What Is The Standard CPT Code For Neurology Consult?

Touseef Riaz

February 27, 2023

CPT Code For Neurology Consult

The medical specialty is concerned with diagnosing, treating, and preventing disorders that affect the nervous system. Neurological disorders can be of several types: neurological syndromes and nervous system diseases. Neurologists are a significant part of many aspects of medical care.

What Is The Standard CPT Code For Neurology Consult

Neurological diseases include headaches and peripheral neuropathy (nerve damage). It also has Alzheimer’s, epilepsy, multiple sclerosis (MS), Parkinson’s disease (PD), stroke, and dementia. They provide physical examinations for people with symptoms such as headaches or seizures. In addition, they are treating injuries like stroke or brain injury.

CPT code for neurology consult describes a visit for a neurology consultation.

Consultation CPT codes are reported only once per physician/patient encounter (not for each service performed). Refrain from reporting consultation codes if you complete a procedure on the same day you provide a consultation

What is the role of the CPT code for Neurology Consult? 

The CPT code for Neurology Consult is the billing code for a neurology consult.

It is also used for insurance claims, hospital billing, and reimbursement. The CPT codes 95700-96020 indicate that you need to see a neurologist. These codes are used for different neurological consultations. Other types of neurological consultation exist, e.g., motion analysis, neurostimulators analysis, Electromyography, nerve conduction, and many more.

Consultation services are a form of direct care physicians provide that involves their direct services to patients or their families. Consultation services may include interpreting other physicians’ clinical data and reporting findings to the requesting physician.

What are CPT codes? 

CPT codes report healthcare services and procedures. They’re also a way for insurance companies and doctors. Besides, hospitals to track how much you owe them for their services.

CPT codes are essential to keeping track of your bill, you can use these services at a doctor’s office or hospital.  The codes are often structured in a way that makes it hard to understand how much each service was worth. For example, a physician may charge $10 for an office visit and $25 for a routine injection. As a result, it can take time to determine exact rates for billing.

95857 CPT code

The CPT code for neurology consult 95857 describes neurology consult of range of motion analysis. It is also used on an insurance claim or as part of a medical bill. 95857 indicates that the patient may lack the range of motion in large peripheral joints because of symptoms of neurological problems.

Who is a neurosurgeon?

A physician who focuses on identifying and performing surgery on the brain and spinal cord is called a neurosurgeon. The specialty was formalized in the early 20th century. Then, German neurologists began to study brain anatomy, function, and causation.

Anatomy of the Human Nervous System 

Various components make up the human nervous system. Neurons cells send information between nerve cells. The human central nervous system (CNS) encompasses the spinal cord and the brain. The peripheral nervous system (PNS) provides nerve fibers in most body parts other than CNS. There are two significant parts to the PNS: cranial nerves and spinal nerves.

The human nervous system comprises two peripheral systems, the autonomic nervous system, and the somatic nervous system. The brain, spinal cord, and other neural tissues form the central nervous system (CNS). CNS carries out voluntary control.

The PNS includes all other body parts except your brain and spinal cord. It has sensory organs like eyes and ears. It consists of motor nerves that send signals to muscles. Autonomic nerves control involuntary functions like breathing rate or heart rate—somatic nervous functions such as digestion and sexual arousal.

Particular motor neurons control some functions of the nervous system. They are located within each spinal cord segment called motor neurons. It sends signals to muscles and glands throughout our bodies. These special motor units can respond in a quick manner when needed. Still, they need more strength or control to perform complex tasks. These tasks include walking on their own or performing fine movements. Such movements are typing on a keyboard without help from another person!

Pathologies of Brain

The two most common brain diseases are strokes and Parkinson’s disease in the elderly. The leading causes of strokes are blood clots, aneurysms, or tumors pressing on the brain. They often cause paralysis on one side of your body and speech problems or memory loss on the other. If you have a stroke, you’ll usually be able to return home in about a month. It can only happen if you get treatment early enough (within 48 hours). But, if not treated immediately after your symptoms start. It may take up to 6 months before the symptoms disappear.

Parkinson’s disease is a progressive neurological condition. It affects how your brain controls movement. As a result, it can make walking, talking, and writing difficult, among other things. The most common symptoms include tremors, slow motion, and stiffness in one or more limbs.

Parkinson’s disease is an illness that causes shaking. Because specific nerve cells in your brain stop working over time, they become less sensitive to messages from other parts of your body. People with Parkinson’s also experience resting tremors (shaking). Their hands shake when they don’t move anything at all.

These movements occur consistently. But resting tremors make no noise while they’re happening. They seem to breathe without making any noise except for a few similar-sounding breaths every few seconds. These people sleep through an entire night. These tremors diminish during the whole night itself!

Why it is essential to have Neurology billing services?

A Neurologist’s front office staff may need more expertise for accurate and timely neurology medical billing.

Neurology medical billing is a complex process, and front office staff may need more expertise for accurate and timely cardiology medical billing.

  • The physician’s billing services team must be able to provide accurate information regarding the patient’s condition, diagnosis, and treatment plan to ensure that your cardiologist receives proper reimbursement from insurance companies.
  • If you are still determining which specialist will perform your procedure or if any additional procedures are involved during the surgery, such as an MRI, nuclear stress test (NST), or electroencephalography, you should ask your surgeon before submitting any forms of documentation related directly.

