CPT code 95722: EEG interpretation, 36 to under 60 hours, with video2026 Medicare rate & RVUs in Queens, NY

Physician or qualified health care professional interpretation of a more-than-36-hour, less-than-60-hour EEG recording that includes synchronized video.

CMS RVU26DEffective Oct 1, 2026One payment locality2.2K Medicare services in 2024

In Queens, NY, Medicare pays $296.27 for 95722 in the office and $237.84 when it’s performed in a hospital or facility.

$296.27Office (non-facility)
$237.84Hospital or facility
+12.4%vs the national office rate ($263.53)

Check a contract rate as a % of Medicare · 95722 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 95722 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 95722 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 95722 covers

This professional service covers review and interpretation of a prolonged EEG recording with synchronized video, followed by a report. A neurologist or other qualified health care professional may use it for seizure evaluation, unexplained spells, or other events where comparing behavior with brain-wave activity helps clarify what occurred. Studies may be performed in an epilepsy monitoring unit or through an ambulatory recording arrangement.

Select 95722 when the qualifying recording includes video and its duration is more than 36 but less than 60 hours. The report should support the recording duration and describe the relevant EEG and video findings. This code represents the physician or qualified health care professional’s interpretive work; technical recording and monitoring services are represented by separate codes when reportable. Choose a different code when the duration or presence of video falls into another code’s category.

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 Queens, NY compares for 95722

Across 109 of 109 payment localities, the office rate for 95722 runs from $244.14 in Arkansas to $342.43 in Alaska. Queens, NY pays $296.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

95722 in Queens, NY vs other payment areas
  1. Queens, NY · this page$296.27
  2. Manhattan, NY · New York$296.22−$0.05
  3. NYC suburbs and Long Island, NY · New York$302.20+$5.93
  4. Poughkeepsie and northern NYC suburbs, NY · New York$282.18−$14.09
  5. Rest of New York · New York$255.07−$41.20
  6. Los Angeles, CA · California$282.88−$13.39
  7. Washington, DC area · District of Columbia$290.15−$6.12

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

Every other payment area

95722 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$286.79$235.33
Chicago, ILIllinois$281.54$231.86
AlaskaAlaska$342.43$289.78
AlabamaAlabama$246.29$203.04
ArkansasArkansas$244.14$201.68
ArizonaArizona$258.80$210.89
Bakersfield, CACalifornia$270.56$216.38
Chico, CACalifornia$269.32$215.14

95722 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.

$244.14

$342.43

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

View every state and territory as a table
95722 office rate range by state
State / territoryOffice rate rangeLocalities
AK$342.431
AL$246.291
AR$244.141
AZ$258.801
CA$269.32–$316.4029
CO$268.641
CT$276.571
DC$290.151
DE$261.911
FL$265.79–$286.793
GA$255.83–$268.062
GU$271.051
HI$271.051
IA$247.901
ID$249.341
IL$262.51–$281.544
IN$250.161
KS$248.231
KY$252.041
LA$252.21–$259.722
MA$268.44–$286.782
MD$265.19–$290.153
ME$251.23–$258.002
MI$257.00–$268.962
MN$257.321
MO$250.25–$259.053
MS$247.171
MT$263.511
NC$252.661
ND$255.991
NE$248.411
NH$265.791
NJ$279.68–$289.302
NM$258.291
NV$261.511
NY$255.07–$302.205
OH$255.471
OK$250.661
OR$259.39–$273.212
PA$255.14–$272.662
PR$264.381
RI$268.241
SC$254.501
SD$255.111
TN$249.121
TX$254.18–$268.908
UT$256.611
VA$258.21–$290.152
VI$264.381
VT$256.321
WA$267.51–$290.372
WI$250.811
WV$256.711
WY$260.231

See 95722 in every payment locality

How the 95722 rate is calculated

Each of 95722’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 · 95722

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.70

4.70 RVUs× 1.000 GPCI

Practice expense2.81

2.81 RVUs× 1.000 GPCI

Malpractice0.38

0.38 RVUs× 1.000 GPCI

Adjusted RVUs

7.8900

Conversion factor

$33.4009

Medicare rate

$263.53

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

The exact Queens, NY inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,512

Code
95722
Physician work
4.70
Practice expense
2.81
Malpractice
0.38

GPCI2026.csv

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 95722 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work4.70× 1.0645.0008
Practice expense2.81× 1.1823.3214
Malpractice0.38× 1.4420.5480
Total RVUs8.8702
Conversion factor× 33.4009

