CPT code 95822: EEG, sleep or coma only2026 Medicare rate & RVUs

Medicare pays $446.90 for 95822 nationally in the office. Local office rates run $387.69–$629.77.

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

What 95822 covers

Code 95822 describes an electroencephalogram recorded while the patient is asleep or comatose, rather than an awake-and-asleep routine EEG. Scalp electrodes and EEG equipment capture cerebral electrical activity; an EEG technologist generally performs the recording, and a physician with EEG expertise interprets it. Hospital and outpatient neurodiagnostic services may use this code when the documented recording is limited to sleep or coma, including evaluations of seizures or abnormal brain function.

Choose the code based on the recording state, not just the reason for testing. An EEG that includes awake and asleep phases is reported with 95819; an awake-and-drowsy study is reported with 95816. Documentation should support the patient's state during the recording and the EEG services performed. CMS recognizes a professional component for interpretation and a technical component for equipment and staff: report modifier 26 for the professional component, modifier TC for the technical component, or neither for 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 95822 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

95822 rates by state

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

How the 95822 rate is calculated

Each of 95822’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 95822

The CMS indicators that decide how 95822 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

95822 compared with similar codes

How to choose

95816EEGAwake and drowsy

Use 95822 for recording limited to sleep or coma. Use 95816 when the EEG includes awake and drowsy recording.

95819EEGAwake and asleep recording

Use 95822 for sleep-only or coma-only recording; 95819 describes an EEG that captures both awake and asleep phases.

95812EEG monitoring41–60 minutes

95812 identifies an EEG by its 41-to-60-minute duration. 95822 is distinguished by sleep-only or coma-only recording.

95813EEG recording61–119 minutes

95813 identifies an extended EEG lasting 61 to 119 minutes. 95822 is distinguished by the patient's state during recording.

Codes related to 95822

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