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CMS RVU26D · Effective 2026-10-01

95954 EEG activation Medicare reimbursement rates in Oklahoma

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 Oklahoma.

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 Oklahoma?

Oklahoma 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

$346.80

1 of 1 localities have a supported rate.

Payment area: Oklahoma

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.

Find 95954 in your payment locality →

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 Oklahoma, from the same CMS release.

95816

EEG

Awake and drowsy

$372.62

This code concerns medication used to provoke EEG findings. Code 95816 describes a routine awake or drowsy EEG without that activation.

95819

EEG

Awake and asleep recording

$434.03

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.

95955

Intraoperative EEG

During surgery

$179.88

Code 95955 is for EEG monitoring during surgery. This code concerns medication-based activation in diagnostic EEG testing, not intraoperative monitoring.

95957

EEG analysis

Digital analysis

$283.27

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.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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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 95954 in Oklahoma.

PPRRVU2026_Oct_nonQPP.csv

12,698

Code
95954
Physician work
2.39
Practice expense
8.82
Malpractice
0.15

GPCI2026.csv

86

Locality
Oklahoma
Physician work
1.000
Practice expense
0.893
Malpractice
0.777
Office / nonfacility calculation for 95954 in Oklahoma
ComponentRVULocality factorAdjusted
Physician work2.39× 1.0002.3900
Practice expense8.82× 0.8937.8763
Malpractice0.15× 0.7770.1166
Total RVUs10.3828
Conversion factor× 33.4009

Office / nonfacility rate, Oklahoma$346.80

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.391
Practice expense8.820.893
Malpractice0.150.777

(2.39 × 1 + 8.82 × 0.893 + 0.15 × 0.777) × $33.4009 = $346.80

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.

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.

RVUs for 95954PPRRVU2026_Oct_nonQPP.csv, line 12,698 (RVU26D)
Geographic factors for OklahomaGPCI2026.csv, line 86 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet