CPT code 95725: EEG interpretation, more than 84 hours, no video2026 Medicare rate & RVUs in California

Medicare pays $311.93–$366.84 for 95725 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.

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

What 95725 covers

This service covers a physician’s or other qualified health care professional’s interpretation of a prolonged electroencephalographic recording that runs more than 84 hours without video. It may be used in an extended evaluation of recurrent seizures, unexplained spells, or other episodic neurologic symptoms. The recording may take place in a hospital or an outpatient setting, including during ambulatory monitoring. The professional service focuses on reviewing the EEG data and reporting the findings, not on applying electrodes or performing technical recording tasks.

Choose the code based on the documented recording duration and whether video accompanied the EEG. The record should support the length of the study, the absence of video, the clinical indication, and the interpreting professional’s findings. This code identifies the professional interpretation service; technical recording and monitoring are represented by separate EEG service codes when applicable.

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 95725 pays more and less in California

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

29 of 29 payment localities

How the 95725 rate is calculated

Each of 95725’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 95725

95725 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.

95725 compared with similar codes

How to choose

95726Video EEG reviewMore than 84 hours

Use 95726 for the professional interpretation of a recording longer than 84 hours when video accompanies the EEG. Code 95725 is for the same duration range without video.

95723EEG interpretationMore than 60, under 84 hours

Both describe professional EEG interpretation without video, but 95723 covers a shorter recording duration; 95725 requires more than 84 hours.

95724Video EEG interpretationMore than 60, under 84 hours

95724 is for a shorter-duration recording with video EEG. For a recording longer than 84 hours, distinguish 95725 without video from 95726 with video.

Codes related to 95725

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