CPT code 95726: Video EEG review, more than 84 hours2026 Medicare rate & RVUs in Virgin Islands, VI
Physician or qualified health care professional review and interpretation of video EEG monitoring lasting more than 84 hours, with a documented report.
In Virgin Islands, VI, Medicare pays $427.92 for 95726 in the office and $346.20 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 95726 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 95726 covers
This service captures the physician or qualified health care professional’s review and interpretation of a prolonged EEG recording accompanied by synchronized video. It is used in extended seizure evaluations, such as monitoring in an epilepsy unit to assess suspected seizures and correlate recorded behaviors with electrical activity. The service includes interpretation and a report, rather than the equipment setup or technical monitoring work.
Choose 95726 when the video EEG monitoring duration exceeds 84 hours. The duration and presence of video distinguish it from shorter-duration codes and from 95725, which describes the corresponding service without video. Documentation should support the monitoring duration, video availability, the clinical question, the findings interpreted, and the resulting report. Report any separately coded recording or technical services based on the work performed and the applicable service codes.
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 Virgin Islands, VI compares for 95726
Across 109 of 109 payment localities, the office rate for 95726 runs from $395.19 in Arkansas to $554.09 in Alaska. Virgin Islands, VI pays $427.92. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virgin Islands, VI · this page$427.92
- Los Angeles, CA · California$458.23+$30.31
- Washington, DC area · District of Columbia$469.75+$41.83
- Miami, FL · Florida$463.46+$35.54
- Chicago, IL · Illinois$455.02+$27.10
- Manhattan, NY · New York$479.31+$51.39
- Alaska · Alaska$554.09+$126.17
Other areas in United States Virgin Islands first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $398.67 | $327.94 |
| ArkansasArkansas | $395.19 | $325.76 |
| ArizonaArizona | $418.89 | $340.57 |
| Bakersfield, CACalifornia | $438.22 | $349.63 |
| Chico, CACalifornia | $436.25 | $347.66 |
| El Centro, CACalifornia | $436.35 | $347.76 |
| Fresno, CACalifornia | $436.25 | $347.66 |
| Hanford, CACalifornia | $436.25 | $347.66 |
| Madera, CACalifornia | $436.25 | $347.66 |
| Merced, CACalifornia | $436.25 | $347.66 |
| Modesto, CACalifornia | $436.25 | $347.66 |
| Napa, CACalifornia | $481.37 | $374.84 |
| Oxnard, CACalifornia | $453.97 | $358.42 |
| Redding, CACalifornia | $436.25 | $347.66 |
| Rest of CaliforniaCalifornia | $436.25 | $347.66 |
| Riverside, CACalifornia | $442.86 | $354.27 |
| Sacramento, CACalifornia | $451.33 | $357.33 |
| Salinas, CACalifornia | $449.46 | $355.77 |
| San Diego, CACalifornia | $455.00 | $358.32 |
| Marin County, CACalifornia | $502.60 | $388.63 |
| San Francisco, CACalifornia | $501.92 | $387.94 |
| San Benito County, CACalifornia | $512.84 | $396.29 |
| Santa Clara County, CACalifornia | $510.06 | $393.50 |
| San Luis Obispo, CACalifornia | $442.84 | $350.78 |
| Santa Cruz, CACalifornia | $455.51 | $357.30 |
| Santa Maria, CACalifornia | $449.77 | $355.52 |
| Santa Rosa, CACalifornia | $459.78 | $360.52 |
| Stockton, CACalifornia | $436.25 | $347.66 |
| Vallejo, CACalifornia | $480.39 | $373.86 |
