Billing code 95723: EEG interpretationMedicare rate & RVUs in Guam
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.
Medicare pays $272.33 for 95723 in the office in Guam (Hawaii, Guam). 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 95723 covers
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.
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 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $272.33 | $216.13 |
How the 95723 rate is calculated
Each of 95723’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 · 95723
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 4.75Practice expense 2.81Malpractice 0.36
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 95723
95723 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 · 95723
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$264.54
The facility rate would be $215.10 (+$49.44). In a facility, the facility bills its own costs separately.
95723 compared with similar codes
Compare codes
95723 vs 95721 vs 95724 vs 95725 vs 95722: national Medicare rates
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How to choose
- 95721EEG interpretation
- 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.
- 95724Video EEG interpretation
- 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.
- 95725EEG interpretation
- Both are no-video physician/QHP EEG services, but 95725 is for recordings lasting more than 84 hours.
- 95722EEG interpretation
- 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.
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 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
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