$267.51–$290.37
Choose 95722 when video accompanies a recording over 36 but under 60 hours; 95721 is for a recording without video.
On this page
CMS RVU26D · Effective 2026-10-01
95721 EEG interpretation Medicare reimbursement rates in Washington
Reports physician or qualified health care professional interpretation of a no-video EEG recording lasting more than 36 but less than 60 hours. Compare 95721 office and facility rates across CMS payment localities in Washington.
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 95721 in Washington?
Washington 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
$221.64–$240.69
2 of 2 localities have a supported rate.
Facility setting
$177.68–$189.46
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.
Electroencephalography
About 95721: Prolonged EEG interpretation without video
Reports physician or qualified health care professional interpretation of a no-video EEG recording lasting more than 36 but less than 60 hours.
Code 95721 represents a neurologist’s or other qualified health care professional’s review and interpretation of a prolonged EEG recording, followed by a diagnostic report. It applies when the recording lasts more than 36 but less than 60 hours and has no synchronized video. Such studies may evaluate recurrent spells, suspected seizures, or altered mental status when a brief EEG is insufficient, in hospital or ambulatory monitoring settings. The service is the professional analysis and report, rather than electrode application or technologist acquisition work.
Select the code from the recording duration and whether video was captured. Documentation should support the recording’s dates and times, total duration, lack of video, findings, and professional interpretation. CMS assigns work and practice-expense relative values to this service; the record should substantiate the professional work for the reported study.
Where the value comes from
- Work RVU3.86 · 59%
- