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

In Puerto Rico, Medicare pays $212.79 for 95720 in the office and $171.93 when it’s performed in a hospital or facility.

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.

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 Puerto Rico 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. Puerto Rico pays $212.79. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

95720 rates by state

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

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.

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.

Codes related to 95720

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

How 95720 has changed in Puerto Rico

Price 95720 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

• Aceitunas
• Adjuntas
• Aguada
• Aguadilla
• Aguas Buenas
• Aguas Claras
• Aguilita
• Aibonito

Browse all communities in Puerto Rico

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