66 3%

Professional Component $47.57 $47.28 -$0.29 -1%

Technical Component $49.01 $51.97 $2.96 6%

American Academy of Neurology Page 30 of 39

Page 31: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

95887

Needle EMG when performed with

nerve conduction test; non-extremity $83.97 $86.62 $2.64 3%

Professional Component $38.92 $38.98 $0.05 0%

Technical Component $45.05 $47.64 $2.59 6%

95905 NCV, Preconfig array $64.87 $55.22 -$9.65 -15%

Professional Component $2.88 $2.89 $0.00 0%

Technical Component $61.99 $52.33 -$9.66 -16%

95907 Motor&/sens 1-2 nrv cndj tst $98.03 $97.80 -$0.22 0%

Professional Component $55.14 $55.58 $0.44 1%

Technical Component $42.89 $42.22 -$0.66 -2%

95908 Motor&/sens 3-4 nrv cndj tst $126.86 $124.15 -$2.71 -2%

Professional Component $69.56 $69.29 -$0.26 0%

Technical Component $57.30 $54.86 -$2.45 -4%

95909 Motor&/sens 5-6 nrv cndj tst $151.36 $148.69 -$2.68 -2%

Professional Component $82.89 $83.01 $0.12 0%

Technical Component $68.47 $65.68 -$2.79 -4%

95910 Motor&/sens 7-8 nrv cndj tst $198.58 $195.61 -$2.97 -1%

Professional Component $110.64 $111.16 $0.52 0%

Technical Component $87.94 $84.45 -$3.49 -4%

95911 Motor&/sens 9-10 nrv cndj tst $238.58 $234.22 -$4.36 -2%

Professional Component $138.03 $137.50 -$0.53 0%

Technical Component $100.55 $96.72 -$3.83 -4%

95912 Motor&/sens 11-12 nrv cndj tst $268.13 $268.15 $0.01 0%

Professional Component $163.98 $163.85 -$0.13 0%

Technical Component $103.79 $104.30 $0.51 0%

95913 Motor&/sens 13/> nrv cndj tst $309.58 $310.37 $0.79 0%

Professional Component $194.61 $194.52 -$0.09 0%

Technical Component $114.96 $115.85 $0.88 1%

95921 Autonomic Parasympathetic $85.05 $87.70 $2.65 3%

Professional Component $46.49 $46.56 $0.07 0%

Technical Component $38.56 $41.14 $2.58 7%

American Academy of Neurology Page 31 of 39

Page 32: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

95922 Autonomic Sympathetic $97.31 $100.69 $3.38 3%

Professional Component $49.37 $49.80 $0.43 1%

Technical Component $47.93 $50.89 $2.95 6%

95923 Autonomic Sudomotor $131.18 $131.37 $0.18 0%

Professional Component $47.21 $47.28 $0.07 0%

Technical Component $85.77 $84.09 -$1.68 -2%

95924 Ans parasymp & symp w/tilt $153.17 $153.74 $0.58 0%

Professional Component $91.54 $90.58 -$0.95 -1%

Technical Component $61.63 $63.16 $1.53 2%

95943 Parasymp&symp hrt rate test $0.00 $0.00 $0.00 0%Contractor

priced code Professional Component $0.00 $0.00 $0.00 0%

Technical Component $0.00 $0.00 $0.00 0%

95925 Somatosensory EPs, Upper Limbs $134.43 $142.55 $8.13 6%

Professional Component $28.47 $28.87 $0.40 1%

Technical Component $105.95 $113.68 $7.73 7%

95926 Somatosensory EPs, Lower Limbs $130.10 $135.70 $5.60 4%

Professional Component $28.11 $28.15 $0.04 0%

Technical Component $101.99 $107.55 $5.56 5%

95927 Somatosensory EPs, Trunk or Head $134.79 $135.34 $0.55 0%

Professional Component $28.11 $27.79 -$0.32 -1%

Technical Component $106.68 $107.55 $0.87 1%