| Visalia, CACalifornia | $436.25 | $347.66 |
| Yuba City, CACalifornia | $436.25 | $347.66 |
| ColoradoColorado | $434.99 | $348.99 |
| ConnecticutConnecticut | $447.61 | $360.55 |
| DelawareDelaware | $423.93 | $344.07 |
| Fort Lauderdale, FLFlorida | $444.72 | $362.83 |
| Rest of FloridaFlorida | $429.86 | $352.59 |
| Atlanta, GAGeorgia | $433.77 | $351.65 |
| Rest of GeorgiaGeorgia | $413.82 | $341.72 |
| Hawaii, Guam, HIHawaii | $439.10 | $347.19 |
| IowaIowa | $401.41 | $327.45 |
| IdahoIdaho | $403.70 | $329.34 |
| East St. Louis, ILIllinois | $434.59 | $360.22 |
| Rest of IllinoisIllinois | $424.47 | $350.68 |
| Suburban Chicago, ILIllinois | $447.91 | $364.90 |
| IndianaIndiana | $405.04 | $330.11 |
| KansasKansas | $401.87 | $328.80 |
| KentuckyKentucky | $407.81 | $335.95 |
| New Orleans, LALouisiana | $420.21 | $344.15 |
| Rest of LouisianaLouisiana | $408.06 | $336.52 |
| Metropolitan Boston, MAMassachusetts | $464.45 | $367.94 |
| Rest of MassachusettsMassachusetts | $434.64 | $349.52 |
| Baltimore area, MDMaryland | $446.52 | $359.79 |
| Rest of MarylandMaryland | $429.26 | $347.46 |
| Rest of MaineMaine | $406.69 | $332.33 |
| Southern Maine, MEMaine | $417.75 | $337.65 |
| Detroit, MIMichigan | $434.91 | $356.91 |
| Rest of MichiganMichigan | $415.78 | $341.98 |
| MinnesotaMinnesota | $416.87 | $333.69 |
| Metropolitan Kansas City, MOMissouri | $416.72 | $340.82 |
| Metropolitan St. Louis, MOMissouri | $419.21 | $342.26 |
| Rest of MissouriMissouri | $404.85 | $335.18 |
| MississippiMississippi | $399.99 | $330.39 |
| MontanaMontana | $426.49 | $345.66 |
| North CarolinaNorth Carolina | $409.02 | $333.61 |
| North DakotaNorth Dakota | $414.63 | $333.80 |
| NebraskaNebraska | $402.26 | $327.65 |
| New HampshireNew Hampshire | $430.31 | $346.17 |
| Northern New JerseyNew Jersey | $468.37 | $374.61 |
| Rest of New JerseyNew Jersey | $452.71 | $364.44 |
| New MexicoNew Mexico | $417.83 | $343.71 |
| NevadaNevada | $423.34 | $342.43 |
| NYC suburbs and Long Island, NYNew York | $488.88 | $392.78 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $456.70 | $368.19 |
| Queens, NYNew York | $479.49 | $383.95 |
| Rest of New YorkNew York | $412.91 | $336.12 |
| OhioOhio | $413.35 | $339.55 |
| OklahomaOklahoma | $405.66 | $333.47 |
| Portland, OROregon | $442.47 | $352.67 |
| Rest of OregonOregon | $419.96 | $339.46 |
| Metropolitan Philadelphia, PAPennsylvania | $441.24 | $357.10 |
| Rest of PennsylvaniaPennsylvania | $412.86 | $338.65 |
| Puerto RicoPuerto Rico | $427.92 | $346.20 |
| Rhode IslandRhode Island | $434.23 | $350.74 |
| South CarolinaSouth Carolina | $411.87 | $337.18 |
| South DakotaSouth Dakota | $413.22 | $332.39 |
| TennesseeTennessee | $403.30 | $329.82 |
| Austin, TXTexas | $433.64 | $348.12 |
| Beaumont, TXTexas | $411.31 | $337.75 |
| Brazoria, TXTexas | $422.77 | $342.66 |
| Dallas, TXTexas | $425.35 | $344.84 |
| Fort Worth, TXTexas | $424.08 | $344.38 |
| Galveston, TXTexas | $424.03 | $343.77 |
| Houston, TXTexas | $435.02 | $354.75 |
| Rest of TexasTexas | $416.77 | $340.06 |
| UtahUtah | $415.29 | $339.31 |
| VirginiaVirginia | $418.03 | $338.58 |
| VermontVermont | $415.10 | $335.07 |
| Rest of WashingtonWashington | $433.16 | $348.04 |
| King County, WAWashington | $470.32 | $371.14 |
| WisconsinWisconsin | $406.22 | $328.79 |
| West VirginiaWest Virginia | $415.08 | $344.84 |
| WyomingWyoming | $421.32 | $340.49 |
95726 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.
