CPT code 95719: EEG interpretation, each additional 12 hours, no video2026 Medicare rate & RVUs in California
Reports physician or qualified health care professional review and interpretation of an EEG without video for each additional 12-hour increment.
Medicare pays $168.81–$198.48 for 95719 in the office in California, from Chico, CA to San Benito County, CA. 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 95719 covers
This code covers a physician’s or other qualified health care professional’s review and interpretation of prolonged EEG recording without video. It is used for services such as neurologist or epileptologist interpretation of extended EEG monitoring for seizure evaluation, including recordings obtained in a hospital or outpatient setting. The service is the clinician’s analysis of the EEG data and resulting interpretation, not electrode application or the technical recording itself.
Report 95719 for each additional 12-hour increment following the initial no-video EEG service represented by 95717. The record should support the monitoring duration, the clinician’s review and interpretation, and a report addressing the EEG findings. For recordings that include video, use the corresponding video service instead; longer recording periods may fall under duration-specific codes such as 95721.
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 95719 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$168.81 to $198.48
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $169.56 | $135.52 |
| Chico, CA | $168.81 | $134.76 |
| El Centro, CA | $168.85 | $134.80 |
| Fresno, CA | $168.81 | $134.76 |
| Hanford, CA | $168.81 | $134.76 |
| Los Angeles, CA | $177.31 | $140.56 |
| Madera, CA | $168.81 | $134.76 |
| Marin County, CA | $194.52 | $150.72 |
| Merced, CA | $168.81 | $134.76 |
| Modesto, CA | $168.81 | $134.76 |
| Napa, CA | $186.29 | $145.35 |
| Oxnard, CA | $175.67 | $138.95 |
| Redding, CA | $168.81 | $134.76 |
| Rest of California | $168.81 | $134.76 |
| Riverside, CA | $171.34 | $137.30 |
| Sacramento, CA | $174.65 | $138.52 |
| Salinas, CA | $173.92 | $137.92 |
| San Benito County, CA | $198.48 | $153.69 |
| San Diego, CA | $176.07 | $138.92 |
| San Francisco, CA | $194.26 | $150.46 |
| San Luis Obispo, CA | $171.36 | $135.98 |
| Santa Clara County, CA | $197.41 | $152.62 |
| Santa Cruz, CA | $176.27 | $138.53 |
| Santa Maria, CA | $174.05 | $137.83 |
| Santa Rosa, CA | $177.93 | $139.78 |
| Stockton, CA | $168.81 | $134.76 |
| Vallejo, CA | $185.92 | $144.98 |
| Visalia, CA | $168.81 | $134.76 |
| Yuba City, CA | $168.81 | $134.76 |
How the 95719 rate is calculated
Each of 95719’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 · 95719
RVUs × geographic indexes × conversion factor
Work2.93
2.93 RVUs× 1.000 GPCI
Practice expense1.78
1.78 RVUs× 1.000 GPCI
Malpractice0.23
0.23 RVUs× 1.000 GPCI
Adjusted RVUs
4.9400
Conversion factor
$33.4009
Medicare rate
$165.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95719
95719 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 · 95719
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$165.00
- Non-facility (office)
- $165.00
- Facility
- $133.94
Higher because the practice carries its own overhead.
95719 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 95717EEG interpretation2–12 hours, no video
- 95717 covers the initial 2–12-hour professional EEG service without video; 95719 covers each additional 12-hour increment.
- 95720Video EEG interpretationEach duration increment
- 95720 is the additional-increment professional service when video EEG is included. Choose 95719 for the no-video service.
- 95721EEG interpretationOver 36, under 60 hours
- 95721 describes a longer no-video recording-duration category. Use it when the total study duration fits that category rather than describing the service solely as additional increments.
95719 billing questions
When is 95719 reported instead of 95717?
95717 represents the initial no-video physician or qualified health care professional EEG service. Report 95719 for each additional 12-hour increment of that service.
What is the difference between 95719 and 95720?
Both describe additional 12-hour increments of professional EEG service. Use 95719 for recordings without video and 95720 when the professional service includes video EEG.
Does 95719 cover the EEG recording equipment or setup?
No. It represents clinician review and interpretation of the EEG data; electrode application and technical recording are separate service functions.
How should units be supported?
Document the EEG monitoring duration and the physician’s or qualified health care professional’s review and interpretation. Report the code for each additional 12-hour increment supported by the service.
When should a longer-duration code be considered?
For a prolonged no-video study extending beyond the incremental service pattern, compare the total recording duration with the duration-specific professional codes, including 95721.
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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