$437.22
Both describe extended EEG monitoring, but 95812 covers 41–60 minutes and 95813 covers 61–119 minutes.
On this page
CMS RVU26D · Effective 2026-10-01
95812 EEG monitoring Medicare reimbursement rates in Kansas
Reports an extended electroencephalogram with 41–60 minutes of recording, used to evaluate suspected seizures, altered awareness, or other cerebral dysfunction. Compare 95812 office and facility rates across CMS payment localities in Kansas.
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 95812 in Kansas?
Kansas 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
$348.59
1 of 1 localities have a supported rate.
Payment area: Kansas
One mapped payment locality.
Facility setting
No supported rate
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 95812: Extended EEG monitoring, 41–60 minutes
Reports an extended electroencephalogram with 41–60 minutes of recording, used to evaluate suspected seizures, altered awareness, or other cerebral dysfunction.
This service records electrical activity from the brain, typically through scalp electrodes, for 41–60 minutes. EEG technologists commonly obtain the recording in a hospital or outpatient neurodiagnostic laboratory, while a physician—often a neurologist—interprets the tracing and prepares a report. The study may help evaluate suspected seizures, episodic altered awareness, or encephalopathy when a longer recording is needed than a shorter routine EEG provides.
Select the code based on the EEG recording duration, not the time spent interpreting it: the documented recording must fall within 41–60 minutes. The record should support the duration and include the interpreted findings and report. CMS separately prices the professional interpretation component with modifier 26 and the technical component, including equipment and staff, with modifier TC. Reporting the code without either modifier represents the global service.
CMS billing rules for 95812
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Where the value comes from
- Work RVU1.08 · 9%
- Practice expense (office) RVU10.30 · 90%
- Malpractice RVU0.09 · 1%
22.3K
Medicare services in 2024 · #1102 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.
95812 compared with similar codes
Office rates for Kansas, from the same CMS release.
$375.84
Choose 95816 for an EEG that includes awake and drowsy states; choose 95812 when the documented extended recording is 41–60 minutes.
$437.90
95819 identifies an EEG that includes awake and asleep recording. 95812 is selected for a 41–60-minute extended recording.
Compare 95812 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
Kansas →
Office / nonfacility
$348.59
Facility
Unavailable
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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 95812 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
12,550
- Code
- 95812
- Physician work
- 1.08
- Practice expense
- 10.30
- Malpractice
- 0.09
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.08 | × 1.000 | 1.0800 |
| Practice expense | 10.30 | × 0.904 | 9.3112 |
| Malpractice | 0.09 | × 0.504 | 0.0454 |
| Total RVUs | 10.4366 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kansas$348.59
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.08 | 1 |
| Practice expense | 10.3 | 0.904 |
| Malpractice | 0.09 | 0.504 |
(1.08 × 1 + 10.3 × 0.904 + 0.09 × 0.504) × $33.4009 = $348.59
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.
95812 billing questions
When should 95812 be selected instead of 95813?
Use 95812 when the EEG recording lasts 41–60 minutes. A recording lasting 61–119 minutes falls in 95813.
Is the code selected by interpretation time?
No. The time distinction is based on the EEG recording duration; document the recording time in the study record.
How are the professional and technical portions reported?
Report modifier 26 for the professional interpretation or modifier TC for the technical service. Without either modifier, the code represents the global service.
How does 95812 differ from 95816?
95812 identifies an extended EEG by its 41–60-minute recording duration. 95816 describes an EEG performed in awake and drowsy states.
What documentation supports 95812?
Document the EEG recording duration, the study findings, and the interpreting physician’s report. The recorded duration should support the 41–60-minute range.
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.
12,54795811,,Polysom 6/>yrs cpap 4/> parm,A,,2.54,18.37,,18.37,NA,0.28,21.19,21.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,54895811,26,Polysom 6/>yrs cpap 4/> parm,A,,2.54,1.06,,1.06,,0.11,3.71,3.71,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,54995811,TC,Polysom 6/>yrs cpap 4/> parm,A,,0.00,17.31,,17.31,NA,0.17,17.48,17.48,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,55095812,,Eeg 41-60 minutes,A,,1.08,10.30,,10.30,NA,0.09,11.47,11.47,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,55195812,26,Eeg 41-60 minutes,A,,1.08,0.62,,0.62,,0.05,1.75,1.75,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,55295812,TC,Eeg 41-60 minutes,A,,0.00,9.68,,9.68,NA,0.04,9.72,9.72,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,55395813,,Eeg extnd mntr 61-119 min,A,,1.63,12.61,,12.61,NA,0.12,14.36,14.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958