Neurology
Cognitive specialty with high-RVU diagnostic procedures: EEG, EMG/NCS, evoked potentials, cognitive assessment. Most procedures split into professional and technical components. Cognitive assessment care plan (99483) is one of the highest-RVU outpatient codes in medicine.
Top billed codes
The codes that drive revenue in this specialty. Click any code for documentation requirements, modifiers, and pitfalls.
| Code | Description | wRVU | Total RVU | Medicare $ | |
|---|---|---|---|---|---|
| 99204 | Office o/p new mod 45 min New patient with a moderately complex problem requiring comprehensive history, exam, and drug management. The default new-patient code in primary care and most subspecialties. | 2.60 | 5.31 | $177 | Details → |
| 99205 | Office o/p new hi 60 min New patient with severe, decompensated, or high-acuity disease. Complex consult-style new patient encounters. | 3.50 | 7.09 | $237 | Details → |
| 99214 | Office o/p est mod 30 min The workhorse code. Two or more chronic problems with progression/treatment changes, OR one undiagnosed new problem with uncertain prognosis, OR prescription drug management. | 1.92 | 4.06 | $136 | Details → |
| 99215 | Office o/p est hi 40 min Severe exacerbation, decompensated chronic illness, decision regarding hospitalization, or extensive comorbidity management requiring high-risk decision-making. | 2.80 | 5.76 | $192 | Details → |
| G2211 | Complex e/m visit add on Add-on to office E/M (99202-99215) when you are the continuing focal point for all needed care (primary care) OR the ongoing care provider for a single serious/complex condition. | 0.33 | 0.52 | $17 | Details → |
| 99483 | Cognitive assessment & care plan Patient with mild cognitive impairment, dementia, or suspicion thereof. Once per 180 days. | 3.44 | 6.08 | $203 | Details → |
| 95812 | EEG, 41-60 min Extended routine EEG, 41-60 minute recording. | 1.08 | 5.21 | $174 | Details → |
| 95816 | EEG awake & drowsy Routine outpatient awake + drowsy EEG. | 1.08 | 4.64 | $155 | Details → |
| 95911 | Nerve conduction 9-10 studies NCS evaluation, 9-10 individual studies. 95912 for 11-12, 95913 for 13+. | 2.05 | 3.94 | $132 | Details → |
| 95913 | NCS, 13+ studies NCS evaluation with 13+ individual studies (extensive workup, e.g. polyneuropathy). | 3.56 | 7.26 | $242 | Details → |
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