CPT code 95720: Video EEG interpretation, each duration increment2026 Medicare rate & RVUs in Iowa

Reports a physician or qualified health care professional’s interpretation of prolonged EEG with video for seizure evaluation and other neurologic monitoring.

CMS RVU26DEffective Oct 1, 2026One payment locality134.5K Medicare services in 2024

In Iowa, Medicare pays $199.55 for 95720 in the office and $162.57 when it’s performed in a hospital or facility.

$199.55Office (non-facility)
$162.57Hospital or facility
−5.9%vs the national office rate ($212.10)

Check a contract rate as a % of Medicare · 95720 nationwide

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

We’ll open 95720 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 95720 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 95720 covers

CPT 95720 represents the professional review and interpretation of prolonged EEG recorded with video, followed by a report. A neurologist or epileptologist may interpret the study in an epilepsy monitoring unit, hospital, or other setting where video EEG is used to evaluate suspected seizures, unexplained episodes of altered awareness, or possible nonconvulsive seizures. The video helps correlate observed behavior with electrical activity during the recording.

Select this code for the applicable professional-service increment when video accompanies the EEG; document the recording duration, video availability, interpretation, and resulting report. Code 95718 describes the shorter professional service, while 95719 is the corresponding increment without video. The technical recording and monitoring work is represented by separate video EEG technical codes, selected according to the monitoring performed. The record should support that the physician or qualified health care professional reviewed and interpreted the study, rather than merely documenting that a recording was obtained.

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 Iowa compares for 95720

Across 109 of 109 payment localities, the office rate for 95720 runs from $196.45 in Arkansas to $275.36 in Alaska. Iowa pays $199.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

95720 in Iowa vs other payment areas
  1. Iowa · this page$199.55
  2. Los Angeles, CA · California$227.88+$28.33
  3. Washington, DC area · District of Columbia$233.62+$34.07
  4. Miami, FL · Florida$230.55+$31.00
  5. Chicago, IL · Illinois$226.33+$26.78
  6. Manhattan, NY · New York$238.40+$38.85
  7. Alaska · Alaska$275.36+$75.81

Other areas in Iowa first, then benchmark localities. Bars start at $0.

Every other payment area

95720 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$198.19$162.82
ArkansasArkansas$196.45$161.73
ArizonaArizona$208.28$169.12
Bakersfield, CACalifornia$217.91$173.61
Chico, CACalifornia$216.92$172.63
El Centro, CACalifornia$216.97$172.68
Fresno, CACalifornia$216.92$172.63
Hanford, CACalifornia$216.92$172.63

95720 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$196.45

$275.36

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
95720 office rate range by state
State / territoryOffice rate rangeLocalities
AK$275.361
AL$198.191
AR$196.451
AZ$208.281
CA$216.92–$255.0729
CO$216.301
CT$222.601
DC$233.621
DE$210.791
FL$213.77–$230.553
GA$205.76–$215.712
GU$218.361
HI$218.361
IA$199.551
ID$200.701
IL$211.08–$226.334
IN$201.361
KS$199.781
KY$202.751
LA$202.88–$208.952
MA$216.12–$230.982
MD$213.45–$233.623
ME$202.19–$207.712
MI$206.73–$216.292
MN$207.261
MO$201.28–$208.443
MS$198.851
MT$212.081
NC$203.351
ND$206.141
NE$199.971
NH$213.981
NJ$225.13–$232.932
NM$207.761
NV$210.501
NY$205.30–$243.185
OH$205.521
OK$201.681
OR$208.81–$220.032
PA$205.27–$219.432
PR$212.791
RI$215.921
SC$204.781
SD$205.441
TN$200.501
TX$204.50–$216.338
UT$206.481
VA$207.85–$233.622
VI$212.791
VT$206.381
WA$215.39–$233.902
WI$201.951
WV$206.391
WY$209.491

