CPT code 95717: EEG interpretation, 2–12 hours, no video2026 Medicare rate & RVUs in New Jersey
A physician or qualified health care professional interprets and reports 2–12 hours of EEG data when the study is performed without synchronized video.
Medicare pays $116.64–$120.66 for 95717 in the office in New Jersey, from Rest of New Jersey to Northern New Jersey. Which amount applies depends on the service address.
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 95717 covers
A neurologist, epileptologist, or other qualified health care professional reviews and interprets 2–12 hours of EEG data recorded without synchronized video, then prepares a report. Common settings include hospital epilepsy evaluations and ambulatory monitoring for suspected seizures, unexplained spells, or other episodic neurologic symptoms. The interpretation may address background activity, epileptiform discharges, and electrographic events documented in the recording.
Select this code for the professional interpretation and report when the EEG duration falls within the 2–12-hour range and no video accompanies the study. The record should support the duration reviewed, the absence of video, and the clinician’s interpretation and conclusions. EEG acquisition and monitoring are represented separately; the corresponding technical service is selected according to whether the recording was unmonitored, intermittently monitored, or continuously monitored.
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 95717 pays more and less in New Jersey
| Payment locality | Office | Facility |
|---|---|---|
| Northern New Jersey | $120.66 | $96.64 |
| Rest of New Jersey | $116.64 | $94.02 |
How the 95717 rate is calculated
Each of 95717’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 · 95717
RVUs × geographic indexes × conversion factor
Work1.95
1.95 RVUs× 1.000 GPCI
Practice expense1.18
1.18 RVUs× 1.000 GPCI
Malpractice0.16
0.16 RVUs× 1.000 GPCI
Adjusted RVUs
3.2900
Conversion factor
$33.4009
Medicare rate
$109.89
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95717
95717 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 · 95717
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$109.89
- Non-facility (office)
- $109.89
- Facility
- $89.18
Higher because the practice carries its own overhead.
95717 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 95718Video EEG interpretation2–12 hours
- Both represent professional interpretation for 2–12 hours, but 95718 is for a study with video EEG; 95717 is for one without video.
- 95705EEG recordingUnmonitored, 2–12 hours
- 95705 represents the technical recording service for an unmonitored 2–12-hour EEG. 95717 represents professional interpretation and reporting, not acquisition.
- 95719EEG interpretationEach additional 12 hours, no video
- 95719 is used for additional EEG duration increments without video. 95717 covers the initial 2–12-hour interpretation period.
95717 billing questions
How does 95717 differ from 95718?
95717 is for interpretation of EEG data without video. Use 95718 when the interpreted study includes video EEG.
Is 95717 the code for recording the EEG?
No. It represents the physician or qualified health care professional’s interpretation and report. The EEG recording and monitoring are represented by a separate technical service.
Which technical service may accompany 95717?
The technical code depends on monitoring: 95705 for unmonitored recording, 95706 for intermittent monitoring, or 95707 for continuous monitoring.
What documentation supports reporting 95717?
Document the EEG duration reviewed, that synchronized video was not part of the study, and the professional interpretation and report.
When should a longer-duration interpretation code be considered?
Use 95717 only when the interpreted EEG duration is 2–12 hours. For additional recording increments, consider 95719; for longer total-duration ranges, the applicable codes include 95721, 95723, and 95725.
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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