Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

20550 Inject tendon/ligament/cyst 1.50 1.51 1%

Practice Expense 0.66 0.67 2%

Physician work 0.75 0.75 0%

20551 Inject tendon origin/insert 1.72 1.73 1%

Practice Expense 0.89 0.90 1%

Physician work 0.75 0.75 0%

20552 Inject trigger point, 1 or 2 1.57 1.57 0%

Practice Expense 0.84 0.84 0%

Physician work 0.66 0.66 0%

20553 Inject trigger points, > 3 1.81 1.81 0%

Practice Expense 0.98 0.98 0%

Physician work 0.75 0.75 0%

62270 Lumbar Puncture 4.47 4.51 1%

Practice Expense 2.90 2.95 2%

Physician work 1.37 1.37 0%

64405 Nerve Block, greater occipital nerve 2.86 2.93 2%

Practice Expense 1.73 1.79 3%

Physician work 0.94 0.94 0%

64611 Chemodenerwation, salivary glands 3.37 3.45 2%

Practice Expense 1.94 2.03 5%

Physician work 1.03 1.03 0%

64612 Destroy nerve, face muscle 3.72 3.81 2%

Practice Expense 2.02 2.11 4%

Physician work 1.41 1.41 0%

64615 Chemodenervation musc migraine 4.16 4.21 1%

Practice Expense 1.67 1.74 4%

Physician work 1.85 1.85 0%

64616 Chemodenerv musc neck dyston 3.65 3.74 2%

Practice Expense 1.60 1.69 6%

Physician work 1.53 1.53 0%

64642 Chemodenerv 1 extremity 1-4 4.06 4.12 1%

Practice Expense 2.02 2.09 3%

Physician work 1.65 1.65 0%

American Academy of Neurology Page 1 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

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

Practice Expense 1.18 1.19 1%

Physician work 1.22 1.22 0%

64644 Chemodenerv 1 extrem 5/> mus 4.67 4.71 1%

Practice Expense 2.43 2.49 2%

Physician work 1.82 1.82 0%

64645 Chemodenerv 1 extrem 5/> ea 3.28 3.27 0%

Practice Expense 1.56 1.57 1%

Physician work 1.39 1.39 0%

64646 Chemodenerv trunk musc 1-5 4.26 4.30 1%

Practice Expense 2.02 2.06 2%

Physician work 1.80 1.80 0%

64647 Chemodenerv trunk musc 6/> 5.08 5.11 1%

Practice Expense 2.39 2.37 -1%

Physician work 2.11 2.11 0%

64650 Chemodenervation, eccrine glands 2.21 2.23 1%

Practice Expense 1.38 1.40 1%

Physician work 0.70 0.70 0%

64653 Chemodenervation, eccrine glands 2.69 2.74 2%

Practice Expense 1.58 1.63 3%

Physician work 0.88 0.88 0%

67345 Destroy nerve of eye muscle 6.87 6.98 2%

Practice Expense 3.47 3.54 2%

Physician work 3.01 3.01 0%

70554 fMRI, brain by tech 12.69 12.74 0%

Practice Expense 10.44 10.48 0%

Professional Component 3.03 3.01 -1%

Practice Expense - PC 0.80 0.78 -3%

Technical Component 9.64 9.73 1%

Practice Expense - TC 9.64 9.70 1%

Physician work 2.11 2.11 0%

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

Professional Component 3.57 3.56 0%

Practice Expense - PC 0.90 0.89 -1%

Technical Component N N/A N/A N/A

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

Physician work 2.54 2.54 0%

American Academy of Neurology Page 2 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

92540 Vestibular testing 2.89 2.88 0%

Practice Expense 1.33 1.31 -2%

Professional Component 2.26 2.26 0%

Practice Expense - PC 0.71 0.70 -1%

Technical Component 0.63 0.62 -2%

Practice Expense - TC 0.62 0.61 -2%

Physician work 1.50 1.50 0%

92541 Spontaneous nystagmus test 0.70 0.70 0%

Practice Expense 0.28 0.28 0%

Professional Component 0.60 0.60 0%

Practice Expense - PC 0.19 0.19 0%

Technical Component 0.10 0.10 0%

Practice Expense - TC 0.09 0.09 0%

Physician work 0.40 0.40 0%

92542 Postional syntagmus test 0.79 0.80 1%

Practice Expense 0.28 0.29 4%

Professional Component 0.71 0.71 0%

Practice Expense - PC 0.21 0.21 0%

Technical Component 0.08 0.09 13%

Practice Expense - TC 0.07 0.08 14%

Physician work 0.48 0.48 0%

92537 Caloric vstblr test w/rec, bithermal 1.14 1.14 0%

Practice Expense 0.51 0.52 2%

Professional Component 0.90 0.90 0%

Practice Expense - PC 0.28 0.28 0%

Technical Component 0.24 0.25 4%

Practice Expense - TC 0.23 0.24 4%

Physician work 0.60 0.60 0%

92538 Caloric vstblr test w/rec, monothermal 0.58 0.59 2%

Practice Expense 0.26 0.27 4%

Professional Component 0.45 0.45 0%

Practice Expense - PC 0.14 0.14 0%

Technical Component 0.13 0.14 8%

Practice Expense - TC 0.12 0.13 8%

Physician work 0.30 0.30 0%

92544 Optokinetic nystagmus test 0.48 0.48 0%

Practice Expense 0.19 0.19 0%

Professional Component 0.41 0.41 0%

Practice Expense - PC 0.13 0.13 0%

Technical Component 0.07 0.07 0%

Practice Expense - TC 0.06 0.06 0%

Physician work 0.27 0.27 0%

American Academy of Neurology Page 3 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

92585 Brainstem Auditory EP 3.83 3.84 0%

Practice Expense 3.29 3.30 0%

Professional Component 0.76 0.76 0%

Practice Expense - PC 0.24 0.24 0%

Technical Component 3.07 3.08 0%

Practice Expense - TC 3.05 3.06 0%

Physician work 0.50 0.50 0%

93880 Carotid Duplex Scan 5.73 5.81 1%

Practice Expense 4.84 4.92 2%

Professional Component 1.14 1.14 0%

Practice Expense - PC 0.27 0.27 0%

Technical Component 4.59 4.67 2%

Practice Expense - TC 4.57 4.65 2%

Physician work 0.80 0.80 0%

93882 Carotid Duplex Scan 3.65 3.72 2%

Practice Expense 3.07 3.14 2%

Professional Component 0.72 0.72 0%

Practice Expense - PC 0.15 0.15 0%

Technical Component 2.93 3.00 2%

Practice Expense - TC 2.92 2.99 2%

Physician work 0.50 0.50 0%

93886 Transcranial Doppler 7.81 7.78 0%

Practice Expense 6.82 6.79 0%

Professional Component 1.34 1.34 0%

Practice Expense - PC 0.37 0.37 0%

Technical Component 6.47 6.44 0%

Practice Expense - TC 6.45 6.42 0%

Physician work 0.91 0.91 0%

93888 Transcranial Doppler 4.25 4.42 4%

Practice Expense 3.69 3.86 5%

Professional Component 0.74 0.74 0%

Practice Expense - PC 0.19 0.19 0%

Technical Component 3.51 3.68 5%

Practice Expense - TC 3.50 3.67 5%

Physician work 0.50 0.50 0%

93890 TCD, vasoreactivity study 8.05 7.96 -1%

Practice Expense 6.97 6.88 -1%

Professional Component 1.46 1.46 0%

Practice Expense - PC 0.40 0.40 0%

Technical Component 6.59 6.50 -1%

Practice Expense - TC 6.57 6.48 -1%

Physician work 1.00 1.00 0%

American Academy of Neurology Page 4 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

93892 TCD, emboli detection w/o inj 9.31 9.13 -2%

Practice Expense 8.05 7.87 -2%

Professional Component 1.71 1.71 0%

Practice Expense - PC 0.47 0.47 0%

Technical Component 7.60 7.42 -2%

Practice Expense - TC 7.58 7.40 -2%

Physician work 1.15 1.15 0%

93893 TCD, emboli detection w/inj 9.80 9.90 1%

Practice Expense 8.56 8.66 1%

Professional Component 1.70 1.70 0%

Practice Expense - PC 0.48 0.48 0%

Technical Component 8.10 8.20 1%

Practice Expense - TC 8.08 8.18 1%

Physician work 1.15 1.15 0%

94660 CPAP initiation and management 1.80 1.84 2%

Practice Expense 0.98 1.02 4%

Physician work 0.76 0.76 0%

95800

Sleep study, unattended, simultaneous

recording 5.04 5.02 0%

Practice Expense 3.93 3.91 -1%

Professional Component 1.48 1.48 0%

Practice Expense - PC 0.38 0.38 0%

Technical Component 3.56 3.54 -1%

Practice Expense - TC 3.55 3.53 -1%

Physician work 1.05 1.05 0%

95801 Sleep study, unattended 2.57 2.57 0%

Practice Expense 1.52 1.52 0%

Professional Component 1.40 1.40 0%

Practice Expense - PC 0.36 0.36 0%

Technical Component 1.17 1.17 0%

Practice Expense - TC 1.16 1.16 0%

Physician work 1.00 1.00 0%

95803 Actigraphy testing 3.95 4.06 3%

Practice Expense 3.00 3.11 4%

Professional Component 1.24 1.25 1%

Practice Expense - PC 0.30 0.31 3%

Technical Component 2.71 2.81 4%

Practice Expense - TC 2.70 2.80 4%

Physician work 0.90 0.90 0%

American Academy of Neurology Page 5 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

