95983 Alys brn npgt prgrmg 15 min
What 95983 is
CMS fee schedule short descriptor: Alys brn npgt prgrmg 15 min.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 95983 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 0.91 | 0.56 | 0.08 | 1.55 | $51.77 |
| Facility (hospital, ASC) | 0.91 | 0.27 | 0.08 | 1.26 | $42.09 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.
Medically Unlikely Edit (MUE)
Medicare caps 95983 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 95983? These codes are bundled into it
95983 is a Column 1 code in 10 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0589T | Elec alys smpl prgrmg iins | 0 - no modifier bypass | Check pair |
0590T | Elec alys cplx prgrmg iins | 0 - no modifier bypass | Check pair |
0788T | Elec aly smp iins sp/sac nrv | 0 - no modifier bypass | Check pair |
0789T | Elec aly cpx iins sp/sac nrv | 0 - no modifier bypass | Check pair |
0911T | Elec aly nstm sys vgs nrv wo | 1 - modifier may bypass | Check pair |
0912T | Elec alys nstim sys vgs smpl | 0 - no modifier bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
95970 | Alys npgt w/o prgrmg | 0 - no modifier bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
95983 is bundled into these codes
95983 appears as a Column 2 code in 10 active edits. Reported with one of these Column 1 codes on the same date of service, 95983 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
61850 | Implant neuroelectrodes | 1 | Check pair |
61860 | Implant neuroelectrodes | 1 | Check pair |
61863 | Implant neuroelectrode | 1 | Check pair |
61864 | Implant neuroelectrde addl | 1 | Check pair |
61867 | Implant neuroelectrode | 1 | Check pair |
61868 | Implant neuroelectrde addl | 1 | Check pair |
61880 | Revise/remove neuroelectrode | 1 | Check pair |
61885 | Insrt/redo neurostim 1 array | 1 | Check pair |
61886 | Implant neurostim arrays | 1 | Check pair |
61888 | Revise/remove neuroreceiver | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.