$406.14–$482.54
This code concerns implanted-device ECoG data. Code 95816 describes an EEG recorded with external scalp electrodes while the patient is awake or drowsy.
On this page
CMS RVU26D · Effective 2026-10-01
95836 Implanted ECoG Medicare reimbursement rates in Virginia
Analysis of electrocorticography collected by an implanted brain neurostimulator during the first 30 days after implantation, with interpretation and reporting. Compare 95836 office and facility rates across CMS payment localities in Virginia.
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 95836 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$105.01–$117.96
2 of 2 localities have a supported rate.
Facility setting
$86.62–$95.93
2 of 2 localities have a 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.
Neurology testing
About 95836: Implanted neurostimulator electrocorticogram review
Analysis of electrocorticography collected by an implanted brain neurostimulator during the first 30 days after implantation, with interpretation and reporting.
This service covers a clinician’s review and interpretation of electrocorticography data recorded by an implanted brain neurostimulator, such as a responsive neurostimulation system used for epilepsy. A neurologist or epileptologist may review stored brain-surface recordings during early follow-up to assess electrographic events and their relationship to reported seizures. The code is distinguished by the interval from implantation, not by the patient’s age or the length of an individual recording.
Select this code when the service is performed within 30 days after the neurostimulator is implanted; use the later-interval sibling when the service occurs 30 or more days after implantation. The record should identify the implanted system and implant date, document the electrocorticography data reviewed and the clinician’s analysis, and include an interpretation and report. Report the service for the documented data review rather than simply for device presence or a routine visit. The CMS facts provided list no code-specific payment rules for this service.
Where the value comes from
- Work RVU1.93 · 60%
- Practice expense (office) RVU1.12 · 35%
- Malpractice RVU0.16 · 5%
1.5K
Medicare services in 2024 · #2659 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.
95836 compared with similar codes
Office rates for Virginia, from the same CMS release.
$1,939.33–$2,298.61
Code 95829 is for electrocorticography performed in the surgical setting. Code 95836 is for analysis and interpretation of data from an implanted neurostimulator within the specified post-implant interval.
Compare 95836 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$117.96
Facility
$95.93
Virginia →
Office / nonfacility
$105.01
Facility
$86.62
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95836 billing questions
How is this code distinguished from 95837?
Use 95836 for the ECoG service performed less than 30 days after implantation. Code 95837 is the sibling for services performed 30 or more days after implantation.
Does the 30-day interval refer to the recording date?
It is the interval after implantation for the service. Document the implantation date and the date the ECoG data are reviewed.
Is this the same as a routine scalp EEG?
No. This service concerns data collected by an implanted brain neurostimulator; routine scalp EEG codes describe recordings obtained with external scalp electrodes.
Does reviewing the ECoG automatically include device programming?
The code describes ECoG data analysis and interpretation. Do not treat programming as included or performed unless the record supports that separate activity and its applicable coding.
What documentation supports reporting this service?
Document the implanted system, implantation date, data reviewed, clinical interpretation, and resulting report. A note that only states the device was checked does not describe the ECoG analysis.
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.
12,56995829,26,Surgery electrocorticogram,A,,6.05,3.72,,3.72,,0.33,10.10,10.10,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,57095829,TC,Surgery electrocorticogram,A,,0.00,48.89,,48.89,NA,0.09,48.98,48.98,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,57195830,,Insert electrodes for eeg,A,,1.66,19.68,,0.48,,0.14,21.48,2.28,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,57295836,,Ecog impltd brn npgt <30 d,A,,1.93,1.12,,0.56,,0.16,3.21,2.65,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,57395851,,Range of motion measurements,A,,0.16,0.61,,0.03,,0.01,0.78,0.20,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,57495852,,Range of motion measurements,A,,0.11,0.52,,0.03,,0.01,0.64,0.15,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,57595857,,Cholinesterase challenge,A,,0.52,1.46,,0.15,,0.04,2.02,0.71,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00