95805 Multiple Sleep Latency Test 12.09 12.24 1%

Practice Expense 10.77 10.92 1%

Professional Component 1.68 1.68 0%

Practice Expense - PC 0.43 0.43 0%

Technical Component 10.41 10.56 1%

Practice Expense - TC 10.34 10.49 1%

Physician work 1.20 1.20 0%

95806 Sleep Study, Unattended 4.79 4.82 1%

Practice Expense 3.48 3.51 1%

Professional Component 1.74 1.74 0%

Practice Expense - PC 0.44 0.44 0%

Technical Component 3.05 3.08 1%

Practice Expense - TC 3.04 3.07 1%

Physician work 1.25 1.25 0%

95807 Sleep Study 13.14 13.05 -1%

Practice Expense 11.73 11.64 -1%

Professional Component 1.77 1.77 0%

Practice Expense - PC 0.43 0.43 0%

Technical Component 11.37 11.28 -1%

Practice Expense - TC 11.30 11.21 -1%

Physician work 1.28 1.28 0%

95808 Polysomnography, 1-3 18.08 19.86 10%

Practice Expense 16.18 17.96 11%

Professional Component 2.51 2.52 0%

Practice Expense - PC 0.69 0.70 1%

Technical Component 15.57 17.34 11%

Practice Expense - TC 15.49 17.26 11%

Physician work 1.74 1.74 0%

95810 Polysomnography, 4 or more 17.59 17.75 1%

Practice Expense 14.89 15.04 1%

Professional Component 3.46 3.46 0%

Practice Expense - PC 0.85 0.85 0%

Technical Component 14.13 14.29 1%

Practice Expense - TC 14.04 14.19 1%

Physician work 2.50 2.50 0%

95811 Polysomnography w/CPAP 18.48 18.64 1%

Practice Expense 15.66 15.82 1%

Professional Component 3.60 3.60 0%

Practice Expense - PC 0.88 0.88 0%

Technical Component 14.88 15.04 1%

Practice Expense - TC 14.78 14.94 1%

Physician work 2.60 2.60 0%

American Academy of Neurology Page 6 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

95782 Polysom <6 yrs 4/> paramtrs 28.85 25.99 -10%

Practice Expense 25.96 23.13 -11%

Professional Component 3.59 3.59 0%

Practice Expense - PC 0.87 0.90 3%

Technical Component 25.26 22.40 -11%

Practice Expense - TC 25.09 22.23 -11%

Physician work 2.60 2.60 0%

95783 Polysom <6 yrs cpap/bilvl 32.79 27.72 -15%

Practice Expense 29.68 24.61 -17%

Professional Component 4.08 3.91 -4%

Practice Expense - PC 1.15 0.98 -15%

Technical Component 28.71 23.81 -17%

Practice Expense - TC 28.53 23.63 -17%

Physician work 2.83 2.83 0%

95812 Extended EEG, < 1 hr 9.15 9.16 0%

Practice Expense 7.99 8.00 0%

Professional Component 1.64 1.65 1%

Practice Expense - PC 0.50 0.51 2%

Technical Component 7.51 7.51 0%

Practice Expense - TC 7.49 7.49 0%

Physician work 1.08 1.08 0%

95813 Extended EEG, > 1 hr 11.53 11.51 0%

Practice Expense 9.78 9.76 0%

Professional Component 2.48 2.47 0%

Practice Expense - PC 0.76 0.75 -1%

Technical Component 9.05 9.04 0%

Practice Expense - TC 9.02 9.01 0%

Physician work 1.63 1.63 0%

95816 Awake EEG 10.21 10.33 1%

Practice Expense 9.04 9.16 1%

Professional Component 1.64 1.65 1%

Practice Expense - PC 0.50 0.51 2%

Technical Component 8.57 8.68 1%

Practice Expense - TC 8.54 8.65 1%

Physician work 1.08 1.08 0%

95819 Awake and Asleep EEG 11.74 12.01 2%

Practice Expense 10.56 10.83 3%

Professional Component 1.65 1.65 0%

Practice Expense - PC 0.51 0.51 0%

Technical Component 10.09 10.36 3%

Practice Expense - TC 10.05 10.32 3%

Physician work 1.08 1.08 0%

American Academy of Neurology Page 7 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

95822 Sleep EEG 10.60 10.82 2%

Practice Expense 9.43 9.65 2%

Professional Component 1.65 1.65 0%

Practice Expense - PC 0.51 0.51 0%

Technical Component 8.95 9.17 2%

Practice Expense - TC 8.92 9.14 2%

Physician work 1.08 1.08 0%

95824 EEG for Brain Death 0.00 0.00 N/A

Practice Expense N N/A NA N/A

Professional Component 1.12 1.13 1%

Practice Expense - PC 0.34 0.35 3%

Technical Component N N/A N/A N/A

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

Physician work 0.74 0.74 0%

95827 Overnight EEG 18.77 17.79 -5%

Practice Expense 17.52 16.54 -6%

Professional Component 1.62 1.61 -1%

Practice Expense - PC 0.48 0.47 -1%

Technical Component 17.15 16.18 -6%

Practice Expense - TC 17.04 16.07 -6%

Physician work 1.08 1.08 0%

95829 Surgery Electrocorticogram 54.13 54.27 0%

Practice Expense 47.36 47.47 0%

Professional Component 9.60 9.63 0%

Practice Expense - PC 2.89 2.89 0%

Technical Component 44.53 44.64 0%

Practice Expense - TC 44.47 44.58 0%

Physician work 6.20 6.20 0%

95830 Insert Sphenoidal Electrodes 6.15 6.65 8%

Practice Expense 4.32 4.81 11%

Physician work 1.70 1.70 0%

95860 EMG, One Limb 3.46 3.50 1%

Practice Expense 2.45 2.49 2%

Professional Component 1.47 1.48 1%

Practice Expense - PC 0.47 0.48 2%

Technical Component 1.99 2.02 2%

Practice Expense - TC 1.98 2.01 2%

Physician work 0.96 0.96 0%

American Academy of Neurology Page 8 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

95861 EMG, Two Limbs 4.92 4.93 0%

Practice Expense 3.28 3.30 1%

Professional Component 2.36 2.35 0%

Practice Expense - PC 0.73 0.73 0%

Technical Component 2.56 2.58 1%

Practice Expense - TC 2.55 2.57 1%

Physician work 1.54 1.54 0%

95863 EMG, Three Limbs 6.18 6.33 2%

Practice Expense 4.21 4.36 4%

Professional Component 2.85 2.85 0%

Practice Expense - PC 0.89 0.89 0%

Technical Component 3.33 3.48 5%

Practice Expense - TC 3.32 3.47 5%

Physician work 1.87 1.87 0%

95864 EMG, Four Limbs 6.95 7.08 2%

Practice Expense 4.84 4.97 3%

Professional Component 3.06 3.04 -1%

Practice Expense - PC 0.96 0.94 -2%

Technical Component 3.89 4.04 4%

Practice Expense - TC 3.88 4.03 4%

Physician work 1.99 1.99 0%

95865 EMG, larynx 4.15 4.18 1%

Practice Expense 2.47 2.51 2%

Professional Component 2.41 2.39 -1%

Practice Expense - PC 0.74 0.73 -1%

Technical Component 1.74 1.79 3%

Practice Expense - TC 1.73 1.78 3%

Physician work 1.57 1.57 0%

95866 EMG, hemidiaphragm 3.84 3.83 0%

Practice Expense 2.52 2.52 0%

Professional Component 1.93 1.92 -1%

Practice Expense - PC 0.62 0.62 0%

Technical Component 1.91 1.91 0%

Practice Expense - TC 1.90 1.90 0%

Physician work 1.25 1.25 0%

95867 EMG, Cranial Unilateral 2.74 2.89 5%

Practice Expense 1.90 2.04 7%

Professional Component 1.19 1.21 2%

Practice Expense - PC 0.36 0.37 3%

Technical Component 1.55 1.68 8%

Practice Expense - TC 1.54 1.67 8%

Physician work 0.79 0.79 0%

American Academy of Neurology Page 9 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

