CPT code 95725: EEG interpretation, more than 84 hours, no video2026 Medicare rate & RVUs in Pennsylvania
Professional interpretation of prolonged EEG recording lasting more than 84 hours without video, reported when a physician or qualified health care professional reviews the study.
Medicare pays $295.12–$315.49 for 95725 in the office in Pennsylvania, from Rest of Pennsylvania to Metropolitan Philadelphia, PA. 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.
Your location
On this page 9 sections
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 Pennsylvania
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Philadelphia, PA | $315.49 | $254.99 |
| Rest of Pennsylvania | $295.12 | $241.77 |
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.
How the rate is built · 95725
RVUs × geographic indexes × conversion factor
Work5.40
5.40 RVUs× 1.000 GPCI
Practice expense3.30
3.30 RVUs× 1.000 GPCI
Malpractice0.43
0.43 RVUs× 1.000 GPCI
Adjusted RVUs
9.1300
Conversion factor
$33.4009
Medicare rate
$304.95
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
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.
Place of service · 95725
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$304.95
- Non-facility (office)
- $304.95
- Facility
- $246.83
Higher because the practice carries its own overhead.
95725 compared with similar codes
Compare codes · National
4 codes, side by side
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.
95725 billing questions
When does the recording qualify for 95725?
Use it for a physician or qualified health care professional’s EEG interpretation when the recorded study lasts more than 84 hours and has no video. Select a different duration code when the recording does not meet that duration.
Should 95725 be used when video accompanies the EEG?
No. For a physician or qualified health care professional’s interpretation of a study lasting more than 84 hours with video EEG, compare 95726.
Does 95725 represent the technical recording service?
No. It represents professional review and interpretation. EEG setup, recording, and technical monitoring are addressed by the applicable technical-service codes.
What documentation supports reporting this code?
Document the EEG recording’s duration, that video was not used, the clinical reason for monitoring, and the interpreting professional’s findings.
Is the more-than-84-hour duration the professional's review time?
No. The duration refers to the EEG recording, not the time spent reviewing or interpreting it.
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
Fee sheets · Coming soon
Put 95725 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist