CPT code 95719: EEG interpretation, each additional 12 hours, no video2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $181.74 for 95719 in the office and $145.14 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 95719 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

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.

How Washington, DC area compares for 95719

Across 109 of 109 payment localities, the office rate for 95719 runs from $152.89 in Arkansas to $214.35 in Alaska. Washington, DC area pays $181.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

95719 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 95719 in every payment locality

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.

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.

Codes related to 95719

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 95719 has changed in Washington, DC area

Price 95719 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

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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

Open CMS sourceHow we calculate rates