CPT code 95723: EEG interpretation, more than 60, under 84 hours2026 Medicare rate & RVUs

Medicare pays $264.54 for 95723 nationally in the office and $215.10 in a hospital or facility. Local office rates run $245.47–$344.56.

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

What 95723 covers

This service covers physician or qualified health care professional monitoring, review, and interpretation of a prolonged EEG recording without synchronized video. Neurologists and epileptologists commonly interpret these studies when evaluating suspected seizures, unexplained altered mental status, or recurrent spells that require extended electrical brain monitoring. The absence of video means the interpreting professional assesses the EEG signal without corresponding recorded images of the patient's behavior.

Select the code based on the total EEG duration and whether video accompanies the recording: this level is for more than 60 but less than 84 hours without video. The report should support the service with the recording duration, the no-video format, and the physician's or qualified professional's interpretation and findings. EEG recording and technologist services are represented by separate recording codes when applicable; 95723 describes the physician/QHP service rather than the recording service alone.

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.

Where 95723 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

95723 rates by state

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

How the 95723 rate is calculated

Each of 95723’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 95723

95723 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.

95723 compared with similar codes

How to choose

95721EEG interpretationOver 36, under 60 hours

Both describe no-video physician/QHP EEG services, but 95721 is for more than 36 through 60 hours; 95723 is for more than 60 but less than 84 hours.

95724Video EEG interpretationMore than 60, under 84 hours

This is the video counterpart for the more-than-60-but-less-than-84-hour duration level. Choose 95723 when the EEG has no synchronized video.

95725EEG interpretationMore than 84 hours, no video

Both are no-video physician/QHP EEG services, but 95725 is for recordings lasting more than 84 hours.

95722EEG interpretation36 to under 60 hours, with video

This code covers video EEG at the more-than-36-through-60-hour level. Code 95723 is no-video and covers more than 60 but less than 84 hours.

Codes related to 95723

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

Open CMS sourceHow we calculate rates