# MIETHKE vs NeuroSpine Coder

The clearest difference is in-app purchases: MIETHKE at none against NeuroSpine Coder's 1. MIETHKE also leads on update cadence (every 5 months vs every 14 months) and iOS requirement (11.0 vs 13.0). On price, rating, ratings volume and ads there is nothing between them.

Both are free to download. NeuroSpine Coder sells 1 in-app purchase, starting at $29.99 per year. MIETHKE asks for nothing beyond the download.

On the App Store both sit at effectively the same score — 5.0 for MIETHKE against 5.0 for NeuroSpine Coder. Both are backed by a comparable volume of ratings — 1 and 1 respectively.

MIETHKE ships an update every 5 months, NeuroSpine Coder every 14 months. The most recent releases landed on September 30, 2026 and September 29, 2026 respectively.

## The numbers

| Metric | MIETHKE | NeuroSpine Coder |
| --- | --- | --- |
| Price | Free | Free |
| Rating | [5.0 (1 ratings)](https://appshunter.io/ios/app/miethke/id450290015/reviews) | [5.0 (1 ratings)](https://appshunter.io/ios/app/neurospine-coder/id6449744792/reviews) |
| Number of ratings | 1 | 1 |
| Positive reviews | 100.0% of reviews | — |
| In-app purchases | **No** | Yes |
| Ads | No | No |
| Update frequency | **Every 5 months** | Every 14 months |
| Monetization | **Free** | Subscription |
| Size | 154 MB | 20 MB |
| Requires iOS | **11.0** | 13.0 |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Age rating | 12+ | 12+ |
| Developer | [Miethke GmbH & Co. KG](https://appshunter.io/developer/450290018) | [Neil Roundy](https://appshunter.io/developer/1690389327) |

## What reviewers say

### MIETHKE

[App page](https://appshunter.io/ios/app/miethke/id450290015)

This application visually demonstrates how gravitational valves, used to treat hydrocephalus, function. It explains how body position affects valve opening pressure and includes an X-ray recognition tool for valve setting control. Various specific valve models are illustrated.

**Highlights:** Illustrates gravitational valve functionality, Explains body position impact on valve pressure, Includes X-ray recognition tool, Demonstrates multiple valve models, Visualizes hydrocephalus treatment principles

**Features:** macOS Compatibility

**In-app purchases:** none


### NeuroSpine Coder

[App page](https://appshunter.io/ios/app/neurospine-coder/id6449744792)

This app offers medical professionals a quick and easy reference for CPT codes specific to neurosurgery and spine surgery. It categorizes and lists all possible codes by surgical approach and type, with an intuitive interface for rapid code retrieval and the ability to add personal notes.

**Highlights:** Neurosurgery and Spine CPT code reference, Categorized code listings, Searchable interface, Add notes to codes, Streamlined billing and reporting

**Features:** macOS Compatibility

**In-app purchases (1)**

| Purchase | Price | Billing |
| --- | --- | --- |
| ANNUAL SUBSCRIPTION | $29.99 | per year |


## Frequently asked questions

### Is MIETHKE free?

MIETHKE is free to download, with no in-app purchases.

### Is NeuroSpine Coder free?

NeuroSpine Coder is free to download, with in-app purchases available.

### Which has better reviews, MIETHKE or NeuroSpine Coder?

MIETHKE and NeuroSpine Coder are both rated 5.0 out of 5 on the App Store, from 1 and 1 ratings respectively.

### Do MIETHKE or NeuroSpine Coder have ads?

Neither MIETHKE nor NeuroSpine Coder shows ads.

### Which is updated more often, MIETHKE or NeuroSpine Coder?

MIETHKE ships an update every 5 months, and NeuroSpine Coder every 14 months. Most recently, MIETHKE was updated on September 30, 2026 and NeuroSpine Coder on September 29, 2026.

---

*Compared by [AppsHunter](https://appshunter.io/) from daily US App Store data. Review summaries are generated from verbatim App Store reviews.*