95868 EMG, Cranial Bilateral 3.81 3.85 1%

Practice Expense 2.55 2.60 2%

Professional Component 1.81 1.80 -1%

Practice Expense - PC 0.56 0.56 0%

Technical Component 2.00 2.05 2%

Practice Expense - TC 1.99 2.04 3%

Physician work 1.18 1.18 0%

95869 EMG, Thoracic Paraspinal 2.59 2.66 3%

Practice Expense 2.19 2.26 3%

Professional Component 0.57 0.57 0%

Practice Expense - PC 0.18 0.18 0%

Technical Component 2.02 2.09 3%

Practice Expense - TC 2.01 2.08 3%

Physician work 0.37 0.37 0%

95870 EMG, Other 2.62 2.70 3%

Practice Expense 2.22 2.30 4%

Professional Component 0.57 0.57 0%

Practice Expense - PC 0.18 0.18 0%

Technical Component 2.05 2.13 4%

Practice Expense - TC 2.04 2.12 4%

Physician work 0.37 0.37 0%

95872 EMG, Single Fiber 5.58 5.61 1%

Practice Expense 2.52 2.53 0%

Professional Component 4.39 4.41 0%

Practice Expense - PC 1.34 1.34 0%

Technical Component 1.19 1.20 1%

Practice Expense - TC 1.18 1.19 1%

Physician work 2.88 2.88 0%

95873 Electrical stimulation, chemodenervation 2.07 2.09 1%

Practice Expense 1.69 1.71 1%

Professional Component 0.57 0.57 0%

Practice Expense - PC 0.19 0.19 0%

Technical Component 1.50 1.52 1%

Practice Expense - TC 1.50 1.52 1%

Physician work 0.37 0.37 0%

95874 EMG, chemodenervation 2.09 2.13 2%

Practice Expense 1.70 1.74 2%

Professional Component 0.57 0.57 0%

Practice Expense - PC 0.18 0.18 0%

Technical Component 1.52 1.56 3%

Practice Expense - TC 1.52 1.56 3%

Physician work 0.37 0.37 0%

American Academy of Neurology Page 10 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

95875 Limb Exercise Test 3.32 3.71 12%

Practice Expense 2.15 2.54 18%

Professional Component 1.68 1.69 1%

Practice Expense - PC 0.52 0.53 2%

Technical Component 1.64 2.02 23%

Practice Expense - TC 1.63 2.01 23%

Physician work 1.10 1.10 0%

95885

Needle EMG when performed with nerve

conduction test; limited 1.66 1.68 1%

Practice Expense 1.29 1.31 2%

Professional Component 0.54 0.54 0%

Practice Expense - PC 0.17 0.17 0%

Technical Component 1.12 1.14 2%

Practice Expense - TC 1.12 1.14 2%

Physician work 0.35 0.35 0%

95886

Needle EMG when performed with nerve

conduction test; complex 2.58 2.60 1%

Practice Expense 1.68 1.70 1%

Professional Component 1.32 1.32 0%

Practice Expense - PC 0.42 0.42 0%

Technical Component 1.26 1.28 2%

Practice Expense - TC 1.26 1.28 2%

Physician work 0.86 0.86 0%

95887

Needle EMG when performed with nerve

conduction test; non-extremity 2.28 2.30 1%

Practice Expense 1.53 1.55 1%

Professional Component 1.08 1.09 1%

Practice Expense - PC 0.33 0.34 3%

Technical Component 1.20 1.21 1%

Practice Expense - TC 1.20 1.21 1%

Physician work 0.71 0.71 0%

95905 NCV, Preconfig. Array 2.02 2.06 2%

Practice Expense 1.95 1.99 2%

Professional Component 0.08 0.08 0%

Practice Expense - PC 0.02 0.02 0%

Technical Component 1.94 1.98 2%

Practice Expense - TC 1.93 1.97 2%

Physician work 0.05 0.05 0%

95907 Motor&/sens 1-2 nrv cndj tst 2.76 2.78 1%

Practice Expense 1.70 1.72 1%

Professional Component 1.53 1.53 0%

Practice Expense - PC 0.48 0.48 0%

Technical Component 1.23 1.25 2%

Practice Expense - TC 1.22 1.24 2%

Physician work 1.00 1.00 0%

American Academy of Neurology Page 11 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

95908 Motor&/sens 3-4 nrv cndj tst 3.55 3.60 1%

Practice Expense 2.23 2.28 2%

Professional Component 1.92 1.93 1%

Practice Expense - PC 0.61 0.62 2%

Technical Component 1.63 1.67 2%

Practice Expense - TC 1.62 1.66 2%

Physician work 1.25 1.25 0%

95909 Motor&/sens 5-6 nrv cndj tst 4.23 4.29 1%

Practice Expense 2.65 2.71 2%

Professional Component 2.30 2.30 0%

Practice Expense - PC 0.73 0.73 0%

Technical Component 1.93 1.99 3%

Practice Expense - TC 1.92 1.98 3%

Physician work 1.50 1.50 0%

95910 Motor&/sens 7-8 nrv cndj tst 5.59 5.65 1%

Practice Expense 3.48 3.54 2%

Professional Component 3.07 3.07 0%

Practice Expense - PC 0.97 0.97 0%

Technical Component 2.52 2.58 2%

Practice Expense - TC 2.51 2.57 2%

Physician work 2.00 2.00 0%

95911 Motor&/sens 9-10 nrv cndj tst 6.66 6.74 1%

Practice Expense 4.03 4.11 2%

Professional Component 3.83 3.83 0%

Practice Expense - PC 1.21 1.21 0%

Technical Component 2.83 2.91 3%

Practice Expense - TC 2.82 2.90 3%

Physician work 2.50 2.50 0%

95912 Motor&/sens 11-12 nrv cndj tst 7.35 7.48 2%

Practice Expense 4.19 4.32 3%

Professional Component 4.53 4.55 0%

Practice Expense - PC 1.38 1.40 1%

Technical Component 2.82 2.93 4%

Practice Expense - TC 2.81 2.92 4%

Physician work 3.00 3.00 0%

95913 Motor&/sens 13/> nrv cndj tst 8.44 8.63 2%

Practice Expense 4.69 4.88 4%

Professional Component 5.36 5.39 1%

Practice Expense - PC 1.62 1.65 2%

Technical Component 3.08 3.24 5%

Practice Expense - TC 3.07 3.23 5%

Physician work 3.56 3.56 0%

American Academy of Neurology Page 12 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

95921 Autonomic Parasympathetic 2.41 2.37 -2%

Practice Expense 1.46 1.42 -3%

Professional Component 1.29 1.29 0%

Practice Expense - PC 0.35 0.35 0%

Technical Component 1.12 1.08 -4%

Practice Expense - TC 1.11 1.07 -4%

Physician work 0.90 0.90 0%

95922 Autonomic Sympathetic 2.83 2.77 -2%

Practice Expense 1.82 1.76 -3%

Professional Component 1.38 1.38 0%

Practice Expense - PC 0.38 0.38 0%

Technical Component 1.45 1.39 -4%

Practice Expense - TC 1.44 1.38 -4%

Physician work 0.96 0.96 0%

95923 Autonomic Sudomotor 3.99 3.69 -8%

Practice Expense 3.03 2.73 -10%

Professional Component 1.31 1.31 0%

Practice Expense - PC 0.36 0.36 0%

Technical Component 2.68 2.38 -11%

Practice Expense - TC 2.67 2.37 -11%

Physician work 0.90 0.90 0%

95924 Ans parasymp & symp w/tilt 4.32 4.29 -1%

Practice Expense 2.47 2.44 -1%

Professional Component 2.56 2.54 -1%

Practice Expense - PC 0.72 0.70 -3%

Technical Component 1.76 1.75 -1%

Practice Expense - TC 1.75 1.74 -1%

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 3.92 3.76 -4%

Practice Expense 3.33 3.17 -5%

Professional Components 0.79 0.79 0%

Practice Expense - PC 0.22 0.22 0%

Technical Components 3.13 2.97 -5%

Practice Expense - TC 3.11 2.95 -5%

Physician work 0.54 0.54 0%

American Academy of Neurology Page 13 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