95928 C motor evoked, upper limbs $223.44 $230.25 $6.81 3%

Professional Component $81.81 $82.28 $0.48 1%

Technical Component $141.63 $147.97 $6.33 4%

95929 C motor evoked, lower limbs $228.85 $237.11 $8.26 4%

Professional Component $82.17 $82.28 $0.12 0%

Technical Component $146.68 $154.82 $8.15 6%

95930 Visual Evoked Potential $69.92 $67.85 -$2.07 -3%

Professional Component $19.46 $19.13 -$0.33 -2%

Technical Component $50.45 $48.72 -$1.73 -3%

American Academy of Neurology Page 32 of 39

Page 33: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

95933 Blink Reflex Test $82.89 $84.09 $1.20 1%

Professional Component $32.44 $32.48 $0.05 0%

Technical Component $50.45 $51.61 $1.15 2%

95937 Neuromuscular Junction Test $89.38 $96.00 $6.62 7%

Professional Component $35.32 $35.73 $0.41 1%

Technical Component $54.06 $60.27 $6.21 11%

95938 Somatosensory testing $352.82 $356.57 $3.74 1%

Professional Component $47.57 $47.64 $0.07 0%

Technical Component $305.25 $308.93 $3.68 1%

95939 C motor evoked upper and lower limbs $524.37 $535.57 $11.20 2%

Professional Component $123.25 $123.07 -$0.19 0%

Technical Component $401.12 $412.50 $11.39 3%

95940 IONM in operatng room 15 min $33.52 $33.92 $0.41 1%

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

G0453 Cont intraop neuro monitor $33.52 $33.92 $0.41 1%

95954 EEG Monitoring/Giving Drugs $407.96 $398.07 -$9.89 -2%

Professional Component $118.93 $116.93 -$2.00 -2%

Technical Component $289.03 $281.14 -$7.90 -3%

95955 EEG During Surgery $214.43 $214.37 -$0.06 0%

Professional Component $55.86 $55.58 -$0.28 -1%

Technical Component $158.57 $158.79 $0.22 0%

95700 EEG set up C

95705 Eeg w/o vid 2-12 hr unmntr C

95706 Eeg wo vid 2-12hr intmt mntr C

95707 Eeg w/o vid 2-12hr cont mntr C

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

American Academy of Neurology Page 33 of 39

Page 34: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

95708 Eeg w/o vid ea 12-26hr unmntr C

95709 Eeg w/o vid ea 12-26hr intmt C

95710 Eeg w/o vid ea 12-26hr cont C

95711 VEEG 2-12 hr unmonitored C

95712 VEEG 2-12 hr intmt mntr C

95713 VEEG 2-12 hr cont mntr C

Practice Expense

95714 VEEG ea 12-26 hr unmntr C

Practice Expense

95715 VEEG ea 12-26 hr intmt mntr C

95716 VEEG ea 12-26 hr cont mntr C

95717 EEG phys/qhp 2-12 hr w/o vid $106.10

95718 EEG phys/qhp 2-12 hr w/veeg $139.67

95719 EEG phys/qhp ea incr w/o vid $164.21

95720 VEEG phy/qhp ea incr $216.18

95721 EEG phy/qhp>36<60 hr w/o vid $217.98

95722 VEEG phy/qhp>36<60 hr $264.54

95723 EEG phy/qhp>60<84 hr w/o vid $270.31

95724 VEEG phy/qhp>60<84 hr $337.80

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

Contractor

priced code

American Academy of Neurology Page 34 of 39

Page 35: Total RVUs - Medicare 2020 Physician Fee Schedule · Total RVUs - Medicare 2020 Physician Fee Schedule CPT Code Descriptors 2019 2020 Final Change (%) from 2019 to 2020 64643 Chemodenerv

