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

Physician or qualified health care professional monitoring, review, and interpretation of a prolonged EEG recording lasting more than 60 but less than 84 hours, without video.

CMS RVU26DEffective Oct 1, 2026One payment locality2.6K Medicare services in 2024

In Tennessee, Medicare pays $250.43 for 95723 in the office and $205.49 when it’s performed in a hospital or facility.

$250.43Office (non-facility)
$205.49Hospital or facility
−5.3%vs the national office rate ($264.54)

Check a contract rate as a % of Medicare · 95723 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 95723 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 95723 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 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.

How Tennessee compares for 95723

Across 109 of 109 payment localities, the office rate for 95723 runs from $245.47 in Arkansas to $344.56 in Alaska. Tennessee pays $250.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

95723 in Tennessee vs other payment areas
  1. Tennessee · this page$250.43
  2. Los Angeles, CA · California$284.18+$33.75
  3. Washington, DC area · District of Columbia$291.17+$40.74
  4. Miami, FL · Florida$286.77+$36.34
  5. Chicago, IL · Illinois$281.69+$31.26
  6. Manhattan, NY · New York$296.94+$46.51
  7. Alaska · Alaska$344.56+$94.13

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

Every other payment area

95723 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$247.58$204.33
ArkansasArkansas$245.47$203.01
ArizonaArizona$259.89$211.99
Bakersfield, CACalifornia$271.86$217.68
Chico, CACalifornia$270.66$216.48
El Centro, CACalifornia$270.72$216.54
Fresno, CACalifornia$270.66$216.48
Hanford, CACalifornia$270.66$216.48

95723 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.

$245.47

$344.56

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

View every state and territory as a table
95723 office rate range by state
State / territoryOffice rate rangeLocalities
AK$344.561
AL$247.581
AR$245.471
AZ$259.891
CA$270.66–$317.8929
CO$269.811
CT$277.461
DC$291.171
DE$262.991
FL$266.45–$286.773
GA$256.71–$268.932
GU$272.331
HI$272.331
IA$249.311
ID$250.691
IL$263.14–$281.694
IN$251.501
KS$249.561
KY$253.091
LA$253.24–$260.632
MA$269.61–$287.932
MD$266.26–$291.173
ME$252.48–$259.252
MI$257.92–$269.502
MN$258.791
MO$251.27–$260.053
MS$248.351
MT$264.511
NC$253.911
ND$257.391
NE$249.831
NH$266.881
NJ$280.68–$290.372
NM$259.161
NV$262.621
NY$256.27–$302.735
OH$256.471
OK$251.811
OR$260.59–$274.412
PA$256.18–$273.562
PR$265.391
RI$269.351
SC$255.601
SD$256.551
TN$250.431
TX$255.23–$269.678
UT$257.681
VA$259.40–$291.172
VI$265.391
VT$257.661
WA$268.70–$291.572
WI$252.271
WV$257.421
WY$261.411

See 95723 in every payment locality

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.

How the rate is built · 95723

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.75

4.75 RVUs× 1.000 GPCI

Practice expense2.81

2.81 RVUs× 1.000 GPCI

Malpractice0.36

0.36 RVUs× 1.000 GPCI

Adjusted RVUs

7.9200

Conversion factor

$33.4009

Medicare rate

$264.54

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

The exact Tennessee inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,513

Code
95723
Physician work
4.75
Practice expense
2.81
Malpractice
0.36

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office calculation for 95723 in Tennessee
ComponentRVULocality factorAdjusted
Physician work4.75× 1.0004.7500
Practice expense2.81× 0.9092.5543
Malpractice0.36× 0.5370.1933
Total RVUs7.4976
Conversion factor× 33.4009

Office rate, Tennessee$250.43

Office: (4.75 × 1 + 2.81 × 0.909 + 0.36 × 0.537) × $33.4009 = $250.43

Facility: (4.75 × 1 + 1.33 × 0.909 + 0.36 × 0.537) × $33.4009 = $205.49

Open 95723 in the RVU calculator

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.

