CPT code 95716: Video EEG, continuous, 12–26 hours2026 Medicare rate & RVUs in Missouri
Reports a 12–26-hour video EEG recording with continuous monitoring during evaluation of seizures or other episodic neurologic events.
CMS doesn’t publish an office rate for 95716 in Missouri.
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 95716 covers
Code 95716 represents the technical service of recording EEG activity with video while the study is continuously monitored. Neurology practices, hospitals, and EEG laboratories use this service to capture and assess suspected seizures or other episodic neurologic events over an extended recording period. The video helps clinicians compare observed behavior with the corresponding brain-wave activity.
The service is selected when the recording lasts 12–26 hours and receives continuous monitoring; shorter recordings and unmonitored or intermittently monitored studies have distinct codes. Report one service for the applicable recording period. Physician or other qualified health care professional review and interpretation are reported separately when performed, using the code appropriate to the recording duration and video use. For Medicare, 95716 has Physician Fee Schedule status C, carrier priced: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim.
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 95716 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | Unavailable |
| Metropolitan St. Louis, MO | Unavailable | Unavailable |
| Rest of Missouri | Unavailable | Unavailable |
How the 95716 rate is calculated
Each of 95716’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 · 95716
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 95716
95716 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 · 95716
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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95716 isn’t priced in this setting.
95716 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 95715Video EEG monitoringIntermittent, 12–26 hours
- Both include video and cover a 12–26-hour recording. Choose 95716 for continuous monitoring and 95715 for intermittent monitoring.
- 95714Video EEG12–26 hours, unmonitored
- Both cover video EEG recordings of 12–26 hours, but 95714 is for an unmonitored study; 95716 is continuously monitored.
- 95710EEG monitoringNo video, continuous
- Both describe continuous monitoring for 12–26 hours. Code 95716 includes video; 95710 is the corresponding recording without video.
- 95720Video EEG interpretationEach duration increment
- Code 95716 reports the monitored video EEG recording service. Code 95720 reports professional review and interpretation for a 12–26-hour recording with video.
95716 billing questions
When should 95716 be chosen over 95715?
Use 95716 for a 12–26-hour video EEG with continuous monitoring. Code 95715 describes the same duration and video use with intermittent monitoring.
Does 95716 include the physician's interpretation?
No. It reports the monitored recording service; the physician or qualified health care professional's review and interpretation are reported separately when performed.
How many units should be reported?
The code represents a recording period in the 12–26-hour range. Report the service for that applicable period, rather than converting individual hours into units.
How does 95716 differ from 95710?
Both describe a 12–26-hour continuously monitored EEG recording. Code 95716 includes video, while 95710 is for recording without video.
How does Medicare price 95716?
It has Physician Fee Schedule status C, or carrier priced. 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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