2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

95725 EEG phy/qhp>84 hr w/o vid $308.57

95726 VEEG phy/qhp>84 hr $426.94

95957 EEG Digital Analysis $274.62 $261.29 -$13.33 -5%

Professional Component $106.32 $106.10 -$0.21 0%

Technical Component $168.30 $155.19 -$13.12 -8%

95958 Wada Test $588.88 $595.12 $6.24 1%

Professional Component $233.53 $234.22 $0.69 0%

Technical Component $355.35 $360.90 $5.55 2%

95961 Grid: Cortex Stimulation $313.18 $317.23 $4.05 1%

Professional Component $167.22 $166.73 -$0.49 0%

Technical Component $145.96 $150.49 $4.54 3%

95962 Grid: Cortex Stimulation $268.85 $268.51 -$0.35 0%

Professional Component $178.39 $177.92 -$0.47 0%

Technical Component $90.46 $90.58 $0.13 0%

95965 MEG, spontaneous $0.0 $0.0 $0.00 0%

Professional Components $434.99 $433.44 -$1.56 0%

Technical Components $0.0 $0.0 $0.00 0%

95966 MEG, evoked, single $0.0 $0.0 $0.00 0%

Professional Components $220.20 $219.79 -$0.41 0%

Technical Components $0.0 $0.0 $0.00 0%

95967 MEG, evoked, each additional $0.0 $0.0 $0.00 0%

Professional Components $192.45 $192.00 -$0.45 0%

Technical Components $0.0 $0.0 $0.00 0%

95970 Neurostim analyze, no program $19.46 $19.85 $0.39 2%

95971 Simple neurostim analyze $51.90 $51.97 $0.07 0%

95972 Complex neurostim analyze $58.38 $58.47 $0.08 0%

95976

Analysis, simple cranial neurostim, w/

prgm $41.81 $42.59 $0.78 2%

95977

Analysis, complex cranial neurostim,

w/ prgm $55.50 $55.58 $0.08 0%

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2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

95983 Analysis brain neurostim, 15 min $52.62 $52.69 $0.07 0%

+95984 Analysis brain neurostim, addtl 15 min$45.77 $46.56 $0.79 2%

95992 Canalith Repositioning $45.05 $45.83 $0.78 2%

96020 Functional Brain Mapping $0.00 $0.00 $0.00 0%

Professional Component $168.30 $167.82 -$0.49 0%

Technical Component $0.00 $0.00 $0.00 0%

96116 Neurobehav status exam, first hour $97.31 $99.61 $2.30 2%

+96121 Neurobehav status exam, each addt'l hour$83.61 $86.25 $2.64 3%

96132 Neuropsych testing eval svcs, first hour $133.34 $136.42 $3.07 2%

+96133 Neuropsych testing eval svcs, each addtl hour$101.99 $102.49 $0.50 0%

96136Psych/neuropsych test admin/scoring, by MD

or QHP, 2+tests first 30min $47.93 $48.00 $0.07 0%

+96137Psych/neuropsych test admin/scoring, by MD

or QHP, 2+ tests, addtl 30min $44.33 $44.03 -$0.30 -1%

96138Psych/neuropsych test admin/scoring, by tech,

2+tests, first 30min $38.92 $38.62 -$0.31 -1%

+96139Psych/neuropsych test admin/scoring, by tech,

2+tests, addtl 30min $38.92 $38.62 -$0.31 -1%

96146 Psych/neuropsych test, automated $2.16 $2.17 $0.00 0%

99201 Office/outpatient visit, new $46.49 $46.56 $0.07 0%

99202 Office/outpatient visit, new $77.48 $77.23 -$0.25 0%

99203 Office/outpatient visit, new $109.92 $109.35 -$0.57 -1%

99204 Office/outpatient visit, new $166.86 $167.09 $0.23 0%

99205 Office/outpatient visit, new $209.75 $211.12 $1.38 1%

99211 Office/outpatient visit, est $23.07 $23.46 $0.39 2%

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2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

