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CPT code 95819: EEG, awake and asleep recording2026 Medicare rate & RVUs in Virgin Islands, VI

Reports a scalp EEG that records both wakefulness and sleep when evaluating suspected seizures, episodic altered awareness, or other cerebral dysfunction.

CMS RVU26DEffective Oct 1, 2026One payment locality154.9K Medicare services in 2024

In Virgin Islands, VI, Medicare pays $487.13 for 95819 in the office.

$487.13Office (non-facility)
Not available in this settingHospital or facility
+1.0%vs the national office rate ($482.31)

Check a contract rate as a % of Medicare · 95819 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 95819 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virgin Islands, VI
  2. What 95819 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 95819 covers

A technologist places scalp electrodes and records brain electrical activity during wakefulness and sleep. A physician, commonly a neurologist, interprets the tracing. The study may be performed in an outpatient diagnostic department, clinic, or hospital when a clinician needs to assess events such as suspected seizures or episodes of altered awareness and wants both states represented in the recording.

Choose this code when the EEG includes awake and sleep recording, rather than selecting solely by the patient’s presenting symptom. The report should identify the states captured and include the interpretation; the technical record supports the equipment and staff portion. CMS recognizes separately priced professional and technical components: report modifier 26 for the interpretation and modifier TC for the equipment and staff. Without either modifier, the claim 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.

How Virgin Islands, VI compares for 95819

Across 109 of 109 payment localities, the office rate for 95819 runs from $417.98 in Arkansas to $680.52 in San Benito County, CA. Virgin Islands, VI pays $487.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

95819 in Virgin Islands, VI vs other payment areas
  1. Virgin Islands, VI · this page$487.13
  2. Los Angeles, CA · California$563.68+$76.55
  3. Washington, DC area · District of Columbia$563.57+$76.44
  4. Miami, FL · Florida$506.11+$18.98
  5. Chicago, IL · Illinois$489.53+$2.40
  6. Manhattan, NY · New York$558.56+$71.43
  7. Alaska · Alaska$527.03+$39.90

Other areas in United States Virgin Islands first, then benchmark localities. Bars start at $0.

Every other payment area

95819 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$425.27—
ArkansasArkansas$417.98—
ArizonaArizona$468.03—
Bakersfield, CACalifornia$524.12—
Chico, CACalifornia$523.78—
El Centro, CACalifornia$523.80—
Fresno, CACalifornia$523.78—
Hanford, CACalifornia$523.78—

95819 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$417.98

$602.15

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

View every state and territory as a table
95819 office rate range by state
State / territoryOffice rate rangeLocalities
AK$527.031
AL$425.271
AR$417.981
AZ$468.031
CA$523.78–$680.5229
CO$510.311
CT$517.941
DC$563.571
DE$476.791
FL$464.64–$506.113
GA$435.11–$490.252
GU$541.531
HI$541.531
IA$442.391
ID$444.891
IL$445.79–$497.374
IN$448.041
KS$437.901
KY$432.761
LA$431.14–$456.642
MA$505.63–$569.392
MD$487.68–$563.573
ME$445.44–$476.962
MI$444.19–$469.302
MN$492.591
MO$421.00–$461.033
MS$419.691
MT$482.301
NC$451.261
ND$480.131
NE$445.871
NH$500.041
NJ$524.88–$555.742
NM$446.231
NV$482.141
NY$459.04–$571.545
OH$443.751
OK$434.031
OR$479.44–$531.172
PA$445.73–$501.842
PR$487.131
RI$497.221
SC$448.051
SD$479.871
TN$440.241
TX$442.13–$507.698
UT$455.321
VA$473.69–$563.572
VI$487.131
VT$476.061
WA$505.40–$584.082
WI$461.141
WV$425.791
WY$481.351

