$398.67
Use 95726 for the professional interpretation of a recording longer than 84 hours when video accompanies the EEG. Code 95725 is for the same duration range without video.
On this page
CMS RVU26D · Effective 2026-10-01
95725 EEG interpretation Medicare reimbursement rates in Alabama
Professional interpretation of prolonged EEG recording lasting more than 84 hours without video, reported when a physician or qualified health care professional reviews the study. Compare 95725 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 95725 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
$284.94
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$234.09
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.
EEG monitoring
About 95725: Prolonged EEG interpretation without video
Professional interpretation of prolonged EEG recording lasting more than 84 hours without video, reported when a physician or qualified health care professional reviews the study.
This service covers a physician’s or other qualified health care professional’s interpretation of a prolonged electroencephalographic recording that runs more than 84 hours without video. It may be used in an extended evaluation of recurrent seizures, unexplained spells, or other episodic neurologic symptoms. The recording may take place in a hospital or an outpatient setting, including during ambulatory monitoring. The professional service focuses on reviewing the EEG data and reporting the findings, not on applying electrodes or performing technical recording tasks.
Choose the code based on the documented recording duration and whether video accompanied the EEG. The record should support the length of the study, the absence of video, the clinical indication, and the interpreting professional’s findings. This code identifies the professional interpretation service; technical recording and monitoring are represented by separate EEG service codes when applicable.
Where the value comes from
- Work RVU5.40 · 59%
- Practice expense (office) RVU3.30 · 36%
- Malpractice RVU0.43 · 5%
113
Medicare services in 2024 · #4788 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.
95725 compared with similar codes
Office rates for Alabama, from the same CMS release.
$247.58
Both describe professional EEG interpretation without video, but 95723 covers a shorter recording duration; 95725 requires more than 84 hours.
$312.56
95724 is for a shorter-duration recording with video EEG. For a recording longer than 84 hours, distinguish 95725 without video from 95726 with video.
Compare 95725 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
$284.94
Facility
$234.09
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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 95725 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
12,515
- Code
- 95725
- Physician work
- 5.40
- Practice expense
- 3.30
- Malpractice
- 0.43
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.40 | × 1.000 | 5.4000 |
| Practice expense | 3.30 | × 0.875 | 2.8875 |
| Malpractice | 0.43 | × 0.566 | 0.2434 |
| Total RVUs | 8.5309 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$284.94
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.4 | 1 |
| Practice expense | 3.3 | 0.875 |
| Malpractice | 0.43 | 0.566 |
(5.4 × 1 + 3.3 × 0.875 + 0.43 × 0.566) × $33.4009 = $284.94
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.4 | 1 |
| Practice expense | 1.56 | 0.875 |
| Malpractice | 0.43 | 0.566 |
(5.4 × 1 + 1.56 × 0.875 + 0.43 × 0.566) × $33.4009 = $234.09
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.
95725 billing questions
When does the recording qualify for 95725?
Use it for a physician or qualified health care professional’s EEG interpretation when the recorded study lasts more than 84 hours and has no video. Select a different duration code when the recording does not meet that duration.
Should 95725 be used when video accompanies the EEG?
No. For a physician or qualified health care professional’s interpretation of a study lasting more than 84 hours with video EEG, compare 95726.
Does 95725 represent the technical recording service?
No. It represents professional review and interpretation. EEG setup, recording, and technical monitoring are addressed by the applicable technical-service codes.
What documentation supports reporting this code?
Document the EEG recording’s duration, that video was not used, the clinical reason for monitoring, and the interpreting professional’s findings.
Is the more-than-84-hour duration the professional's review time?
No. The duration refers to the EEG recording, not the time spent reviewing or interpreting it.
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.
12,51295722,,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
12,51795782,,Polysom <6 yrs 4/> paramtrs,A,,2.54,27.36,,27.36,NA,0.33,30.23,30.23,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,51895782,26,Polysom <6 yrs 4/> paramtrs,A,,2.54,1.02,,1.02,,0.06,3.62,3.62,1,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