99212 Office/outpatient visit, est $45.77 $46.19 $0.43 1%

99213 Office/outpatient visit, est $75.32 $76.15 $0.83 1%

99214 Office/outpatient visit, est $110.28 $110.43 $0.15 0%

99215 Office/outpatient visit, est $147.76 $148.33 $0.57 0%

99221 Initial hospital care $103.07 $103.94 $0.87 1%

99222 Initial hospital care $139.11 $140.39 $1.28 1%

99223 Initial hospital care $205.42 $206.07 $0.65 0%

99231 Subsequent hospital care $40.00 $40.06 $0.06 0%

99232 Subsequent hospital care $73.88 $73.62 -$0.26 0%

99233 Subsequent hospital care $105.59 $106.10 $0.51 0%

99234 Observ/hosp same date $135.15 $136.06 $0.91 1%

99235 Observ/hosp same date $171.91 $172.15 $0.24 0%

99236 Observ/hosp same date $220.92 $221.59 $0.67 0%

99238 Hospital discharge day $74.24 $74.34 $0.10 0%

99415 Prolonged clinical staff services $10.09 $10.11 $0.01 0%

99416 Prolonged clinical staff services, addtl $4.69 $4.33 -$0.35 -8%

99446 Interprof phone/online 5-10 min $18.38 $18.41 $0.03 0%

99447 Interprof phone/online 11-20 min $36.40 $37.17 $0.77 2%

99448 Interprof phone/online 21-30 min $54.78 $55.58 $0.80 1%

99449 Interprof phone/online 31> min $72.80 $73.98 $1.18 2%

99487 Cmplx chron care w/o pt vsit $92.98 $92.39 -$0.59 -1%

American Academy of Neurology Page 37 of 39

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2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

99489 Complx chron care addl 30 min $46.49 $44.75 -$1.74 -4%

99490 Chronic care mgmt services $42.17 $42.22 $0.06 0%

99491 Physician CCM services, 30 min $83.97 $84.09 $0.12 0%

99495 Trans care mgmt 14 day disch $166.50 $187.67 $21.17 13%

99496 Trans care mgmt 7 day disch $234.97 $247.94 $12.96 6%

99497 Advance care planning $86.49 $86.98 $0.48 1%

99498 Adv care planning, each adtl 30 min $76.04 $76.15 $0.11 0%

99241 * Office consultation $48.29 $48.72 $0.43 1%

99242 * Office consultation $90.82 $92.03 $1.21 1%

99243 * Office consultation $124.33 $125.95 $1.62 1%

99244 * Office consultation $185.96 $188.75 $2.79 1%

99245 * Office consultation $226.69 $229.89 $3.20 1%

99251 * Inpatient consult $49.73 $50.89 $1.15 2%

99252 * Inpatient consult $76.04 $76.87 $0.83 1%

99253 * Inpatient consult $116.77 $118.73 $1.97 2%

99254 * Inpatient consult $170.10 $172.87 $2.76 2%

99255 * Inpatient consult $204.70 $207.88 $3.17 2%

99291 Critical care, first hour $281.83 $282.58 $0.76 0%

99292 Critical care, addl 30 min $124.70 $125.95 $1.26 1%

99358 Prolonged services w/o contact $113.52 $113.68 $0.16 0%

+99359

Prolonged service w/o contact, add

on $54.78 $55.58 $0.80 1%

99483 Assmt & care pln pt cog imp $263.81 $265.26 $1.45 1%

American Academy of Neurology Page 38 of 39

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2020 Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2019 2020

Final Change

($) 2019 - 2020

(using CF of )

36.0896

Final Change

(%) 2019-2020

(using CF of )

38.0896

G0506 Comp asses care plan ccm svc $63.43 $63.52 $0.09 0%

G0508 Crit care telehea consult 60, initial $156.05 $155.91 -$0.14 0%

G0509 Crit care telehea consult 50, subsequent $148.27 $150.49 $2.22 1%

G0513 Prolonged prev services, first 30 mins $65.07 $66.77 $1.70 3%

+G0514 Prolonged prev services, addtl 30 min $65.07 $66.40 $1.34 2%

G2010 Remote image submit by patient $12.44 $12.27 -$0.17 -1%

G2012 Brief check in by md/qhp $14.58 $14.80 $0.22 1%

G2064 Principal care mgmt, MD, 30 mins $92.03

G2065 Principal care mgmt, clinical staff, 30 mins $39.70

G2058 CCM add on, addtl 20 mins $37.89

* Indicates code which is not currently payable under Medicare

• Indicates new code for 2020

+ Indicates add-on code

C Indicates contractor-priced code.

Contractors establish RVUs and

payment amounts for these services.

Notes

American Academy of Neurology Page 39 of 39