$395.19
$554.09
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $554.09 | 1 |
| AL | $398.67 | 1 |
| AR | $395.19 | 1 |
| AZ | $418.89 | 1 |
| CA | $436.25–$512.84 | 29 |
| CO | $434.99 | 1 |
| CT | $447.61 | 1 |
| DC | $469.75 | 1 |
| DE | $423.93 | 1 |
| FL | $429.86–$463.46 | 3 |
| GA | $413.82–$433.77 | 2 |
| GU | $439.10 | 1 |
| HI | $439.10 | 1 |
| IA | $401.41 | 1 |
| ID | $403.70 | 1 |
| IL | $424.47–$455.02 | 4 |
| IN | $405.04 | 1 |
| KS | $401.87 | 1 |
| KY | $407.81 | 1 |
| LA | $408.06–$420.21 | 2 |
| MA | $434.64–$464.45 | 2 |
| MD | $429.26–$469.75 | 3 |
| ME | $406.69–$417.75 | 2 |
| MI | $415.78–$434.91 | 2 |
| MN | $416.87 | 1 |
| MO | $404.85–$419.21 | 3 |
| MS | $399.99 | 1 |
| MT | $426.49 | 1 |
| NC | $409.02 | 1 |
| ND | $414.63 | 1 |
| NE | $402.26 | 1 |
| NH | $430.31 | 1 |
| NJ | $452.71–$468.37 | 2 |
| NM | $417.83 | 1 |
| NV | $423.34 | 1 |
| NY | $412.91–$488.88 | 5 |
| OH | $413.35 | 1 |
| OK | $405.66 | 1 |
| OR | $419.96–$442.47 | 2 |
| PA | $412.86–$441.24 | 2 |
| PR | $427.92 | 1 |
| RI | $434.23 | 1 |
| SC | $411.87 | 1 |
| SD | $413.22 | 1 |
| TN | $403.30 | 1 |
| TX | $411.31–$435.02 | 8 |
| UT | $415.29 | 1 |
| VA | $418.03–$469.75 | 2 |
| VI | $427.92 | 1 |
| VT | $415.10 | 1 |
| WA | $433.16–$470.32 | 2 |
| WI | $406.22 | 1 |
| WV | $415.08 | 1 |
| WY | $421.32 | 1 |
How the 95726 rate is calculated
Each of 95726’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 · 95726
RVUs × geographic indexes × conversion factor
Work7.58
7.58 RVUs× 1.000 GPCI
Practice expense4.59
4.59 RVUs× 1.000 GPCI
Malpractice0.60
0.60 RVUs× 1.000 GPCI
Adjusted RVUs
12.7700
Conversion factor
$33.4009
Medicare rate
$426.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virgin Islands, VI inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,516
- Code
- 95726
- Physician work
- 7.58
- Practice expense
- 4.59
- Malpractice
- 0.60
GPCI2026.csv
107
- Locality
- Virgin Islands, VI
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.58 | × 1.000 | 7.5800 |
| Practice expense | 4.59 | × 1.011 | 4.6405 |
| Malpractice | 0.60 | × 0.985 | 0.5910 |
| Total RVUs | 12.8115 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virgin Islands, VI$427.92
Office: (7.58 × 1 + 4.59 × 1.011 + 0.6 × 0.985) × $33.4009 = $427.92
Facility: (7.58 × 1 + 2.17 × 1.011 + 0.6 × 0.985) × $33.4009 = $346.20
Payment rules and modifiers for 95726
95726 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 · 95726
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$426.53
- Non-facility (office)
- $426.53
- Facility
- $345.70
Higher because the practice carries its own overhead.