See 95720 in every payment locality

How the 95720 rate is calculated

Each of 95720’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 · 95720

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.76

3.76 RVUs× 1.000 GPCI

Practice expense2.29

2.29 RVUs× 1.000 GPCI

Malpractice0.30

0.30 RVUs× 1.000 GPCI

Adjusted RVUs

6.3500

Conversion factor

$33.4009

Medicare rate

$212.10

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,510

Code
95720
Physician work
3.76
Practice expense
2.29
Malpractice
0.30

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 95720 in Iowa
ComponentRVULocality factorAdjusted
Physician work3.76× 1.0003.7600
Practice expense2.29× 0.9152.0954
Malpractice0.30× 0.3970.1191
Total RVUs5.9745
Conversion factor× 33.4009

Office rate, Iowa$199.55

Office: (3.76 × 1 + 2.29 × 0.915 + 0.3 × 0.397) × $33.4009 = $199.55

Facility: (3.76 × 1 + 1.08 × 0.915 + 0.3 × 0.397) × $33.4009 = $162.57

Open 95720 in the RVU calculator

Payment rules and modifiers for 95720

95720 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 · 95720

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$212.10

Non-facility (office)
$212.10
Facility
$171.68

Higher because the practice carries its own overhead.

How 95720 has changed in Iowa

95720 · Office / nonfacility

$199.55

Effective 2026-10-01

The base rate is $10.01 higher than on 2025-10-01, moving from $189.54 to $199.55 (5.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $189.54changed to$199.55

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.86 changed to 3.76
    • Practice expense RVU 2.04 changed to 2.29
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $195.36changed to$189.54

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.32 changed to 0.30

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $192.17changed to$195.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $196.35changed to$192.17

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.98 changed to 2.04
    • Malpractice RVU 0.30 changed to 0.32
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457
  5. January 1, 2023

    RVU23A

    $199.66changed to$196.35

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.96 changed to 1.98
    • Malpractice RVU 0.31 changed to 0.30
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $199.29changed to$199.66

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.91 changed to 1.96
    • Malpractice RVU 0.28 changed to 0.31

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $204.15changed to$199.29

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.85 changed to 1.91
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    No ratechanged to$204.15

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$199.55$162.57RVU26D
2026-07-01$199.55$162.57RVU26C
2026-04-01$199.55$162.57RVU26B
2026-01-01$199.55$162.57RVU26A
2025-10-01$189.54$186.58RVU25D
2025-07-01$189.54$186.58RVU25C
2025-04-01$189.54$186.58RVU25B
2025-01-01$189.54$186.58RVU25A
2024-10-01$195.36$192.01RVU24D
2024-07-01$195.36$192.01RVU24C
2024-04-01$195.36$192.01RVU24B
2024-03-09$195.36$192.01RVU24AR
2024-01-01$192.17$188.88RVU24A
2023-10-01$196.35$192.95RVU23D
2023-07-01$196.35$192.95RVU23C
2023-04-01$196.35$192.95RVU23B
2023-01-01$196.35$192.95RVU23A
2022-10-01$199.66$196.52RVU22D
2022-07-01$199.66$196.52RVU22C
2022-04-01$199.66$196.52RVU22B
2022-01-01$199.66$196.52RVU22A
2021-10-01$199.29$196.44RVU21D
2021-07-01$199.29$196.44RVU21C
2021-04-01$199.29$196.44RVU21B
2021-01-01$199.29$196.44RVU21A
2020-10-01$204.15$201.20RVU20D
2020-07-01$204.15$201.20RVU20C
2020-04-01$204.15$201.20RVU20B
2020-01-01$204.15$201.20RVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 95720 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

95720 billing questions

When should 95720 be chosen instead of 95719?

Use 95720 when video accompanies the EEG and is part of the interpreted study. Code 95719 is the corresponding professional interpretation increment without video.

How does 95720 differ from 95718?

95720 is for an applicable duration increment; 95718 covers the shorter 2–12-hour professional interpretation service with video.

Does 95720 include electrode setup and technical monitoring?

95720 represents professional interpretation and reporting. Electrode setup and technical recording or monitoring are represented by separate technical services when performed.

What documentation supports reporting 95720?

Document the EEG recording duration, the presence of video, the professional review and interpretation, and the report’s findings.

Which service is commonly paired with 95720?

A video EEG technical monitoring code may be reported for the recording and monitoring work, selected according to the level of technical monitoring performed.

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

Show the CMS file lines behind this rate
RVUs for 95720PPRRVU2026_Oct_nonQPP.csv, line 12,510 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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