95926 Somatosensory EPs, Lower Limbs 3.80 3.69 -3%

Practice Expense 3.21 3.10 -3%

Professional Components 0.78 0.78 0%

Practice Expense - PC 0.21 0.21 0%

Technical Components 3.02 2.91 -4%

Practice Expense - TC 3.00 2.89 -4%

Physician work 0.54 0.54 0%

95927 Somatosensory EPs, Trunk or Head 3.90 3.87 -1%

Practice Expense 3.31 3.27 -1%

Professional Components 0.78 0.78 0%

Practice Expense - PC 0.21 0.21 0%

Technical Components 3.12 3.09 -1%

Practice Expense - TC 3.10 3.06 -1%

Physician work 0.54 0.54 0%

95928 C motor evoked, upper limbs 6.04 6.05 0%

Practice Expense 4.45 4.46 0%

Professional Components 2.29 2.28 0%

Practice Expense - PC 0.71 0.70 -1%

Technical Components 3.75 3.77 1%

Practice Expense - TC 3.74 3.76 1%

Physician work 1.50 1.50 0%

95929 C motor evoked, lower limbs 6.22 6.22 0%

Practice Expense 4.64 4.63 0%

Professional Components 2.29 2.30 0%

Practice Expense - PC 0.71 0.72 1%

Technical Components 3.75 3.92 5%

Practice Expense - TC 3.74 3.91 5%

Physician work 1.50 1.50 0%

95930 Visual Evoked Potential 3.66 1.98 -46%

Practice Expense 3.28 1.61 -51%

Professional Components 0.53 0.54 2%

Practice Expense - PC 0.17 0.18 6%

Technical Components 3.13 1.44 -54%

Practice Expense - TC 3.11 1.43 -54%

Physician work 0.35 0.35 0%

95933 Blink Reflex Test 2.17 2.22 2%

Practice Expense 1.54 1.59 3%

Professional Components 0.90 0.90 0%

Practice Expense - PC 0.28 0.28 0%

Technical Components 1.27 1.32 4%

Practice Expense - TC 1.26 0.31 -75%

Physician work 0.59 0.59 0%

American Academy of Neurology Page 14 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

95937 Neuromuscular Junction Test 2.32 2.33 0%

Practice Expense 1.63 1.64 1%

Professional Components 0.98 0.98 0%

Practice Expense - PC 0.30 0.30 0%

Technical Components 1.34 1.35 1%

Practice Expense - TC 1.33 1.34 1%

Physician work 0.65 0.65 0%

95938 Somatosensory testing 9.69 9.80 1%

Practice Expense 8.75 8.86 1%

Professional Components 1.32 1.32 0%

Practice Expense - PC 0.41 0.41 0%

Technical Components 8.37 8.48 1%

Practice Expense - TC 8.34 8.45 1%

Physician work 0.86 0.86 0%

95939 C motor evoked upper and lower limbs 14.28 14.40 1%

Practice Expense 11.87 11.99 1%

Professional Components 3.42 3.42 0%

Practice Expense - PC 1.05 1.05 0%

Technical Components 10.86 10.98 1%

Practice Expense - TC 10.82 10.94 1%

Physician work 2.25 2.25 0%

95940 IONM in operatng room 15 min 0.93 0.93 0%

Practice Expense 0.28 0.28 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 0.93 0%

Practice Expense 0.28 0.28 0%

Physician work 0.60 0.60 0%

95950 Ambulatory Cassette EEG 9.43 9.73 3%

Practice Expense 7.81 8.11 4%

Professional Components 2.28 2.29 0%

Practice Expense - PC 0.69 0.70 1%

Technical Components 7.15 7.44 4%

Practice Expense - TC 7.12 7.41 4%

Physician work 1.51 1.51 0%

95951 Video-EEG Long-Term Monitoring N/A N/A N/A

Practice Expense N NA N/A N/A

Professional Components 9.12 9.13 0%

Practice Expense - PC 2.80 2.82 1%

Technical Components N N/A N/A N/A

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

Physician work 5.99 5.99 0%

American Academy of Neurology Page 15 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

95953 Automated Ambulatory 12.00 12.30 3%

Practice Expense 8.71 9.02 4%

Professional Components 4.68 4.68 0%

Practice Expense - PC 1.42 1.43 1%

Technical Components 7.32 7.62 4%

Practice Expense - TC 7.29 7.59 4%

Physician work 3.08 3.08 0%

95954 EEG Monitoring/Giving Drugs 12.81 12.12 -5%

Practice Expense 10.16 9.49 -7%

Professional Components 3.58 3.44 -4%

Practice Expense - PC 0.98 0.86 -12%

Technical Components 9.23 8.68 -6%

Practice Expense - TC 9.18 8.63 -6%

Physician work 2.45 2.45 0%

95955 EEG During Surgery 6.05 6.09 1%

Practice Expense 4.98 5.02 1%

Professional Components 1.53 1.54 1%

Practice Expense - PC 0.47 0.48 2%

Technical Components 4.52 4.55 1%

Practice Expense - TC 4.51 4.54 1%

Physician work 1.01 1.01 0%

95956 EEG Monitoring, No Video 46.07 45.24 -2%

Practice Expense 42.06 41.22 -2%

Professional Components 5.45 5.46 0%

Practice Expense - PC 1.63 1.63 0%

Technical Components 40.62 39.78 -2%

Practice Expense - TC 40.43 39.59 -2%

Physician work 3.61 3.61 0%

95957 EEG Digital Analysis 8.64 8.17 -5%

Practice Expense 6.52 6.05 -7%

Professional Components 2.99 2.97 -1%

Practice Expense - PC 0.90 0.88 -2%

Technical Components 5.65 5.20 -8%

Practice Expense - TC 5.62 5.17 -8%

Physician work 1.98 1.98 0%

95958 Wada Test 16.43 16.52 1%

Practice Expense 11.85 11.91 1%

Professional Components 6.45 6.49 1%

Practice Expense - PC 1.92 1.94 1%

Technical Components 9.98 10.03 1%

Practice Expense - TC 9.93 9.97 0%

Physician work 4.24 4.24 0%

American Academy of Neurology Page 16 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

95961 Grid: Cortex Stimulation 8.68 8.65 0%

Practice Expense 5.42 5.41 0%

Professional Components 4.64 4.61 -1%

Practice Expense - PC 1.39 1.38 -1%

Technical Components 4.04 4.04 0%

Practice Expense - TC 4.03 4.03 0%

Physician work 2.97 2.97 0%

95962 Grid: Cortex Stimulation 7.43 7.47 1%

Practice Expense 3.97 4.02 1%

Professional Components 4.95 4.95 0%

Practice Expense - PC 1.50 1.51 1%

Technical Components 2.48 2.52 2%

Practice Expense - TC 2.47 2.51 2%

Physician work 3.21 3.21 0%

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

Practice Expense N/A N/A N/A N/A

Professional Components 12.01 12.07 0%

Practice Expense - PC 3.59 3.64 1%

Technical Components N/A N/A N/A N/A

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

Physician work 7.99 7.99 0%

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

Practice Expense N/A N/A N/A N/A

Professional Components 6.02 6.14 2%

Practice Expense - PC 1.82 1.76 -3%

Technical Components N/A N/A N/A N/A

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

Physician work 3.99 3.99 0%

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

Practice Expense N/A N/A N/A N/A

Professional Components 5.28 5.41 2%

Practice Expense - PC 1.60 1.48 -8%

Technical Components N/A N/A N/A N/A

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

Physician work 3.49 3.49 0%

95970 Neurostim analyze, no program 1.93 1.97 2%

Practice Expense 1.44 1.48 3%

Physician work 0.45 0.45 0%

95971 Simple neurostim analyze 1.43 1.45 1%

Practice Expense 0.58 0.60 3%

Physician work 0.78 0.78 0%

American Academy of Neurology Page 17 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

95972 Complex neurostim analyze 1.65 1.67 1%

Practice Expense 0.77 0.79 3%

Physician work 0.80 0.80 0%

95974 Complex cranial neurostim 5.90 5.91 0%

Practice Expense 2.60 2.62 1%

Physician work 3.00 3.00 0%

95975 Complex cranial neurostim 3.17 3.18 0%

Practice Expense 1.32 1.33 1%

Physician work 1.70 1.70 0%

95978 Analyze neurostim brain/1 hour 7.08 7.17 1%

Practice Expense 3.22 3.31 3%

Physician work 3.50 3.50 0%

95979 Analyze neurostim brain/add on 3.07 3.08 0%

Practice Expense 1.28 1.29 1%

Physician work 1.64 1.64 0%

95992 Canalith Repositioning 1.22 1.23 1%

Practice Expense 0.43 0.44 2%

Physician work 0.75 0.75 0%

96004 Phys rewiey of motion tests 3.33 3.28 -2%

Practice Expense 1.02 0.96 -6%

Physician work 2.14 2.14 0%

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

Practice Expense N N/A N/A N/A

Professional Component 4.58 4.60 0%

Practice Expense - PC 1.02 1.03 1%

Technical Component N N/A N/A N/A

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

Physician work 3.43 3.43 0%

99201 Office/outpatient visit, new 1.24 1.26 2%

Practice Expense 0.71 0.73 3%

Physician work 0.48 0.48 0%

99202 Office/outpatient visit, new 2.11 2.12 0%

Practice Expense 1.10 1.11 1%

Physician work 0.93 0.93 0%

99203 Office/outpatient visit, new 3.05 3.05 0%

Practice Expense 1.48 1.48 0%

Physician work 1.42 1.42 0%

American Academy of Neurology Page 18 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

99204 Office/outpatient visit, new 4.63 4.65 0%

Practice Expense 1.98 2.00 1%

Physician work 2.43 2.43 0%

99205 Office/outpatient visit, new 5.83 5.85 0%

Practice Expense 2.37 2.39 1%

Physician work 3.17 3.17 0%

99211 Office/outpatient visit, est 0.57 0.61 7%

Practice Expense 0.38 0.42 11%

Physician work 0.18 0.18 0%

99212 Office/outpatient visit, est 1.23 1.24 1%

Practice Expense 0.71 0.72 1%

Physician work 0.48 0.48 0%

99213 Office/outpatient visit, est 2.06 2.06 0%

Practice Expense 1.02 1.02 0%

Physician work 0.97 0.97 0%

99214 Office/outpatient visit, est 3.03 3.04 0%

Practice Expense 1.43 1.44 1%

Physician work 1.50 1.50 0%

99215 Office/outpatient visit, est 4.08 4.10 0%

Practice Expense 1.82 1.84 1%

Physician work 2.11 2.11 0%

99221 Initial hospital care 2.87 2.87 0%

Practice Expense 0.76 0.76 0%

Physician work 1.92 1.92 0%

99222 Initial hospital care 3.87 3.87 0%

Practice Expense 1.05 1.05 0%

Physician work 2.61 2.61 0%

99223 Initial hospital care 5.73 5.74 0%

Practice Expense 1.58 1.59 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 2.04 2.06 1%

Practice Expense 0.56 0.57 2%

Physician work 1.39 1.39 0%

American Academy of Neurology Page 19 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

99233 Subsequent hospital care 2.95 2.95 0%

Practice Expense 0.81 0.81 0%

Physician work 2.00 2.00 0%

99234 Observ/hosp same date 3.77 3.77 0%

Practice Expense 1.01 1.01 0%

Physician work 2.56 2.56 0%

99235 Observ/hosp same date 4.78 4.79 0%

Practice Expense 1.31 1.32 1%

Physician work 3.24 3.24 0%

99236 Observ/hosp same date 6.16 6.18 0%

Practice Expense 1.67 1.69 1%

Physician work 4.20 4.20 0%

99238 Hospital discharge day 2.05 2.07 1%

Practice Expense 0.69 0.70 1%

Physician work 1.28 1.28 0%

99358 Prolonged E/M service; first hour 3.16 3.16 0%

Practice Expense 0.91 0.91 0%

Physician work 2.10 2.10 0%

99359 Prolonged E/M service; each addt'l 30 min 1.52 1.52 0%

Practice Expense 0.45 0.45 0%

Physician work 1.00 1.00 0%

99415 Prolonged clinical staff services 0.25 0.28 12%

Practice Expense 0.24 0.27 13%

Physician work N/A N/A N/A

99416 Prolonged clinical staff services, addtl 0.13 0.13 0%

Practice Expense 0.13 0.13 0%

Physician work N/A N/A N/A

99446* Interprof Telephone / internet consultation 0.00 0.51 N/A

Practice Expense 0.00 0.14 N/A

Physician work 0.00 0.35 N/A

99447* 11-20 mins 0.00 1.01 N/A

Practice Expense 0.00 0.27 N/A

Physician work 0.00 0.70 N/A

99448* 21-30 mins 0.00 1.52 N/A

Practice Expense 0.00 0.41 N/A

Physician work 0.00 1.05 N/A

American Academy of Neurology Page 20 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

99449* 31+ minutes 0.00 2.03 N/A

Practice Expense 0.00 0.55 N/A

Physician work 0.00 1.40 N/A

99490 Chronic care management services 1.19 1.19 0%

Practice Expense 0.54 0.54 0%

Physician work 0.61 0.61 0%

99487 Cmplx chron care w/o pt vsit 2.61 2.63 1%

Practice Expense 1.55 1.57 1%

Physician work 1.00 1.00 0%

99489 Cmplx chron care addl 30 min 1.31 1.31 0%

Practice Expense 0.78 0.78 0%

Physician work 0.50 0.50 0%

99495 Trans care mgmt 14 day disch 4.61 4.64 1%

Practice Expense 2.37 2.40 1%

Physician work 2.11 2.11 0%

99496 Trans care mgmt 7 day disch 6.52 6.57 1%

Practice Expense 3.28 3.32 1%

Physician work 3.05 3.05 0%

99497 Advncd care plan 30 minutes 2.31 2.39 3%

Practice Expense 0.72 0.79 10%

Physician work 1.50 1.50 0%

99498 Advncd care plan addl 30 minutes 2.02 2.11 4%

Practice Expense 0.54 0.61 13%

Physician work 1.40 1.40 0%

99241 * Office consultation 1.34 1.34 0%

Physician work 0.64 0.64 0%

99242 * Office consultation 2.52 2.52 0%

Physician work 1.34 1.34 0%

99243 * Office consultation 3.45 3.45 0%

Physician work 1.88 1.88 0%

99244 * Office consultation 5.16 5.16 0%

Physician work 3.02 3.02 0%

99245 * Office consultation 6.29 6.29 0%

Physician work 3.77 3.77 0%

99251 * Inpatient consult 1.38 1.38 0%

Physician work 1.00 1.00 0%

American Academy of Neurology Page 21 of 35

Total RVUs - Medicare Physician Fee Schedule

CPT Code Descriptors 2017 2018

Proposed

Change (%)

from 2017 to

2018

99252 * Inpatient consult 2.11 2.11 0%

Physician work 1.50 1.50 0%

99253 * Inpatient consult 3.24 3.25 0%

Physician work 2.27 2.27 0%

99254 * Inpatient consult 4.71 4.72 0%

Physician work 3.29 3.29 0%

99255 * Inpatient consult 5.68 5.68 0%

Physician work 4.00 4.00 0%

99291 Critical care, first hour 7.75 7.76 0%

Practice Expense 2.86 2.88 1%

Physician work 4.50 4.50 0%

99292 Critical care, addl 30 min 3.47 3.47 0%

Practice Expense 1.02 1.02 0%

Physician work 2.25 2.25 0%

•99483 Assmt & care pln pt cog imp 6.72

Practice Expense 3.08

Physician work 3.44

G0506 Comp asses care plan ccm svc 1.78 1.79 1%

Practice Expense 0.85 0.86 1%

Physician work 0.87 0.87 0%

G0508 Crit care telehea consult 60, initial 5.61 5.67 1%

Practice Expense N/A N/A N/A

Physician work 4.00 4.00 0%

G0509 Crit care telehea consult 50, subsequent 5.41 5.48 1%

Practice Expense N/A N/A N/A

Physician work 3.86 3.86 0%

Notes

* Indicates code which is not currently payable under Medicare• Indicates new CPT code for 2018

American Academy of Neurology Page 22 of 35

Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2017 2018

Final Change

($) 2017 - 2018

(using CF of )

Final Change

(%) 2017 -

2018 (using

CF of )