How 95726 has changed in Virgin Islands, VI
95726 · Office / nonfacility
$427.92
Effective 2026-10-01
The base rate is $34.03 higher than on 2025-10-01, moving from $393.89 to $427.92 (8.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$393.89changed to$427.92
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 3.98 changed to 4.59
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$405.68changed to$393.89
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 3.99 changed to 3.98
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$399.06changed to$405.68
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$406.69changed to$399.06
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 3.82 changed to 3.99
- Malpractice RVU 0.58 changed to 0.60
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$405.97changed to$406.69
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$417.09changed to$405.97
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 3.85 changed to 3.82
- Malpractice RVU 0.60 changed to 0.58
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$419.50changed to$417.09
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 3.83 changed to 3.85
- Malpractice RVU 0.59 changed to 0.60
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$427.76changed to$419.50
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 3.69 changed to 3.83
- Malpractice RVU 0.56 changed to 0.59
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
No ratechanged to$427.76
Held through RVU20B, RVU20C, RVU20D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $427.92 | $346.20 | RVU26D |
| 2026-07-01 | $427.92 | $346.20 | RVU26C |
| 2026-04-01 | $427.92 | $346.20 | RVU26B |
| 2026-01-01 | $427.92 | $346.20 | RVU26A |
| 2025-10-01 | $393.89 | $386.39 | RVU25D |
| 2025-07-01 | $393.89 | $386.39 | RVU25C |
| 2025-04-01 | $393.89 | $386.39 | RVU25B |
| 2025-01-01 | $393.89 | $386.39 | RVU25A |
| 2024-10-01 | $405.68 | $397.63 | RVU24D |
| 2024-07-01 | $405.68 | $397.63 | RVU24C |
| 2024-04-01 | $405.68 | $397.63 | RVU24B |
| 2024-03-09 | $405.68 | $397.63 | RVU24AR |
| 2024-01-01 | $399.06 | $391.14 | RVU24A |
| 2023-10-01 | $406.69 | $399.17 | RVU23D |
| 2023-07-01 | $405.97 | $398.51 | RVU23C |
| 2023-04-01 | $405.97 | $398.51 | RVU23B |
| 2023-01-01 | $405.97 | $398.51 | RVU23A |
| 2022-10-01 | $417.09 | $409.41 | RVU22D |
| 2022-07-01 | $417.09 | $409.41 | RVU22C |
| 2022-04-01 | $417.09 | $409.41 | RVU22B |
| 2022-01-01 | $417.09 | $409.41 | RVU22A |
| 2021-10-01 | $419.50 | $411.06 | RVU21D |
| 2021-07-01 | $419.50 | $411.06 | RVU21C |
| 2021-04-01 | $419.50 | $411.06 | RVU21B |
| 2021-01-01 | $419.50 | $411.06 | RVU21A |
| 2020-10-01 | $427.76 | $419.40 | RVU20D |
| 2020-07-01 | $427.76 | $419.40 | RVU20C |
| 2020-04-01 | $427.76 | $419.40 | RVU20B |
| 2020-01-01 | $427.76 | $419.40 | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Virgin Islands, VI rate applies
Virgin Islands, VI is a Medicare payment area, not a city. Our Census mapping connects it to 10 cities and communities in United States Virgin Islands. Some span more than one payment area; confirm with the service ZIP.
- Charlotte Amalie
- Charlotte Amalie East
- Charlotte Amalie West
- Christiansted
- Coral Bay
- Cruz Bay
- Frederiksted
- Frederiksted Southeast
95726 billing questions
How is 95726 different from 95725?
95726 is for physician or qualified health care professional interpretation of monitoring over 84 hours with video. 95725 covers the corresponding duration without video.
When should a shorter-duration video EEG code be selected?
Select the code that matches the total monitoring duration. For example, 95724 is the video EEG interpretation code for monitoring lasting more than 60 hours through 84 hours.
Does 95726 include equipment setup or technical monitoring?
The code represents physician or qualified health care professional review, interpretation, and reporting. Setup and technical monitoring are distinct services when performed and reported.
What documentation supports reporting 95726?
Document that video accompanied the EEG, the monitoring duration exceeded 84 hours, and the physician or qualified health care professional reviewed and interpreted the recording and produced a report.
Is video indicated by a modifier?
No. Video is part of the code selection: use 95726 for the over-84-hour service with video and 95725 for the corresponding service without video.
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
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Your codes at your locality, with payer contracts beside Medicare.
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