$203.85
Both describe no-video physician/QHP EEG services, but 95721 is for more than 36 through 60 hours; 95723 is for more than 60 but less than 84 hours.
On this page
CMS RVU26D · Effective 2026-10-01
95723 EEG interpretation Medicare reimbursement rates in Alabama
Physician or qualified health care professional monitoring, review, and interpretation of a prolonged EEG recording lasting more than 60 but less than 84 hours, without video. Compare 95723 office and facility rates across CMS payment localities in Alabama.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 95723 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$247.58
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$204.33
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Electroencephalography
About 95723: Prolonged EEG interpretation without video
Physician or qualified health care professional monitoring, review, and interpretation of a prolonged EEG recording lasting more than 60 but less than 84 hours, without video.
This service covers physician or qualified health care professional monitoring, review, and interpretation of a prolonged EEG recording without synchronized video. Neurologists and epileptologists commonly interpret these studies when evaluating suspected seizures, unexplained altered mental status, or recurrent spells that require extended electrical brain monitoring. The absence of video means the interpreting professional assesses the EEG signal without corresponding recorded images of the patient's behavior.
Select the code based on the total EEG duration and whether video accompanies the recording: this level is for more than 60 but less than 84 hours without video. The report should support the service with the recording duration, the no-video format, and the physician's or qualified professional's interpretation and findings. EEG recording and technologist services are represented by separate recording codes when applicable; 95723 describes the physician/QHP service rather than the recording service alone.
Where the value comes from
- Work RVU4.75 · 60%
- Practice expense (office) RVU2.81 · 35%
- Malpractice RVU0.36 · 5%
2.6K
Medicare services in 2024 · #2266 by national volume
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.
95723 compared with similar codes
Office rates for Alabama, from the same CMS release.
$312.56
This is the video counterpart for the more-than-60-but-less-than-84-hour duration level. Choose 95723 when the EEG has no synchronized video.
$284.94
Both are no-video physician/QHP EEG services, but 95725 is for recordings lasting more than 84 hours.
$246.29
This code covers video EEG at the more-than-36-through-60-hour level. Code 95723 is no-video and covers more than 60 but less than 84 hours.
Compare 95723 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$247.58
Facility
$204.33
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 95723 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
12,513
- Code
- 95723
- Physician work
- 4.75
- Practice expense
- 2.81
- Malpractice
- 0.36
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.75 | × 1.000 | 4.7500 |
| Practice expense | 2.81 | × 0.875 | 2.4588 |
| Malpractice | 0.36 | × 0.566 | 0.2038 |
| Total RVUs | 7.4125 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$247.58
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.75 | 1 |
| Practice expense | 2.81 | 0.875 |
| Malpractice | 0.36 | 0.566 |
(4.75 × 1 + 2.81 × 0.875 + 0.36 × 0.566) × $33.4009 = $247.58
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.75 | 1 |
| Practice expense | 1.33 | 0.875 |
| Malpractice | 0.36 | 0.566 |
(4.75 × 1 + 1.33 × 0.875 + 0.36 × 0.566) × $33.4009 = $204.33
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
95723 billing questions
When is 95723 selected instead of 95721?
Use 95723 for a no-video EEG lasting more than 60 but less than 84 hours. Code 95721 covers the shorter duration level of more than 36 through 60 hours.
Does 95723 include synchronized video?
No. It describes physician/QHP monitoring, review, and interpretation of an EEG without video; use the corresponding video code when the study includes video.
Does 95723 represent the EEG recording service?
It represents the physician/QHP service. EEG recording and technologist services are described by separate codes when applicable, based on recording duration and monitoring arrangement.
What documentation supports reporting 95723?
Document the EEG's total duration, that it was performed without video, and the physician's or qualified professional's review, interpretation, and findings.
Can 95723 be reported for an EEG lasting exactly 60 or 84 hours?
No. The code is for more than 60 but less than 84 hours; select the duration-level code that matches the actual 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,51095720,,Eeg phy/qhp ea incr w/veeg,A,,3.76,2.29,,1.08,,0.30,6.35,5.14,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,51195721,,Eeg phy/qhp>36<60 hr w/o vid,A,,3.86,2.35,,1.10,,0.33,6.54,5.29,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,51295722,,Eeg phy/qhp>36<60 hr w/veeg,A,,4.70,2.81,,1.33,,0.38,7.89,6.41,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,51395723,,Eeg phy/qhp>60<84 hr w/o vid,A,,4.75,2.81,,1.33,,0.36,7.92,6.44,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,51495724,,Eeg phy/qhp>60<84 hr w/veeg,A,,6.00,3.54,,1.68,,0.46,10.00,8.14,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,51595725,,Eeg phy/qhp>84 hr w/o vid,A,,5.40,3.30,,1.56,,0.43,9.13,7.39,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,51695726,,Eeg phy/qhp>84 hr w/veeg,A,,7.58,4.59,,2.17,,0.60,12.77,10.35,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515