See 95819 in every payment locality

How the 95819 rate is calculated

Each of 95819’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 · 95819

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.05

1.05 RVUs× 1.000 GPCI

Practice expense13.28

13.28 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

14.4400

Conversion factor

$33.4009

Medicare rate

$482.31

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

12,559

Code
95819
Physician work
1.05
Practice expense
13.28
Malpractice
0.11

GPCI2026.csv

107

Locality
Virgin Islands, VI
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 95819 in Virgin Islands, VI
ComponentRVULocality factorAdjusted
Physician work1.05× 1.0001.0500
Practice expense13.28× 1.01113.4261
Malpractice0.11× 0.9850.1084
Total RVUs14.5844
Conversion factor× 33.4009

Office rate, Virgin Islands, VI$487.13

Office: (1.05 × 1 + 13.28 × 1.011 + 0.11 × 0.985) × $33.4009 = $487.13

Open 95819 in the RVU calculator

Payment rules and modifiers for 95819

The CMS indicators that decide how 95819 is paid alongside other services.

CMS payment indicators · 95819

EEG, awake and asleep recording

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

95819 without 26 · national office

$482.31

EEG, awake and asleep recording

95819-26 · Professional component

$56.78

Pays only the interpretation and report.

When to use modifier 26

Codes related to 95819

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 95819
CodeHow it relatesOffice range, Virgin Islands, VI
Used instead
95816EEG, awake and drowsyUsed for an EEG recording awake and drowsy rather than awake and asleep.$417.58
95822EEG, sleep or coma onlyFor EEG recording limited to sleep or coma.$451.35
Same family
95812EEG monitoring, 41–60 minutesEEG code associated with a specified recording-duration range.$386.85
95813EEG recording, 61–119 minutesEEG code associated with a longer specified recording-duration range.$484.21

How 95819 has changed in Virgin Islands, VI

95819 · Office / nonfacility

$487.13

Effective 2026-10-01

The base rate is $46.74 higher than on 2025-10-01, moving from $440.39 to $487.13 (10.6%).

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

    $440.39changed to$487.13

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.08 changed to 1.05
    • Practice expense RVU 12.36 changed to 13.28
    • Malpractice RVU 0.09 changed to 0.11
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $457.21changed to$440.39

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.46 changed to 12.36
    • Malpractice RVU 0.11 changed to 0.09

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $449.75changed to$457.21

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $452.92changed to$449.75

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.11 changed to 12.46
    • Malpractice RVU 0.08 changed to 0.11
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $449.68changed to$452.92

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $463.92changed to$449.68

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.13 changed to 12.11
    • Malpractice RVU 0.10 changed to 0.08
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $467.07changed to$463.92

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.12 changed to 12.13
    • Malpractice RVU 0.09 changed to 0.10

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $444.52changed to$467.07

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 11.05 changed to 12.12
    • Malpractice RVU 0.10 changed to 0.09
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $438.07changed to$444.52

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 10.90 changed to 11.05
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $435.05changed to$438.07

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 10.83 changed to 10.90

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $423.58changed to$435.05

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 10.56 changed to 10.83
    • Practice expense GPCI 1.006 changed to 1.007
    • Malpractice GPCI 0.993 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $404.17changed to$423.58

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 10.53 changed to 10.56
    • Practice expense GPCI 0.960 changed to 1.006
    • Malpractice GPCI 0.996 changed to 0.993

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $399.40changed to$404.17

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 10.37 changed to 10.53
    • Malpractice RVU 0.08 changed to 0.10

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $397.41changed to$399.40

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $406.26changed to$397.41

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 10.15 changed to 10.37
    • Malpractice RVU 0.07 changed to 0.08
    • Practice expense GPCI 1.004 changed to 0.960
    • Malpractice GPCI 1.003 changed to 0.996

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $478.58changed to$406.26

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 12.89 changed to 10.15
    • Practice expense GPCI 1.002 changed to 1.004
    • Malpractice GPCI 1.010 changed to 1.003

