Neurology Billing Services
Neurology billing combines complex diagnostic testing (EEG, EMG/NCS, sleep studies) with office-based E/M and infusion therapy coding. Each test has specific setup, recording, and interpretation components.
Why Neurology Billing Requires Specialty Expertise
Neurology diagnostic testing codes have professional and technical components, time-based elements, and study-specific documentation requirements. EMG/NCS (95907-95913, 95885-95886) requires documenting specific nerves tested. EEG (95816-95822) has awake, sleep, and long-term monitoring variants.
Common Neurology CPT Codes
Our coders handle these neurology codes daily. This is not an exhaustive list.
2026 Medicare Allowables for Neurology CPT Codes by State
Medicare reimbursement for neurologyprocedures is not a single national number. Each code's allowable is adjusted by your state's Geographic Practice Cost Index (GPCI) and processed under that state's Medicare Administrative Contractor (MAC), so the same neurology CPT code pays a different amount in California than it does in Texas or Florida. The table below shows the 7 core neurologycodes our coders bill priced at each state's 2026 locality. The non-facility figure is what an office-based practice collects. The facility figure applies when the service is performed in a hospital-based setting.
Commercial carriers in each state typically reimburse above these Medicare benchmarks and state Medicaid below them, but the Medicare allowable is the contracting anchor every payer negotiation starts from. Compare any individual code across all states with our Medicare fee calculator by state.
| Code | Neurology Procedure | CA | TX | FL | NY | PA | IL | OH | GA | NC | MI |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 95860 | Needle EMG, one extremity | $135.79 | $118.29 | $121.45 | $131.67 | $118.20 | $118.29 | $112.06 | $115.97 | $113.18 | $114.97 |
| 95870 | Needle EMG, limited study | $99.95 | $85.36 | $87.70 | $95.93 | $85.18 | $84.98 | $80.12 | $83.34 | $81.22 | $82.43 |
| 95816 | Electroencephalogram (EEG), 20-40 minutes | $481.98 | $407.64 | $417.92 | $459.73 | $406.36 | $404.01 | $380.90 | $396.95 | $387.17 | $391.99 |
| 95810 | Polysomnography with 4 or more parameters | $779.59 | $664.48 | $683.86 | $748.14 | $663.07 | $662.20 | $623.00 | $648.68 | $631.47 | $641.64 |
| 99213 | Established patient office visit, low MDM | $104.31 | $94.46 | $98.20 | $103.97 | $94.79 | $96.44 | $90.97 | $93.60 | $90.84 | $93.44 |
| 99214 | Established patient office visit, moderate MDM | $148.01 | $134.59 | $140.26 | $148.05 | $135.13 | $137.84 | $129.83 | $133.55 | $129.44 | $133.44 |
| 99215 | Established patient office visit, high MDM | $209.36 | $190.98 | $199.34 | $209.96 | $191.83 | $196.01 | $184.45 | $189.69 | $183.70 | $189.65 |
Full Neurology fee detail by state
2026 Medicare allowables for neurology CPT codes in California, processed under Noridian Healthcare Solutions (Jurisdiction E). See California medical billing.
| Code | Description | Non-Facility | Facility |
|---|---|---|---|
| 95860 | Needle EMG, one extremity | $135.79 | $135.79 |
| 95870 | Needle EMG, limited study | $99.95 | $99.95 |
| 95816 | Electroencephalogram (EEG), 20-40 minutes | $481.98 | $481.98 |
| 95810 | Polysomnography with 4 or more parameters | $779.59 | $779.59 |
| 99213 | Established patient office visit, low MDM | $104.31 | $59.65 |
| 99214 | Established patient office visit, moderate MDM | $148.01 | $87.54 |
| 99215 | Established patient office visit, high MDM | $209.36 | $130.32 |
Source: 2026 Medicare Physician Fee Schedule, locality-adjusted by state MAC. Figures are for reference and contracting benchmarks, not a guarantee of payment.
Neurology Billing Challenges We Solve
Common billing problems in neurology and how our team handles them.
EMG/NCS Component Coding
Nerve conduction and needle EMG have separate code families that must be coordinated.
EEG Variant Selection
Routine, extended, ambulatory, and video EEG each have different codes and documentation.
Infusion Therapy Billing
Neurology infusions (biologics, IVIG) require sequential administration coding.
Sleep Study Complexity
In-lab vs home sleep testing with different code structures.
Common Neurology Denial Reasons
We prevent these before submission and appeal aggressively when they occur.
Revenue Opportunities Most Neurology Practices Miss
Payer-Specific Neurology Billing Tips
Neurology Billing Best Practices
Practical tips from our coding team to maximize reimbursement and minimize denials.
Get Expert Neurology Billing Support
Free billing assessment for your neurology practice. See where revenue is leaking.
What We Handle for Neurology Practices
Why Choose Go Medical Billing for Neurology
Neurology testing codes are complex. Our coders handle the full spectrum from EEG to EMG/NCS to sleep studies with correct component and time-based coding.
We serve neurology practices in all 50 states, starting at 2.49% of collections. Our credentialing team handles payer enrollment, and our A/R specialists recover aging claims.
Neurology Billing by State
We handle neurology billing in all 50 states. The 2026 Medicare allowables for neurology CPT codes in every state are in the fee table above. Open any state below for its full payer environment, Medicaid rules, and Medicare MAC policies.
Frequently Asked Questions
Get Expert Neurology Billing Support
Stop losing revenue to neurology coding errors and preventable denials. Call 888-701-6090 for a free billing assessment.