$111.85
95717 covers the initial 2–12-hour professional EEG service without video; 95719 covers each additional 12-hour increment.
On this page
CMS RVU26D · Effective 2026-10-01
95719 EEG interpretation Medicare reimbursement rates in Rhode Island
Reports physician or qualified health care professional review and interpretation of an EEG without video for each additional 12-hour increment. Compare 95719 office and facility rates across CMS payment localities in Rhode Island.
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 95719 in Rhode Island?
Rhode Island 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
$167.99
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$135.90
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
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
About 95719: Physician EEG review, additional no-video time
Reports physician or qualified health care professional review and interpretation of an EEG without video for each additional 12-hour increment.
This code covers a physician’s or other qualified health care professional’s review and interpretation of prolonged EEG recording without video. It is used for services such as neurologist or epileptologist interpretation of extended EEG monitoring for seizure evaluation, including recordings obtained in a hospital or outpatient setting. The service is the clinician’s analysis of the EEG data and resulting interpretation, not electrode application or the technical recording itself.
Report 95719 for each additional 12-hour increment following the initial no-video EEG service represented by 95717. The record should support the monitoring duration, the clinician’s review and interpretation, and a report addressing the EEG findings. For recordings that include video, use the corresponding video service instead; longer recording periods may fall under duration-specific codes such as 95721. CMS rules supplied for this code do not specify additional payment or component instructions.
Where the value comes from
- Work RVU2.93 · 59%
- Practice expense (office) RVU1.78 · 36%
- Malpractice RVU0.23 · 5%
6.6K
Medicare services in 2024 · #1702 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.
95719 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$215.92
95720 is the additional-increment professional service when video EEG is included. Choose 95719 for the no-video service.
$222.29
95721 describes a longer no-video recording-duration category. Use it when the total study duration fits that category rather than describing the service solely as additional increments.
Compare 95719 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
Rhode Island →
Office / nonfacility
$167.99
Facility
$135.90
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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 95719 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
12,509
- Code
- 95719
- Physician work
- 2.93
- Practice expense
- 1.78
- Malpractice
- 0.23
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.93 | × 1.019 | 2.9857 |
| Practice expense | 1.78 | × 1.033 | 1.8387 |
| Malpractice | 0.23 | × 0.892 | 0.2052 |
| Total RVUs | 5.0296 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$167.99
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1.019 |
| Practice expense | 1.78 | 1.033 |
| Malpractice | 0.23 | 0.892 |
(2.93 × 1.019 + 1.78 × 1.033 + 0.23 × 0.892) × $33.4009 = $167.99
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.93 | 1.019 |
| Practice expense | 0.85 | 1.033 |
| Malpractice | 0.23 | 0.892 |
(2.93 × 1.019 + 0.85 × 1.033 + 0.23 × 0.892) × $33.4009 = $135.90
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.
95719 billing questions
When is 95719 reported instead of 95717?
95717 represents the initial no-video physician or qualified health care professional EEG service. Report 95719 for each additional 12-hour increment of that service.
What is the difference between 95719 and 95720?
Both describe additional 12-hour increments of professional EEG service. Use 95719 for recordings without video and 95720 when the professional service includes video EEG.
Does 95719 cover the EEG recording equipment or setup?
No. It represents clinician review and interpretation of the EEG data; electrode application and technical recording are separate service functions.
How should units be supported?
Document the EEG monitoring duration and the physician’s or qualified health care professional’s review and interpretation. Report the code for each additional 12-hour increment supported by the service.
When should a longer-duration code be considered?
For a prolonged no-video study extending beyond the incremental service pattern, compare the total recording duration with the duration-specific professional codes, including 95721.
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.
12,50695716,,Veeg ea 12-26hr cont mntr,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,50795717,,Eeg phys/qhp 2-12 hr w/o vid,A,,1.95,1.18,,0.56,,0.16,3.29,2.67,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,50895718,,Eeg phys/qhp 2-12 hr w/veeg,A,,2.44,1.49,,0.70,,0.20,4.13,3.34,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,50995719,,Eeg phys/qhp ea incr w/o vid,A,,2.93,1.78,,0.85,,0.23,4.94,4.01,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,51095720,,Eeg phy/qhp ea incr w/veeg,A,,3.76,2.29,,1.08,,0.30,6.35,5.14,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,51195721,,Eeg phy/qhp>36<60 hr w/o vid,A,,3.86,2.35,,1.10,,0.33,6.54,5.29,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,51295722,,Eeg phy/qhp>36<60 hr w/veeg,A,,4.70,2.81,,1.33,,0.38,7.89,6.41,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537