Billing code 95720: Video EEG interpretationMedicare rate & RVUs in Oregon
Reports a physician or qualified health care professional’s interpretation of prolonged EEG with video for seizure evaluation and other neurologic monitoring.
Medicare pays $208.81–$220.03 for 95720 in the office in Oregon, from Rest Of Oregon to Portland. 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 95720 covers
billing code 95720 represents the professional review and interpretation of prolonged EEG recorded with video, followed by a report. A neurologist or epileptologist may interpret the study in an epilepsy monitoring unit, hospital, or other setting where video EEG is used to evaluate suspected seizures, unexplained episodes of altered awareness, or possible nonconvulsive seizures. The video helps correlate observed behavior with electrical activity during the recording.
Select this code for the applicable professional-service increment when video accompanies the EEG; document the recording duration, video availability, interpretation, and resulting report. Code 95718 describes the shorter professional service, while 95719 is the corresponding increment without video. The technical recording and monitoring work is represented by separate video EEG technical codes, selected according to the monitoring performed. The record should support that the physician or qualified health care professional reviewed and interpreted the study, rather than merely documenting that a recording was obtained.
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.
Where 95720 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $220.03 | $175.13 |
| Rest Of Oregon | $208.81 | $168.56 |
How the 95720 rate is calculated
Each of 95720’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 · 95720
RVUs × geographic indexes × conversion factor
Work3.76
3.76 RVUs× 1.000 GPCI
Practice expense2.29
2.29 RVUs× 1.000 GPCI
Malpractice0.30
0.30 RVUs× 1.000 GPCI
Adjusted RVUs
6.3500
Conversion factor
$33.4009
Medicare rate
$212.10
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95720
95720 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 · 95720
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$212.10
- Non-facility (office)
- $212.10
- Facility
- $171.68
Higher because the practice carries its own overhead.
95720 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 95718Video EEG interpretation
- 95718 is the professional interpretation service with video for 2–12 hours; 95720 represents an applicable duration increment.
- 95719EEG interpretation
- Both represent professional EEG interpretation increments, but 95720 includes video and 95719 is without video.
- 95714Veeg ea 12-26 hr unmntr
- 95714 represents the technical video EEG recording and unmonitored service; 95720 represents professional interpretation and reporting.
- 95722EEG interpretation
- Both are professional video EEG interpretation services, but 95722 is for a longer recording-duration category.
95720 billing questions
When should 95720 be chosen instead of 95719?
Use 95720 when video accompanies the EEG and is part of the interpreted study. Code 95719 is the corresponding professional interpretation increment without video.
How does 95720 differ from 95718?
95720 is for an applicable duration increment; 95718 covers the shorter 2–12-hour professional interpretation service with video.
Does 95720 include electrode setup and technical monitoring?
95720 represents professional interpretation and reporting. Electrode setup and technical recording or monitoring are represented by separate technical services when performed.
What documentation supports reporting 95720?
Document the EEG recording duration, the presence of video, the professional review and interpretation, and the report’s findings.
Which service is commonly paired with 95720?
A video EEG technical monitoring code may be reported for the recording and monitoring work, selected according to the level of technical monitoring performed.
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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