Use 95721 for the same more-than-36-hour, less-than-60-hour professional service when the EEG recording does not include video.
On this page
CMS RVU26D · Effective 2026-10-01
95722 EEG interpretation Medicare reimbursement rates in Utah
Physician or qualified health care professional interpretation of a more-than-36-hour, less-than-60-hour EEG recording that includes synchronized video. Compare 95722 office and facility rates across CMS payment localities in Utah.
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 95722 in Utah?
Utah 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
$256.61
1 of 1 localities have a supported rate.
Payment area: Utah
One mapped payment locality.
Facility setting
$210.14
1 of 1 localities have a supported rate.
Payment area: Utah
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 95722: Long-term video EEG interpretation
Physician or qualified health care professional interpretation of a more-than-36-hour, less-than-60-hour EEG recording that includes synchronized video.
This professional service covers review and interpretation of a prolonged EEG recording with synchronized video, followed by a report. A neurologist or other qualified health care professional may use it for seizure evaluation, unexplained spells, or other events where comparing behavior with brain-wave activity helps clarify what occurred. Studies may be performed in an epilepsy monitoring unit or through an ambulatory recording arrangement.
Select 95722 when the qualifying recording includes video and its duration is more than 36 but less than 60 hours. The report should support the recording duration and describe the relevant EEG and video findings. This code represents the physician or qualified health care professional’s interpretive work; technical recording and monitoring services are represented by separate codes when reportable. Choose a different code when the duration or presence of video falls into another code’s category.
Where the value comes from
- Work RVU4.70 · 60%
- Practice expense (office) RVU2.81 · 36%
- Malpractice RVU0.38 · 5%
2.2K
Medicare services in 2024 · #2397 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.
95722 compared with similar codes
Office rates for Utah, from the same CMS release.
Use 95718 for a shorter professional video-EEG recording, rather than the more-than-36-hour, less-than-60-hour duration represented by 95722.
95724 covers a longer professional video-EEG duration category: more than 60 but less than 84 hours.
Compare 95722 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
Utah →
Office / nonfacility
$256.61
Facility
$210.14
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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 95722 in Utah.
PPRRVU2026_Oct_nonQPP.csv
12,512
- Code
- 95722
- Physician work
- 4.70
- Practice expense
- 2.81
- Malpractice
- 0.38
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.70 | × 1.000 | 4.7000 |
| Practice expense | 2.81 | × 0.940 | 2.6414 |
| Malpractice | 0.38 | × 0.898 | 0.3412 |
| Total RVUs | 7.6826 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Utah$256.61
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.7 | 1 |
| Practice expense | 2.81 | 0.94 |
| Malpractice | 0.38 | 0.898 |
(4.7 × 1 + 2.81 × 0.94 + 0.38 × 0.898) × $33.4009 = $256.61
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.7 | 1 |
| Practice expense | 1.33 | 0.94 |
| Malpractice | 0.38 | 0.898 |
(4.7 × 1 + 1.33 × 0.94 + 0.38 × 0.898) × $33.4009 = $210.14
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.
95722 billing questions
How is 95722 different from 95721?
Both cover a more-than-36-hour, less-than-60-hour professional EEG service. 95722 includes video EEG; 95721 is for a recording without video.
Does 95722 include technical recording and monitoring?
No. It represents physician or qualified health care professional review and interpretation. Technical recording and monitoring may be reported separately using the applicable technical-service code.
What documentation supports 95722?
Document the total recording duration, that video accompanied the EEG, and the professional review, interpretation, and findings in the report.
Can 95722 be used for a study lasting 60 hours?
No. Its duration category is more than 36 but less than 60 hours. Select the code matching the study’s actual duration and whether video was included.
Is 95722 selected by the number of seizures or events?
No. The distinguishing duration is the recording time, and the code also requires video EEG. The number of captured clinical events does not define this duration category.
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.
