CPT 95836: Implanted ECoGMedicare rate & RVUs in Delaware
Analysis of electrocorticography collected by an implanted brain neurostimulator during the first 30 days after implantation, with interpretation and reporting.
Medicare pays $106.55 for 95836 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 95836 covers
This service covers a clinician’s review and interpretation of electrocorticography data recorded by an implanted brain neurostimulator, such as a responsive neurostimulation system used for epilepsy. A neurologist or epileptologist may review stored brain-surface recordings during early follow-up to assess electrographic events and their relationship to reported seizures. The code is distinguished by the interval from implantation, not by the patient’s age or the length of an individual recording.
Select this code when the service is performed within 30 days after the neurostimulator is implanted; use the later-interval sibling when the service occurs 30 or more days after implantation. The record should identify the implanted system and implant date, document the electrocorticography data reviewed and the clinician’s analysis, and include an interpretation and report. Report the service for the documented data review rather than simply for device presence or a routine visit. The CMS facts provided list no code-specific payment rules for this 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.
95836 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $106.55 | $88.07 |
How the 95836 rate is calculated
Each of 95836’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 · 95836
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.93Practice expense 1.12Malpractice 0.16
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95836
95836 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 95836
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$107.22
The facility rate would be $88.51 (+$18.71). In a facility, the facility bills its own costs separately.
95836 compared with similar codes
Compare codes
95836 vs 95816 vs 95829: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 95816EEG
- This code concerns implanted-device ECoG data. Code 95816 describes an EEG recorded with external scalp electrodes while the patient is awake or drowsy.
- 95829Surgical ECoG
- Code 95829 is for electrocorticography performed in the surgical setting. Code 95836 is for analysis and interpretation of data from an implanted neurostimulator within the specified post-implant interval.
95836 billing questions
How is this code distinguished from 95837?
Use 95836 for the ECoG service performed less than 30 days after implantation. Code 95837 is the sibling for services performed 30 or more days after implantation.
Does the 30-day interval refer to the recording date?
It is the interval after implantation for the service. Document the implantation date and the date the ECoG data are reviewed.
Is this the same as a routine scalp EEG?
No. This service concerns data collected by an implanted brain neurostimulator; routine scalp EEG codes describe recordings obtained with external scalp electrodes.
Does reviewing the ECoG automatically include device programming?
The code describes ECoG data analysis and interpretation. Do not treat programming as included or performed unless the record supports that separate activity and its applicable coding.
What documentation supports reporting this service?
Document the implanted system, implantation date, data reviewed, clinical interpretation, and resulting report. A note that only states the device was checked does not describe the ECoG analysis.
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
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