CPT code 95812: EEG monitoring, 41–60 minutes2026 Medicare rate & RVUs

Medicare pays $383.11 for 95812 nationally in the office. Local office rates run $333.14–$537.74.

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

What 95812 covers

This service records electrical activity from the brain, typically through scalp electrodes, for 41–60 minutes. EEG technologists commonly obtain the recording in a hospital or outpatient neurodiagnostic laboratory, while a physician—often a neurologist—interprets the tracing and prepares a report. The study may help evaluate suspected seizures, episodic altered awareness, or encephalopathy when a longer recording is needed than a shorter routine EEG provides.

Select the code based on the EEG recording duration, not the time spent interpreting it: the documented recording must fall within 41–60 minutes. The record should support the duration and include the interpreted findings and report. CMS separately prices the professional interpretation component with modifier 26 and the technical component, including equipment and staff, with modifier TC. Reporting the code without either modifier represents the global service.

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 95812 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

95812 rates by state

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

How the 95812 rate is calculated

Each of 95812’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 95812

The CMS indicators that decide how 95812 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

95812 compared with similar codes

How to choose

95813EEG recording61–119 minutes

Both describe extended EEG monitoring, but 95812 covers 41–60 minutes and 95813 covers 61–119 minutes.

95816EEGAwake and drowsy

Choose 95816 for an EEG that includes awake and drowsy states; choose 95812 when the documented extended recording is 41–60 minutes.

95819EEGAwake and asleep recording

95819 identifies an EEG that includes awake and asleep recording. 95812 is selected for a 41–60-minute extended recording.

Codes related to 95812

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