$382.23–$408.89
This code concerns medication used to provoke EEG findings. Code 95816 describes a routine awake or drowsy EEG without that activation.
On this page
CMS RVU26D · Effective 2026-10-01
95954 EEG activation Medicare reimbursement rates in Maine
Reports medication used to provoke diagnostic EEG changes during evaluation, such as when a neurologist seeks to reveal abnormalities not evident on routine recording. Compare 95954 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 95954 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
$353.97–$374.93
2 of 2 localities have a supported rate.
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.
Neurology diagnostics
About 95954: Pharmacologic EEG activation
Reports medication used to provoke diagnostic EEG changes during evaluation, such as when a neurologist seeks to reveal abnormalities not evident on routine recording.
This service involves using a medication during EEG testing to provoke or enhance electrical findings relevant to the diagnostic question, often in seizure evaluation. A neurologist or other qualified physician directs the provocation and interprets the tracing; an EEG technologist typically applies electrodes and operates the recording equipment. It may be performed in an outpatient EEG laboratory or during a hospital-based diagnostic evaluation. The medication-related activation is distinct from simply recording a patient who takes their usual medication.
Report the service when the record supports a deliberate medication-based activation during EEG testing, including the clinical purpose, medication administered, and resulting EEG observations. CMS recognizes professional and technical portions: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and reporting without either modifier represents the global service. The professional and technical portions are separately priced in the CMS fee schedule. The documentation should connect the medication administration to the EEG procedure rather than describe medication management alone.
CMS billing rules for 95954
- 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 RVU2.39 · 21%
- Practice expense (office) RVU8.82 · 78%
- Malpractice RVU0.15 · 1%
711
Medicare services in 2024 · #3248 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.
95954 compared with similar codes
Office rates for Maine, from the same CMS release.
$445.44–$476.96
Code 95819 describes a routine EEG with awake and asleep recording. Choose this code when the distinguishing service is medication-based activation during EEG testing.
$184.04–$195.65
Code 95955 is for EEG monitoring during surgery. This code concerns medication-based activation in diagnostic EEG testing, not intraoperative monitoring.
$289.23–$306.43
Code 95957 represents digital analysis of EEG data. This code represents medication-based activation; analysis alone does not establish that activation service.
Compare 95954 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
$353.97
Facility
Unavailable
Southern Maine →
Office / nonfacility
$374.93
Facility
Unavailable
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95954 billing questions
When is this code appropriate instead of a routine EEG code?
Use it for medication-based provocation performed as part of diagnostic EEG testing. A routine recording without that activation is represented by the applicable routine EEG code.
What documentation supports reporting the service?
Document why medication-based activation was performed, the medication administered, and the EEG findings or response. The record should show that the medication was used to affect the diagnostic recording.
How should the professional and technical portions be billed?
Use modifier 26 for the professional interpretation and modifier TC for the technical work, including equipment and staff. Without either modifier, the claim represents the global service.
Does this code represent medication management by itself?
No. The service is tied to medication used to provoke findings during EEG testing; medication administration or management without the EEG activation service is not described by this code.
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.
12,69595939,TC,C motor evoked upr&lwr limbs,A,,0.00,14.06,,14.06,NA,0.06,14.12,14.12,1,XXX,0.00,0.00,0.00,0,2,0,0,0,9,,33.4009,21,0,99,0.00,0.00,0.00
12,69695940,,Ionm in operatng room 15 min,A,,0.60,0.17,NA,0.17,,0.03,0.80,0.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,69795941,,Ionm remote/>1 pt or per hr,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,69895954,,Eeg monitoring/giving drugs,A,,2.39,8.82,,8.82,NA,0.15,11.36,11.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,69995954,26,Eeg monitoring/giving drugs,A,,2.39,0.71,,0.71,,0.08,3.18,3.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,70095954,TC,Eeg monitoring/giving drugs,A,,0.00,8.11,,8.11,NA,0.07,8.18,8.18,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,70195955,,Eeg during surgery,A,,0.98,4.89,,4.89,NA,0.05,5.92,5.92,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00