Medicare Conversion Factor 35.8887 35.9996 35.9996 35.9996

20550 Inject tendon/ligament/cyst $53.83 $54.72 $0.89 2%

20551 Inject tendon origin/insert $61.73 $62.28 $0.55 1%

20552 Inject trigger point, 1 or 2 $56.35 $56.52 $0.17 0%

20553 Inject trigger points, > 3 $64.96 $65.16 $0.20 0%

62270 Lumbar Puncture $163.65 $162.36 -$1.29 -1%

64405 Nerve Block, greater occipital nerve $102.64 $105.48 $2.84 3%

64611 Chemodenervation, salivary glands $120.94 $124.20 $3.25 3%

64612 Destroy nerve, face muscle $133.86 $137.16 $3.29 2%

64615 Chemodenervation musc migraine $149.30 $151.56 $2.26 2%

64616 Chemodenervation, neck muscle(s) $130.99 $134.64 $3.64 3%

64642 Chemodenervation, extr; 1-4 muscle(s) $145.71 $148.32 $2.61 2%

64643 Chemodenervation, addtl extremity; 1-4 muscle(s)$95.11 $95.40 $0.29 0%

64644 Chemodenervation of muscle(s) 5+ muscle(s)$167.60 $169.56 $1.96 1%

64645 Chemodenervation, addtl extr; 5+ muscle(s)$117.71 $117.72 $0.00 0%

64646 Chemodenervation, trunk; 1-5 muscle(s) $152.89 $154.80 $1.91 1%

64647 Chemodenervation, trunk; 6+ muscle(s) $182.31 $183.96 $1.64 1%

64650 Chemodenervation, eccrine $79.31 $80.28 $0.97 1%

64653 Chemodenervation, eccrine $96.54 $98.64 $2.10 2%

67345 Destroy nerve of eye muscle $246.56 $251.28 $4.72 2%

70554 fMRI, brain by tech $455.43 $458.63 $3.21 1%

Professional Component $108.74 $108.36 -$0.38 0%

Technical Component $346.68 $350.28 $3.59 1%

American Academy of Neurology Page 23 of 35

Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2017 2018

Final Change

($) 2017 - 2018

(using CF of )

Final Change

(%) 2017 -

2018 (using

CF of )

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

Professional Component $128.12 $128.16 $0.04 0%

Technical Component N/A N/A N/A N/A

92540 Vestibular testing $103.72 $103.68 -$0.04 0%

Professional Component $81.11 $81.36 $0.25 0%

Technical Component $22.61 $22.32 -$0.29 -1%

92541 Spontaneous nystagmus test $25.12 $25.20 $0.08 0%

Professional Component $21.53 $21.60 $0.07 0%

Technical Component $3.59 $3.60 $0.01 0%

92542 Positional nystagmus test $28.35 $28.80 $0.45 2%

Professional Component $25.48 $25.56 $0.08 0%

Technical Component $2.87 $3.24 $0.37 13%

92537 Caloric vstblr test w/rec, bithermal $40.91 $41.40 $0.49 1%

Professional Component $32.30 $32.40 $0.10 0%

Technical Component $8.61 $9.00 $0.39 4%

92538 Caloric vstblr test w/rec, monothermal $20.82 $21.24 $0.42 2%

Professional Component $16.15 $16.20 $0.05 0%

Technical Component $4.67 $5.04 $0.37 8%

92544 Optokinetic nystagmus test $17.23 $17.28 $0.05 0%

Professional Component $14.71 $14.76 $0.05 0%

Technical Component $2.51 $2.52 $0.01 0%

92585 Brainstem Auditory EP $137.45 $138.24 $0.78 1%

Professional Component $27.28 $27.36 $0.08 0%

Technical Component $110.18 $110.88 $0.70 1%

93880 Carotid Duplex Scan $205.64 $209.16 $3.52 2%

Professional Component $40.91 $41.04 $0.13 0%

Technical Component $164.73 $168.12 $3.39 2%

93882 Carotid Duplex Scan $130.99 $133.92 $2.92 2%

Professional Component $25.84 $25.92 $0.08 0%

Technical Component $105.15 $108.00 $2.84 3%

American Academy of Neurology Page 24 of 35

Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2017 2018

Final Change

($) 2017 - 2018

(using CF of )

Final Change

(%) 2017 -

2018 (using

CF of )

93886 Transcranial Doppler $280.29 $280.08 -$0.21 0%

Professional Component $48.09 $48.24 $0.15 0%

Technical Component $232.20 $231.84 -$0.36 0%

93888 Transcranial Doppler $152.53 $159.12 $6.59 4%

Professional Component $26.56 $26.64 $0.08 0%

Technical Component $125.97 $132.48 $6.51 5%

93890 TCD, vasoreactivity study $288.90 $286.56 -$2.35 -1%

Professional Component $52.40 $52.56 $0.16 0%

Technical Component $236.51 $234.00 -$2.51 -1%

93892 TCD, emboli detection w/o inj $334.12 $328.68 -$5.45 -2%

Professional Component $61.37 $61.56 $0.19 0%

Technical Component $272.75 $267.12 -$5.64 -2%

93893 TCD, emboli detection w/inj $351.71 $356.40 $4.69 1%

Professional Component $61.01 $61.20 $0.19 0%

Technical Component $290.70 $295.20 $4.50 2%

94660 CPAP initiation and management $64.60 $66.24 $1.64 3%

95800

Sleep study, unattended,

simultaneous recording $180.88 $180.72 -$0.16 0%

Professional Component $53.12 $53.28 $0.16 0%

Technical Component $127.76 $127.44 -$0.33 0%

95801 Sleep study, unattended $92.23 $92.52 $0.29 0%

Professional Component $50.24 $50.40 $0.16 0%

Technical Component $41.99 $42.12 $0.13 0%

95803 Actigraphy testing $142.84 $146.16 $3.32 2%

Professional Component $44.50 $45.00 $0.50 1%

Technical Component $98.34 $101.16 $2.82 3%

95805 Multiple Sleep Latency Test $433.89 $440.64 $6.74 2%

Professional Component $60.29 $60.48 $0.19 0%

Technical Component $373.60 $380.16 $6.55 2%

95806 Sleep Study, Unattended $171.91 $173.52 $1.61 1%

Professional Component $62.45 $62.64 $0.19 0%

Technical Component $109.46 $110.88 $1.42 1%

American Academy of Neurology Page 25 of 35

Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2017 2018

Final Change

($) 2017 - 2018

(using CF of )

Final Change

(%) 2017 -

2018 (using

CF of )

95807 Sleep Study $471.58 $469.79 -$1.78 0%

Professional Component $63.52 $63.72 $0.20 0%

Technical Component $408.05 $406.08 -$1.98 0%

95808 Polysomnography, 1-3 $648.87 $714.95 $66.08 10%

Professional Component $90.08 $90.72 $0.64 1%

Technical Component $558.79 $624.23 $65.45 12%

95810 Polysomnography, 4 or more $631.28 $638.99 $7.71 1%

Professional Component $124.17 $124.56 $0.38 0%

Technical Component $507.11 $514.43 $7.33 1%

95811 Polysomnography w/CPAP $663.22 $671.03 $7.81 1%

Professional Component $129.20 $129.60 $0.40 0%

Technical Component $534.02 $541.43 $7.41 1%

95782 Polysom <6 yrs 4/> paramtrs $1,035.39 $935.63 -$99.76 -10%

Professional Component $128.84 $129.24 $0.40 0%

Technical Component $906.55 $806.39 -$100.16 -11%

95783 Polysom <6 yrs cpap/bilvl $1,176.79 $997.91 -$178.88 -15%

Professional Component $146.43 $140.76 -$5.67 -4%

Technical Component $1,030.36 $857.15 -$173.21 -17%

95812 Extended EEG, < 1 hr $328.38 $329.76 $1.37 0%

Professional Component $58.86 $59.40 $0.54 1%

Technical Component $269.52 $270.36 $0.83 0%

95813 Extended EEG, > 1 hr $413.80 $414.36 $0.56 0%

Professional Component $89.00 $88.92 -$0.08 0%

Technical Component $324.79 $325.44 $0.64 0%

95816 Awake EEG $366.42 $371.88 $5.45 1%

Professional Component $58.86 $59.40 $0.54 1%

Technical Component $304.34 $312.48 $8.14 3%

95819 Awake and Asleep EEG $421.33 $432.36 $11.02 3%

Professional Component $59.22 $59.40 $0.18 0%

Technical Component $362.12 $372.96 $10.84 3%

95822 Sleep EEG $380.42 $389.52 $9.10 2%

Professional Component $59.22 $59.40 $0.18 0%

Technical Component $321.20 $330.12 $8.91 3%

American Academy of Neurology Page 26 of 35

Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2017 2018

Final Change

($) 2017 - 2018

(using CF of )

Final Change

(%) 2017 -

2018 (using

CF of )

