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

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 Puerto Rico, Medicare pays $264.38 for 95722 in the office and $214.40 when it’s performed in a hospital or facility.

$264.38Office (non-facility)
$214.40Hospital or facility
+0.3%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $264.38. The RVUs are the same everywhere; the geographic indexes change the dollars.

95722 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$264.38
  2. Los Angeles, CA · California$282.88+$18.50
  3. Washington, DC area · District of Columbia$290.15+$25.77
  4. Miami, FL · Florida$286.79+$22.41
  5. Chicago, IL · Illinois$281.54+$17.16
  6. Manhattan, NY · New York$296.22+$31.84
  7. Alaska · Alaska$342.43+$78.05

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

Every other payment area

95722 in every other Medicare payment locality
Payment localityOfficeFacility
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
El Centro, CACalifornia$269.39$215.21
Fresno, CACalifornia$269.32$215.14
Hanford, 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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 95722 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work4.70× 1.0004.7000
Practice expense2.81× 1.0112.8409
Malpractice0.38× 0.9850.3743
Total RVUs7.9152
Conversion factor× 33.4009

Office rate, Puerto Rico$264.38

Office: (4.7 × 1 + 2.81 × 1.011 + 0.38 × 0.985) × $33.4009 = $264.38

Facility: (4.7 × 1 + 1.33 × 1.011 + 0.38 × 0.985) × $33.4009 = $214.40

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 Puerto Rico

95722 · Office / nonfacility

$264.38

Effective 2026-10-01

The base rate is $20.48 higher than on 2025-10-01, moving from $243.90 to $264.38 (8.4%).

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

    $243.90changed to$264.38

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.45 changed to 2.81
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $251.32changed to$243.90

    • 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

    $247.22changed to$251.32

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $252.90changed to$247.22

    • 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
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982
  5. October 1, 2023

    RVU23D

    $252.46changed to$252.90

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984
  6. January 1, 2023

    RVU23A

    $258.64changed to$252.46

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.39 changed to 2.38
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $259.39changed to$258.64

    • 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.

  8. January 1, 2021

    RVU21A

    $265.04changed to$259.39

    • 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
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    No ratechanged to$265.04

    Held through RVU20B, RVU20C, RVU20D.

  10. 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$264.38$214.40RVU26D
2026-07-01$264.38$214.40RVU26C
2026-04-01$264.38$214.40RVU26B
2026-01-01$264.38$214.40RVU26A
2025-10-01$243.90$239.67RVU25D
2025-07-01$243.90$239.67RVU25C
2025-04-01$243.90$239.67RVU25B
2025-01-01$243.90$239.67RVU25A
2024-10-01$251.32$246.63RVU24D
2024-07-01$251.32$246.63RVU24C
2024-04-01$251.32$246.63RVU24B
2024-03-09$251.32$246.63RVU24AR
2024-01-01$247.22$242.61RVU24A
2023-10-01$252.90$248.12RVU23D
2023-07-01$252.46$247.72RVU23C
2023-04-01$252.46$247.72RVU23B
2023-01-01$252.46$247.72RVU23A
2022-10-01$258.64$253.76RVU22D
2022-07-01$258.64$253.76RVU22C
2022-04-01$258.64$253.76RVU22B
2022-01-01$258.64$253.76RVU22A
2021-10-01$259.39$254.47RVU21D
2021-07-01$259.39$254.47RVU21C
2021-04-01$259.39$254.47RVU21B
2021-01-01$259.39$254.47RVU21A
2020-10-01$265.04$260.31RVU20D
2020-07-01$265.04$260.31RVU20C
2020-04-01$265.04$260.31RVU20B
2020-01-01$265.04$260.31RVU20A
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 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

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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