CPT codes for Medication 

The Current Procedural Terminology (CPT) codes for medication therapy range between 99505-99607. (https://www.aapc.com/codes/cpt-codes-range/99605-99607).

Neurology Coding Cheat Sheet

CPT code for neurology consult describes and classifies neurological conditions. The following is a list of standard neurophysiology consults based on ICD-10: (https://shields.com/wp-content/uploads/Common-Nuerological-Diagnosis-Codes.pdf)

M25.519 is code for Pain in the joint, and shoulder region.

M25.511 is code for Pain right shoulder joint.

M25.512 is code for Pain left shoulder joint.

M25.521 is code for Pain in the right elbow.

M25.522 is code for Pain in the left elbow.

M25.529 is code for Pain in the unspecified elbow.

M25.531 is code for Pain in the right wrist. 

M25.532 is code for Pain in the left wrist.

 M25.539 is code for Pain in the unspecified wrist.

Neurology CPT Codes 2022

Neurology consults are one of the most common types of medical visits. The neurology coding cheat sheet provides a complete list of CPT codes used in neurology.

The following is a list of standard codes used on bills for neurology consultations:

 CPT code 95700-95700 is used for long-term EEG setup.

CPT code 95700-95700, Sleep medicine testing procedure.

CPT code 95705-95726, extended-term EEG monitoring.

CPT code 95812-95836, Routine electroencephalography.

CPT code 95851-95857, Range of Motion testing.

CPT code 95860-95872, Electromyography.

CPT code 9573-95887, Ischemic muscle testing procedure and guidance procedure for chemodenervation.

CPT code 95905-95913, Nerve conduction tests.

CPT code 95919-95924, Autonomic function testing procedures.

Neurosurgery CPT codes 2022 are listed below.

Intraoperative Neurophysiology Procedures ranges between 95938-95941(https://www.aapc.com/codes/cpt-codes-range/).

medicine CPT codes.

CPT codes for Medication 

CPT codes for medication Services and Procedures range between 90281-90399.

90281-90399 Immune globulins, serum, or recombinant products.

90460-0173 AImmunization Administration for Vaccines/Toxoids.

How are CPT codes used in Neurology Consult? 

CPT code for neurology consult may be reported by either the consultant or requesting physician. If you are a consultant, you can write the code or have the requesting physician report it.

The following scenarios explain how this works:

  • The patient’s primary care physician orders an MRI scan (with no imaging provider specified) and provides their insurance information (such as name and address) on the referral letter that accompanies their service request. In this case, your consulting fee will be billed directly through your client’s insurance company and then forwarded to Medicare later on; since you’re reporting directly through Medicare, there’s no need for another level of billing in addition to what has already been submitted by both parties involved in this transaction (i.e., patient/provider).

CPT code for neurology consults is reported only once per physician/patient encounter. Refrain from reporting consultation codes if you perform a procedure on the same day you provide a consultation. You should bill for only one office visit on that day – either an E/M service (99201-99215) or a procedure code (10060-10080). If the consultant does not do any procedure, use an appropriate E/M code for an office visit. CPT 99243 – Neurology consult with patient presentation and history; includes physical examination; diagnostic study or test except diagnostic imaging; other specified services performed in conjunction with admission or consultation

Benefits of Outsourcing Medical Billing Services

These services to an experienced medical billing company will allow you to:

  • Increase revenue. You can focus on providing quality patient care by outsourcing your medical billing. Thus, increasing revenue by reducing overhead costs.
  • Efficiency: Improve the efficiency of your healthcare facility when patients get faster, more efficient service at their convenience. They’re more likely to return. They also remember getting treatment from physicians who know what they’re doing!
  • Effective Time Management: Better time management for neurologists. Suppose there’s one thing that all busy doctors understand. In that case, they need time-saving staff available when needed most. Especially during those long duty nights. Because someone needs help walking into their car after surgery. Or post-op recovery process so they can get home safe!
  • Less Stress: Reduce stress on physicians and their staff. As a neurologist, you know how stressful it can be when things go wrong. You can lower costs by contracting out your medical billing. The risk of errors—and the associated financial penalties and bad press! Improve patient satisfaction. Outsourcing your medical billing is less stressful and more accurate than trying to keep up with it yourself.
  • It’s easier to get a second opinion when you know that the results will be reviewed by a qualified professional with experience in your field. The team at Medical Billing Services knows how important it is for you to receive accurate information on behalf of your patients, so they are always committed to providing the highest quality service possible!

Less Paper Work

Neurology billing services can save you time and make you money.

  • You can focus on your practice, not on the paperwork.
  • You can focus on your patient’s care. You do not need to worry about their insurance companies or reimbursements from Medicare or Medicaid (if applicable).
  • You don’t have to worry about how much time it takes to process claims each month, which means more time for other tasks, such as seeing new clients in person or making phone calls with patients’ insurance providers every so often to keep things fresh


This information is essential for the CPT code for neurology consult. You can use it to understand the codes related to your job or for any other purpose. Neurology billing services are a great way to streamline your revenue cycle. You can quickly get rid of manual processes and increase the accuracy of your bills by using neurology billing services. The best thing about it is that it will also save you time, which every doctor needs these days! Please get in touch with U Control Billing company, if you have any questions about our CPT and ICD-10 codes. We know medical coding and billing can be a lot to handle. But we are here to help!

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