Office rate, Queens, NY$296.27

Office: (4.7 × 1.064 + 2.81 × 1.182 + 0.38 × 1.442) × $33.4009 = $296.27

Facility: (4.7 × 1.064 + 1.33 × 1.182 + 0.38 × 1.442) × $33.4009 = $237.84

Open 95722 in the RVU calculator

Payment rules and modifiers for 95722

95722 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 · 95722

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$263.53

Non-facility (office)
$263.53
Facility
$214.10

Higher because the practice carries its own overhead.

How 95722 has changed in Queens, NY

95722 · Office / nonfacility

$296.27

Effective 2026-10-01

The base rate is $21.69 higher than on 2025-10-01, moving from $274.58 to $296.27 (7.9%).

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

    $274.58changed to$296.27

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.45 changed to 2.81
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $283.06changed to$274.58

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.39 changed to 0.38

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $278.44changed to$283.06

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $292.58changed to$278.44

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.38 changed to 2.45
    • Malpractice RVU 0.37 changed to 0.39
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462
  5. January 1, 2023

    RVU23A

    $307.40changed to$292.58

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.39 changed to 2.38
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $307.73changed to$307.40

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.36 changed to 2.39
    • Malpractice RVU 0.36 changed to 0.37

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $308.88changed to$307.73

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.28 changed to 2.36
    • Malpractice RVU 0.35 changed to 0.36
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    No ratechanged to$308.88

    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$296.27$237.84RVU26D
2026-07-01$296.27$237.84RVU26C
2026-04-01$296.27$237.84RVU26B
2026-01-01$296.27$237.84RVU26A
2025-10-01$274.58$269.56RVU25D
2025-07-01$274.58$269.56RVU25C
2025-04-01$274.58$269.56RVU25B
2025-01-01$274.58$269.56RVU25A
2024-10-01$283.06$277.49RVU24D
2024-07-01$283.06$277.49RVU24C
2024-04-01$283.06$277.49RVU24B
2024-03-09$283.06$277.49RVU24AR
2024-01-01$278.44$272.96RVU24A
2023-10-01$292.58$286.83RVU23D
2023-07-01$292.58$286.83RVU23C
2023-04-01$292.58$286.83RVU23B
2023-01-01$292.58$286.83RVU23A
2022-10-01$307.40$301.45RVU22D
2022-07-01$307.40$301.45RVU22C
2022-04-01$307.40$301.45RVU22B
2022-01-01$307.40$301.45RVU22A
2021-10-01$307.73$301.73RVU21D
2021-07-01$307.73$301.73RVU21C
2021-04-01$307.73$301.73RVU21B
2021-01-01$307.73$301.73RVU21A
2020-10-01$308.88$303.18RVU20D
2020-07-01$308.88$303.18RVU20C
2020-04-01$308.88$303.18RVU20B
2020-01-01$308.88$303.18RVU20A
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 95722 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in New York

95722 billing questions

How is 95722 different from 95721?

Both cover a more-than-36-hour, less-than-60-hour professional EEG service. 95722 includes video EEG; 95721 is for a recording without video.

Does 95722 include technical recording and monitoring?

No. It represents physician or qualified health care professional review and interpretation. Technical recording and monitoring may be reported separately using the applicable technical-service code.

What documentation supports 95722?

Document the total recording duration, that video accompanied the EEG, and the professional review, interpretation, and findings in the report.

Can 95722 be used for a study lasting 60 hours?

No. Its duration category is more than 36 but less than 60 hours. Select the code matching the study’s actual duration and whether video was included.

Is 95722 selected by the number of seizures or events?

No. The distinguishing duration is the recording time, and the code also requires video EEG. The number of captured clinical events does not define this duration category.

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 95722PPRRVU2026_Oct_nonQPP.csv, line 12,512 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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