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $478.58

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$487.13Not available in this settingRVU26D
2026-07-01$487.13Not available in this settingRVU26C
2026-04-01$487.13Not available in this settingRVU26B
2026-01-01$487.13Not available in this settingRVU26A
2025-10-01$440.39Not available in this settingRVU25D
2025-07-01$440.39Not available in this settingRVU25C
2025-04-01$440.39Not available in this settingRVU25B
2025-01-01$440.39Not available in this settingRVU25A
2024-10-01$457.21Not available in this settingRVU24D
2024-07-01$457.21Not available in this settingRVU24C
2024-04-01$457.21Not available in this settingRVU24B
2024-03-09$457.21Not available in this settingRVU24AR
2024-01-01$449.75Not available in this settingRVU24A
2023-10-01$452.92Not available in this settingRVU23D
2023-07-01$449.68Not available in this settingRVU23C
2023-04-01$449.68Not available in this settingRVU23B
2023-01-01$449.68Not available in this settingRVU23A
2022-10-01$463.92Not available in this settingRVU22D
2022-07-01$463.92Not available in this settingRVU22C
2022-04-01$463.92Not available in this settingRVU22B
2022-01-01$463.92Not available in this settingRVU22A
2021-10-01$467.07Not available in this settingRVU21D
2021-07-01$467.07Not available in this settingRVU21C
2021-04-01$467.07Not available in this settingRVU21B
2021-01-01$467.07Not available in this settingRVU21A
2020-10-01$444.52Not available in this settingRVU20D
2020-07-01$444.52Not available in this settingRVU20C
2020-04-01$444.52Not available in this settingRVU20B
2020-01-01$444.52Not available in this settingRVU20A
2019-10-01$438.07Not available in this settingRVU19D
2019-07-01$438.07Not available in this settingRVU19C
2019-04-01$438.07Not available in this settingRVU19B
2019-01-01$438.07Not available in this settingRVU19A
2018-10-01$435.05Not available in this settingRVU18D
2018-07-01$435.05Not available in this settingRVU18C
2018-04-01$435.05Not available in this settingRVU18B
2018-01-01$435.05Not available in this settingRVU18AR1
2017-10-01$423.58Not available in this settingRVU17D
2017-07-01$423.58Not available in this settingRVU17C
2017-04-01$423.58Not available in this settingRVU17B
2017-01-01$423.58Not available in this settingRVU17A
2016-10-01$404.17Not available in this settingRVU16D
2016-07-01$404.17Not available in this settingRVU16C
2016-04-01$404.17Not available in this settingRVU16B
2016-01-01$404.17Not available in this settingRVU16A
2015-10-01$399.40Not available in this settingRVU15D
2015-07-01$399.40Not available in this settingRVU15C
2015-04-01$397.41Not available in this settingRVU15B
2015-01-01$397.41Not available in this settingRVU15A
2014-10-01$406.26Not available in this settingRVU14D
2014-07-01$406.26Not available in this settingRVU14C
2014-04-01$406.26Not available in this settingRVU14B
2014-01-01$406.26Not available in this settingRVU14A
2013-10-01$478.58Not available in this settingRVU13D
2013-07-01$478.58Not available in this settingRVU13C
2013-04-01$478.58Not available in this settingRVU13B
2013-01-01$478.58Not available in this settingRVU13AR

Price 95819 for an earlier date of service

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

Browse all communities in United States Virgin Islands

95819 billing questions

How does this differ from 95816?

95819 represents an EEG with awake and sleep recording. 95816 is the closer choice when the recording is awake and drowsy rather than asleep.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion. Without a modifier, the service is billed globally.

What documentation supports reporting 95819?

The EEG record and report should support that both awake and sleep states were recorded, with the physician’s interpretation documented.

Is code selection based on recording time?

This code distinguishes the awake-and-sleep recording pattern. Codes 95812 and 95813 are associated with specified recording-duration ranges, so review the actual service and documentation when choosing between them.

When is 95822 a better fit?

95822 is for an EEG recorded only during sleep or coma. Use 95819 when the study includes both awake and sleep 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 95819PPRRVU2026_Oct_nonQPP.csv, line 12,559 (RVU26D)
Geographic factors for Virgin Islands, VIGPCI2026.csv, line 107 (RVU26D)

Open CMS sourceHow we calculate rates

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