CPT code 95709: EEG recording, 12–26 hours, intermittent2026 Medicare rate & RVUs in Pennsylvania
Reports a 12–26-hour EEG recording without video when the recording is intermittently monitored.
CMS doesn’t publish an office rate for 95709 in Pennsylvania.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 95709 covers
This service is a long-term EEG recording without synchronized video, with intermittent monitoring during a 12–26-hour interval. EEG technologists monitor and maintain the recording; the code identifies the recording service rather than a physician or qualified health care professional's review and interpretation. EEG recordings of this type may be used in evaluating seizure activity and other neurologic conditions.
Medicare lists 95709 as carrier priced (status C): CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. Report a unit for each qualifying 12–26-hour interval. The no-video and intermittent-monitoring features distinguish this service from unmonitored or continuously monitored EEG recording codes. For this duration, 95719 represents the associated physician or qualified health care professional service.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 95709 pays more and less in Pennsylvania
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Philadelphia, PA | Unavailable | Unavailable |
| Rest of Pennsylvania | Unavailable | Unavailable |
How the 95709 rate is calculated
Each of 95709’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 95709
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95709
95709 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 95709
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
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95709 isn’t priced in this setting.
95709 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 95708EEG recording12–26 hours, unmonitored
- Both cover no-video EEG over a 12–26-hour interval. Use 95708 for an unmonitored recording and 95709 for intermittent monitoring.
- 95710EEG monitoringNo video, continuous
- Both cover no-video EEG over a 12–26-hour interval. The monitoring level distinguishes them: intermittent for 95709, continuous for 95710.
- 95715Video EEG monitoringIntermittent, 12–26 hours
- 95715 is the video EEG option with intermittent monitoring for a 12–26-hour interval. 95709 describes recording without video.
- 95719EEG interpretationEach additional 12 hours, no video
- 95719 represents physician or qualified health care professional review and interpretation, not the EEG recording service. 95709 reports the no-video recording with intermittent monitoring.
95709 billing questions
How does this differ from 95708?
Both describe EEG recording without video for a 12–26-hour interval. Choose 95709 when the recording is intermittently monitored; 95708 is the unmonitored option.
How does this differ from 95710?
Both are no-video EEG recordings for a 12–26-hour interval. 95709 is for intermittent monitoring, while 95710 is for continuous monitoring.
Does 95709 include video or interpretation?
It describes recording without video. Physician or qualified health care professional review and interpretation are represented separately, including by 95719 for the corresponding no-video duration range.
How many units should be reported?
Report one unit for each qualifying 12–26-hour recording interval.
How does Medicare price 95709?
Its physician fee schedule status is carrier priced (status C). CMS publishes no national payment; the Medicare Administrative Contractor sets payment for each claim.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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