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CMS RVU26D · Effective 2026-10-01

95955 Intraoperative EEG Medicare reimbursement rates in Vermont

Reports EEG recording and interpretation during surgery, commonly to assess cerebral electrical activity during procedures such as carotid endarterectomy. Compare 95955 office and facility rates across CMS payment localities in Vermont.

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 95955 in Vermont?

Vermont 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

$195.28

1 of 1 localities have a supported rate.

Payment area: Vermont

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 95955 in your payment locality →

Neurology

About 95955: Intraoperative electroencephalogram monitoring

Reports EEG recording and interpretation during surgery, commonly to assess cerebral electrical activity during procedures such as carotid endarterectomy.

This service records and interprets cerebral electrical activity during an operation. A classic setting is carotid endarterectomy, where EEG changes can help identify possible cerebral ischemia during carotid clamping. Scalp electrodes capture the tracing while the patient is under anesthesia; a neurologist or other qualified physician interprets the recording, with technical staff supporting electrode placement and recording in the operating room.

Report 95955 for the intraoperative EEG service, not for motor or sensory evoked-potential monitoring alone. The operative and EEG documentation should identify the procedure, monitoring period, recording and interpretation, and clinically relevant findings. CMS recognizes separately priced professional and technical components: use modifier 26 for interpretation, modifier TC for equipment and staff, or neither modifier when billing the global service. The CMS file lists no add-on status, global period, or multiple-procedure reduction for this code.

CMS billing rules for 95955

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 RVU0.98 · 17%
  • Practice expense (office) RVU4.89 · 83%
  • Malpractice RVU0.05 · 1%

32.4K

Medicare services in 2024 · #943 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.

95955 compared with similar codes

Office rates for Vermont, from the same CMS release.

95954

EEG activation

Medication-provoked

$374.01

95955 is for EEG during surgery. 95954 describes EEG monitoring associated with drug administration, not intraoperative monitoring simply because drugs are used during anesthesia.

95957

EEG analysis

Digital analysis

$305.73

95955 covers intraoperative EEG. 95957 represents digital analysis of EEG data, a distinct service rather than the surgical EEG service itself.

95940

Intraoperative monitoring

One-on-one, in operating room

No office rate

95955 identifies the intraoperative EEG diagnostic test. 95940 describes intraoperative neurophysiology monitoring time in the operating room; it is not an EEG test code.

95941

Ionm remote/>1 pt or per hr

No office rate

95955 is the intraoperative EEG service. 95941 concerns remote or multiple-patient intraoperative neurophysiology monitoring time, not the EEG recording itself.

Compare 95955 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
  • Vermont →

    Office / nonfacility

    $195.28

    Facility

    Unavailable

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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 95955 in Vermont.

PPRRVU2026_Oct_nonQPP.csv

12,701

Code
95955
Physician work
0.98
Practice expense
4.89
Malpractice
0.05

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Office / nonfacility calculation for 95955 in Vermont
ComponentRVULocality factorAdjusted
Physician work0.98× 1.0000.9800
Practice expense4.89× 0.9904.8411
Malpractice0.05× 0.5060.0253
Total RVUs5.8464
Conversion factor× 33.4009

Office / nonfacility rate, Vermont$195.28

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.981
Practice expense4.890.99
Malpractice0.050.506

(0.98 × 1 + 4.89 × 0.99 + 0.05 × 0.506) × $33.4009 = $195.28

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.

95955 billing questions

When is 95955 appropriate instead of an evoked-potential code?

Use 95955 when the monitored signal is the brain's spontaneous electrical activity recorded by EEG during surgery. Motor- or sensory-evoked responses are distinct tests and should be matched to the applicable evoked-potential code.

What do modifiers 26 and TC represent?

Modifier 26 identifies the professional interpretation; modifier TC identifies the technical service, including equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports reporting 95955?

Document the operation and monitoring period, the EEG recording, the interpreting clinician, and the interpretation or relevant changes in the tracing.

Can 95955 be reported for EEG monitoring with drug administration?

95955 describes EEG during surgery. EEG monitoring associated with administration of drugs is a different service; select a code that reflects that service rather than using 95955 solely because EEG was recorded.

Does the code describe EEG digital analysis?

No. 95955 is for EEG during surgery. Digital analysis is a separate EEG service and should not be substituted for intraoperative EEG monitoring.

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 95955PPRRVU2026_Oct_nonQPP.csv, line 12,701 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)