95824 EEG for Brain Death N/A N/A N/A N/A

Professional Component $40.20 $40.68 $0.48 1%

Technical Component N/A N/A N/A N/A

95827 Overnight EEG $673.99 $640.43 -$33.56 -5%

Professional Component $58.14 $57.96 -$0.18 0%

Technical Component $615.49 $582.47 -$33.02 -5%

95829 Surgery Electrocorticogram $1,942.66 $1,953.70 $11.04 1%

Professional Component $344.53 $346.68 $2.14 1%

Technical Component $1,598.12 $1,607.02 $8.90 1%

95830 Insert Sphenoidal Electrodes $222.51 $239.40 $16.89 8%

95860 EMG, One Limb $124.17 $126.00 $1.82 1%

Professional Component $52.76 $53.28 $0.52 1%

Technical Component $71.42 $72.72 $1.30 2%

95861 EMG, Two Limbs $176.57 $178.56 $1.99 1%

Professional Component $84.70 $84.96 $0.26 0%

Technical Component $91.88 $93.60 $1.72 2%

95863 EMG, Three Limbs $221.79 $227.88 $6.09 3%

Professional Component $102.28 $102.60 $0.32 0%

Technical Component $119.51 $125.28 $5.77 5%

95864 EMG, Four Limbs $249.43 $254.88 $5.45 2%

Professional Component $109.82 $109.44 -$0.38 0%

Technical Component $139.61 $145.44 $5.83 4%

95865 EMG, larynx $148.94 $150.48 $1.54 1%

Professional Component $86.49 $86.04 -$0.45 -1%

Technical Component $62.45 $64.44 $1.99 3%

95866 EMG, hemidiaphragm $137.81 $137.88 $0.07 0%

Professional Component $69.27 $69.12 -$0.15 0%

Technical Component $68.55 $68.76 $0.21 0%

95867 EMG, Cranial Unilateral $98.34 $104.04 $5.70 6%

Professional Component $42.71 $42.84 $0.13 0%

Technical Component $55.63 $60.48 $4.85 9%

American Academy of Neurology Page 27 of 35

Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2017 2018

Final Change

($) 2017 - 2018

(using CF of )

Final Change

(%) 2017 -

2018 (using

CF of )

95868 EMG, Cranial Bilateral $136.74 $138.60 $1.86 1%

Professional Component $64.96 $64.80 -$0.16 0%

Technical Component $71.78 $73.80 $2.02 3%

95869 EMG, Thoracic Paraspinal $92.95 $95.76 $2.81 3%

Professional Component $20.46 $20.52 $0.06 0%

Technical Component $72.50 $75.24 $2.74 4%

95870 EMG, Other $94.03 $97.20 $3.17 3%

Professional Component $20.46 $20.52 $0.06 0%

Technical Component $72.85 $76.68 $3.83 5%

95872 EMG, Single Fiber $200.26 $201.96 $1.70 1%

Professional Component $157.55 $158.76 $1.21 1%

Technical Component $42.71 $43.20 $0.49 1%

95873 Electrical stimulation, chemodenervation $74.29 $75.24 $0.95 1%

Professional Component $20.46 $20.52 $0.06 0%

Technical Component $53.83 $54.72 $0.89 2%

95874 EMG, chemodenervation $75.01 $76.68 $1.67 2%

Professional Component $20.46 $20.52 $0.06 0%

Technical Component $54.55 $56.16 $1.61 3%

$0.00

95875 Limb Exercise Test $119.15 $133.56 $14.41 12%

Professional Component $60.29 $60.84 $0.55 1%

Technical Component $58.86 $72.72 $13.86 24%

95885

Needle EMG when performed with

nerve conduction test; limited $59.58 $60.48 $0.90 2%

Professional Component $19.38 $19.44 $0.06 0%

Technical Component $40.20 $41.15 $0.95 2%

95886

Needle EMG when performed with

nerve conduction test; complex $92.59 $93.60 $1.01 1%

Professional Component $47.37 $47.52 $0.15 0%

Technical Component $45.22 $46.08 $0.86 2%

95887

Needle EMG when performed with

nerve conduction test; non-extremity $81.83 $82.80 $0.97 1%

Professional Component $38.76 $39.24 $0.48 1%

Technical Component $43.07 $43.56 $0.49 1%

American Academy of Neurology Page 28 of 35

Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2017 2018

Final Change

($) 2017 - 2018

(using CF of )

Final Change

(%) 2017 -

2018 (using

CF of )

95905 NCV, Preconfig array $72.50 $74.16 $1.66 2%

Professional Component $2.87 $2.88 $0.01 0%

Technical Component $69.62 $71.28 $1.66 2%

95907 Motor&/sens 1-2 nrv cndj tst $99.05 $100.08 $1.03 1%

Professional Component $54.91 $55.08 $0.17 0%

Technical Component $44.14 $45.00 $0.86 2%

95908 Motor&/sens 3-4 nrv cndj tst $127.40 $129.60 $2.19 2%

Professional Component $68.91 $69.48 $0.57 1%

Technical Component $58.50 $60.12 $1.62 3%

95909 Motor&/sens 5-6 nrv cndj tst $151.81 $154.44 $2.63 2%

Professional Component $82.54 $82.80 $0.26 0%

Technical Component $69.27 $71.64 $2.37 3%

95910 Motor&/sens 7-8 nrv cndj tst $200.62 $203.40 $2.78 1%

Professional Component $110.18 $110.52 $0.34 0%

Technical Component $90.44 $92.88 $2.44 3%

95911 Motor&/sens 9-10 nrv cndj tst $239.02 $242.64 $3.62 2%

Professional Component $137.45 $137.88 $0.42 0%

Technical Component $101.57 $104.76 $3.19 3%

95912 Motor&/sens 11-12 nrv cndj tst $263.78 $269.28 $5.50 2%

Professional Component $162.58 $163.80 $1.22 1%

Technical Component $101.21 $105.48 $4.27 4%

95913 Motor&/sens 13/> nrv cndj tst $302.90 $310.68 $7.78 3%

Professional Component $192.36 $194.04 $1.67 1%

Technical Component $110.54 $116.64 $6.10 6%

95921 Autonomic Parasympathetic $86.49 $85.32 -$1.17 -1%

Professional Component $46.30 $46.44 $0.14 0%

Technical Component $40.20 $38.88 -$1.32 -3%

95922 Autonomic Sympathetic $101.57 $99.72 -$1.85 -2%

Professional Component $49.53 $49.68 $0.15 0%

Technical Component $52.04 $50.04 -$2.00 -4%

95923 Autonomic Sudomotor $143.20 $132.84 -$10.36 -7%

Professional Component $47.01 $47.16 $0.15 0%

Technical Component $96.18 $85.68 -$10.50 -11%

American Academy of Neurology Page 29 of 35

Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2017 2018

Final Change

($) 2017 - 2018

(using CF of )

Final Change

(%) 2017 -

2018 (using

CF of )

95924 Ans parasymp & symp w/tilt $155.04 $154.44 -$0.60 0%

Professional Component $91.88 $92.16 $0.28 0%

Technical Component $63.16 $63.00 -$0.16 0%

95943 Parasymp&symp hrt rate test $0.00 $0.00 $0.00 N/A

Professional Component $0.00 $0.00 $0.00 N/A

Technical Component $0.00 $0.00 $0.00 N/A

95925 Somatosensory EPs, Upper Limbs $140.68 $135.36 -$5.33 -4%

Professional Component $28.35 $28.44 $0.09 0%

Technical Component $112.33 $106.92 -$5.41 -5%

95926 Somatosensory EPs, Lower Limbs $136.38 $132.84 -$3.54 -3%

Professional Component $27.99 $28.08 $0.09 0%

Technical Component $108.38 $104.76 -$3.63 -3%

95927 Somatosensory EPs, Trunk or Head $139.97 $139.32 -$0.65 0%

Professional Component $27.99 $28.08 $0.09 0%

Technical Component $111.97 $111.24 -$0.73 -1%

95928 C motor evoked, upper limbs $216.77 $217.80 $1.03 0%

Professional Component $82.19 $82.08 -$0.11 0%

Technical Component $134.58 $135.72 $1.14 1%

95929 C motor evoked, lower limbs $223.23 $223.92 $0.69 0%

Professional Component $82.54 $82.80 $0.26 0%

Technical Component $140.68 $141.12 $0.43 0%

95930 Visual Evoked Potential $131.35 $71.28 -$60.07 -46%

Professional Component $19.02 $19.44 $0.42 2%

Technical Component $112.33 $51.84 -$60.49 -54%

95933 Blink Reflex Test $77.88 $79.92 $2.04 3%

Professional Component $32.30 $32.40 $0.10 0%

Technical Component $45.58 $47.52 $1.94 4%

95937 Neuromuscular Junction Test $83.26 $83.88 $0.62 1%

Professional Component $35.17 $35.28 $0.11 0%

Technical Component $48.09 $48.60 $0.51 1%

American Academy of Neurology Page 30 of 35

Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2017 2018

Final Change

($) 2017 - 2018

(using CF of )

Final Change

(%) 2017 -

2018 (using

CF of )

