$290.70–$298.66
Use 95725 for interpretation of monitoring over 84 hours without video; 95726 includes video.
On this page
CMS RVU26D · Effective 2026-10-01
95726 Video EEG review Medicare reimbursement rates in Maine
Physician or qualified health care professional review and interpretation of video EEG monitoring lasting more than 84 hours, with a documented report. Compare 95726 office and facility rates across CMS payment localities in Maine.
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 95726 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$406.69–$417.75
2 of 2 localities have a supported rate.
Facility setting
$332.33–$337.65
2 of 2 localities have a 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 95726: Prolonged video EEG interpretation
Physician or qualified health care professional review and interpretation of video EEG monitoring lasting more than 84 hours, with a documented report.
This service captures the physician or qualified health care professional’s review and interpretation of a prolonged EEG recording accompanied by synchronized video. It is used in extended seizure evaluations, such as monitoring in an epilepsy unit to assess suspected seizures and correlate recorded behaviors with electrical activity. The service includes interpretation and a report, rather than the equipment setup or technical monitoring work.
Choose 95726 when the video EEG monitoring duration exceeds 84 hours. The duration and presence of video distinguish it from shorter-duration codes and from 95725, which describes the corresponding service without video. Documentation should support the monitoring duration, video availability, the clinical question, the findings interpreted, and the resulting report. Report any separately coded recording or technical services based on the work performed and the applicable service codes.
Where the value comes from
- Work RVU7.58 · 59%
- Practice expense (office) RVU4.59 · 36%
- Malpractice RVU0.60 · 5%
797
Medicare services in 2024 · #3149 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.
95726 compared with similar codes
Office rates for Maine, from the same CMS release.
$318.74–$327.28
Use 95724 when video EEG monitoring lasts more than 60 hours through 84 hours. 95726 is for monitoring over 84 hours.
95716
No office rateVeeg ea 12-26hr cont mntr
95716 describes technical continuous video EEG monitoring in its duration category; 95726 describes physician or QHP review, interpretation, and reporting for monitoring over 84 hours.
Compare 95726 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$406.69
Facility
$332.33
Southern Maine →
Office / nonfacility
$417.75
Facility
$337.65
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95726 billing questions
How is 95726 different from 95725?
95726 is for physician or qualified health care professional interpretation of monitoring over 84 hours with video. 95725 covers the corresponding duration without video.
When should a shorter-duration video EEG code be selected?
Select the code that matches the total monitoring duration. For example, 95724 is the video EEG interpretation code for monitoring lasting more than 60 hours through 84 hours.
Does 95726 include equipment setup or technical monitoring?
The code represents physician or qualified health care professional review, interpretation, and reporting. Setup and technical monitoring are distinct services when performed and reported.
What documentation supports reporting 95726?
Document that video accompanied the EEG, the monitoring duration exceeded 84 hours, and the physician or qualified health care professional reviewed and interpreted the recording and produced a report.
Is video indicated by a modifier?
No. Video is part of the code selection: use 95726 for the over-84-hour service with video and 95725 for the corresponding service without video.
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.
12,51395723,,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
12,51995782,TC,Polysom <6 yrs 4/> paramtrs,A,,0.00,26.34,,26.34,NA,0.27,26.61,26.61,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00