Place of service · 95723

Which rate does Medicare pay?

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

POS 11 · non-facility rate · national

$264.54

Non-facility (office)
$264.54
Facility
$215.10

Higher because the practice carries its own overhead.

How 95723 has changed in Tennessee

95723 · Office / nonfacility

$250.43

Effective 2026-10-01

The base rate is $17.93 higher than on 2025-10-01, moving from $232.50 to $250.43 (7.7%).

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

    $232.50changed to$250.43

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.49 changed to 2.81
    • Malpractice RVU 0.38 changed to 0.36
    • Practice expense GPCI 0.896 changed to 0.909
    • Malpractice GPCI 0.544 changed to 0.537

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $237.11changed to$232.50

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.43 changed to 2.49
    • Malpractice RVU 0.36 changed to 0.38

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $233.24changed to$237.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $239.21changed to$233.24

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.38 changed to 2.43
    • Malpractice RVU 0.35 changed to 0.36
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.518 changed to 0.544
  5. January 1, 2023

    RVU23A

    $244.76changed to$239.21

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.40 changed to 2.38
    • Malpractice RVU 0.37 changed to 0.35
    • Practice expense GPCI 0.892 changed to 0.894
    • Malpractice GPCI 0.492 changed to 0.518

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $248.35changed to$244.76

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.45 changed to 2.40

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $254.94changed to$248.35

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.37 changed to 2.45
    • Practice expense GPCI 0.897 changed to 0.892
    • Malpractice GPCI 0.509 changed to 0.492

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    No ratechanged to$254.94

    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$250.43$205.49RVU26D
2026-07-01$250.43$205.49RVU26C
2026-04-01$250.43$205.49RVU26B
2026-01-01$250.43$205.49RVU26A
2025-10-01$232.50$228.15RVU25D
2025-07-01$232.50$228.15RVU25C
2025-04-01$232.50$228.15RVU25B
2025-01-01$232.50$228.15RVU25A
2024-10-01$237.11$232.94RVU24D
2024-07-01$237.11$232.94RVU24C
2024-04-01$237.11$232.94RVU24B
2024-03-09$237.11$232.94RVU24AR
2024-01-01$233.24$229.13RVU24A
2023-10-01$239.21$234.97RVU23D
2023-07-01$239.21$234.97RVU23C
2023-04-01$239.21$234.97RVU23B
2023-01-01$239.21$234.97RVU23A
2022-10-01$244.76$240.13RVU22D
2022-07-01$244.76$240.13RVU22C
2022-04-01$244.76$240.13RVU22B
2022-01-01$244.76$240.13RVU22A
2021-10-01$248.35$243.06RVU21D
2021-07-01$248.35$243.06RVU21C
2021-04-01$248.35$243.06RVU21B
2021-01-01$248.35$243.06RVU21A
2020-10-01$254.94$249.77RVU20D
2020-07-01$254.94$249.77RVU20C
2020-04-01$254.94$249.77RVU20B
2020-01-01$254.94$249.77RVU20A
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 95723 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

95723 billing questions

When is 95723 selected instead of 95721?

Use 95723 for a no-video EEG lasting more than 60 but less than 84 hours. Code 95721 covers the shorter duration level of more than 36 through 60 hours.

Does 95723 include synchronized video?

No. It describes physician/QHP monitoring, review, and interpretation of an EEG without video; use the corresponding video code when the study includes video.

Does 95723 represent the EEG recording service?

It represents the physician/QHP service. EEG recording and technologist services are described by separate codes when applicable, based on recording duration and monitoring arrangement.

What documentation supports reporting 95723?

Document the EEG's total duration, that it was performed without video, and the physician's or qualified professional's review, interpretation, and findings.

Can 95723 be reported for an EEG lasting exactly 60 or 84 hours?

No. The code is for more than 60 but less than 84 hours; select the duration-level code that matches the actual recording.

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 95723PPRRVU2026_Oct_nonQPP.csv, line 12,513 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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