95938 Somatosensory testing $347.76 $352.80 $5.03 1%

Professional Component $47.37 $47.52 $0.15 0%

Technical Component $300.39 $305.28 $4.89 2%

95939 C motor evoked upper and lower limbs $512.49 $518.39 $5.90 1%

Professional Component $122.74 $123.12 $0.38 0%

Technical Component $389.75 $395.28 $5.52 1%

95940 IONM in operatng room 15 min $33.02 $33.48 $0.46 1%

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

G0453 Cont intraop neuro monitor $33.02 $33.48 $0.46 1%

95950 Ambulatory Cassette EEG $338.43 $350.28 $11.85 4%

Professional Component $81.83 $82.44 $0.61 1%

Technical Component $256.60 $267.84 $11.23 4%

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

Professional Component $327.30 $328.68 $1.37 0%

Technical Component 0.00 0.00 $0.00 0%

95953 Automated Ambulatory $430.66 $442.80 $12.13 3%

Professional Component $167.96 $168.48 $0.52 0%

Technical Component $262.71 $274.32 $11.61 4%

95954 EEG Monitoring/Giving Drugs $459.73 $436.32 -$23.42 -5%

Professional Component $128.48 $123.84 -$4.64 -4%

Technical Component $331.25 $312.48 -$18.78 -6%

95955 EEG During Surgery $217.13 $219.24 $2.11 1%

Professional Component $54.91 $55.44 $0.53 1%

Technical Component $162.22 $163.80 $1.58 1%

95956 EEG Monitoring, No Video $1,653.39 $1,628.62 -$24.77 -1%

Professional Component $195.59 $196.56 $0.96 0%

Technical Component $1,457.80 $1,432.06 -$25.73 -2%

95957 EEG Digital Analysis $310.08 $294.12 -$15.96 -5%

Professional Component $107.31 $106.92 -$0.39 0%

Technical Component $202.77 $187.20 -$15.57 -8%

American Academy of Neurology Page 31 of 35

Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2017 2018

Final Change

($) 2017 - 2018

(using CF of )

Final Change

(%) 2017 -

2018 (using

CF of )

95958 Wada Test $589.65 $594.71 $5.06 1%

Professional Component $231.48 $233.64 $2.16 1%

Technical Component $358.17 $361.08 $2.91 1%

95961 Grid: Cortex Stimulation $311.51 $311.40 -$0.12 0%

Professional Component $166.52 $165.96 -$0.57 0%

Technical Component $144.99 $145.44 $0.45 0%

95962 Grid: Cortex Stimulation $266.65 $268.92 $2.26 1%

Professional Component $177.65 $178.20 $0.55 0%

Technical Component $89.00 $90.72 $1.72 2%

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

Professional Components $431.02 $434.52 $3.49 1%

Technical Components $0.0 $0.0 $0.00 0%

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

Professional Components $216.05 $221.04 $4.99 2%

Technical Components $0.0 $0.0 $0.00 0%

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

Professional Components $189.49 $194.76 $5.27 3%

Technical Components $0.0 $0.0 $0.00 0%

95970 Neurostim analyze, no program $69.27 $70.92 $1.65 2%

95971 Simple neurostim analyze $51.32 $52.20 $0.88 2%

95972 Complex neurostim analyze $59.22 $60.12 $0.90 2%

95974 Complex cranial neurostim $211.74 $212.76 $1.01 0%

95975 Complex cranial neurostim $113.77 $114.48 $0.71 1%

95992 Canalith Repositioning $43.78 $44.28 $0.50 1%

96000 Motion analysis, video/3D $97.26 $99.00 $1.74 2%

96001 Motion test x/ft pressure meas $124.53 $132.84 $8.30 7%

96002 Dynamic surface EMG $22.25 $22.68 $0.43 2%

American Academy of Neurology Page 32 of 35

Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2017 2018

Final Change

($) 2017 - 2018

(using CF of )

Final Change

(%) 2017 -

2018 (using

CF of )

96003 Dynamic fine wire EMG $16.87 $17.64 $0.77 5%

96004 Phys review of motion tests $119.51 $118.08 -$1.43 -1%

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

Professional Component $164.37 $165.60 $1.23 1%

Technical Component $0.00 $0.00 $0.00 0%

99201 Office/outpatient visit, new $44.50 $45.36 $0.86 2%

99202 Office/outpatient visit, new $75.73 $76.32 $0.59 1%

99203 Office/outpatient visit, new $109.46 $109.80 $0.34 0%

99204 Office/outpatient visit, new $166.16 $167.40 $1.23 1%

99205 Office/outpatient visit, new $209.23 $210.60 $1.37 1%

99211 Office/outpatient visit, est $20.46 $21.96 $1.50 7%

99212 Office/outpatient visit, est $44.14 $44.64 $0.50 1%

99213 Office/outpatient visit, est $73.93 $74.16 $0.23 0%

99214 Office/outpatient visit, est $108.74 $109.44 $0.70 1%

99215 Office/outpatient visit, est $146.43 $147.60 $1.17 1%

99221 Initial hospital care $103.00 $103.32 $0.32 0%

99222 Initial hospital care $138.89 $139.32 $0.43 0%

99223 Initial hospital care $205.64 $206.64 $1.00 0%

99231 Subsequent hospital care $39.84 $39.96 $0.12 0%

99232 Subsequent hospital care $73.21 $74.16 $0.95 1%

99233 Subsequent hospital care $105.87 $106.20 $0.33 0%

99234 Observ/hosp same date $135.30 $135.72 $0.42 0%

99235 Observ/hosp same date $171.55 $172.44 $0.89 1%

American Academy of Neurology Page 33 of 35

Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2017 2018

Final Change

($) 2017 - 2018

(using CF of )

Final Change

(%) 2017 -

2018 (using

CF of )

99236 Observ/hosp same date $221.07 $222.48 $1.40 1%

99238 Hospital discharge day $73.57 $74.52 $0.95 1%

99415 Prolonged clinical staff services $8.97 $10.08 $1.11 12%

99416 Prolonged clinical staff services, addtl $4.67 $4.68 $0.01 0%

99446* Interprof phone/online 5-10 min $0.00 $18.36 $18.36 N/A

99447* Interprof phone/online 11-20 min $0.00 $36.36 $36.36 N/A

99448* Interprof phone/online 21-30 min $0.00 $54.72 $54.72 N/A

99449* Interprof phone/online 31> min $0.00 $73.08 $73.08 N/A

99490 Chronic care mgmt services $42.71 $42.84 $0.13 0%

99487 Cmplx chron care w/o pt vsit $93.67 $94.68 $1.01 1%

99489 Complx chron care addl 30 min $47.01 $47.16 $0.15 0%

99495 Trans care mgmt 14 day disch $165.45 $167.04 $1.59 1%

99496 Trans care mgmt 7 day disch $233.99 $236.52 $2.52 1%

99497 Advance care planning $82.90 $86.04 $3.14 4%

99498 Adv care planning, each adtl 30 min $72.50 $75.96 $3.46 5%

99241 * Office consultation $48.09 $48.24 $0.15 0%

99242 * Office consultation $90.44 $90.72 $0.28 0%

99243 * Office consultation $123.82 $124.20 $0.38 0%

99244 * Office consultation $185.19 $185.76 $0.57 0%

99245 * Office consultation $225.74 $226.44 $0.70 0%

99251 * Inpatient consult $49.53 $49.68 $0.15 0%

99252 * Inpatient consult $75.73 $75.96 $0.23 0%

99253 * Inpatient consult $116.28 $116.64 $0.36 0%

American Academy of Neurology Page 34 of 35

Dollar Amounts, based on Medicare Conversion Factor

CPT Code Descriptors 2017 2018

Final Change

($) 2017 - 2018

(using CF of )

Final Change

(%) 2017 -

2018 (using

CF of )

99254 * Inpatient consult $169.04 $169.92 $0.88 1%

99255 * Inpatient consult $203.85 $204.48 $0.63 0%

99291 Critical care, first hour $278.14 $279.36 $1.22 0%

99292 Critical care, addl 30 min $124.53 $124.92 $0.38 0%

99358 Prolonged services w/o contact $113.41 $113.76 $0.35 0%

+99359

Prolonged service w/o contact, add

on $54.55 $54.72 $0.17 0%

•99483 Assmt & care pln pt cog imp $0.00 $241.92 $241.92 N/A

G0506 Comp asses care plan ccm svc $63.88 $64.44 $0.56 1%

G0508 Crit care telehea consult 60, initial $153.24 $153.36 $0.11 0%

G0509 Crit care telehea consult 50, subsequent $146.50 $146.50 $0.00 0%

* Indicates code which is not currently payable under Medicare• Indicates new CPT code for 2018

Notes

American Academy of Neurology Page 35 of 35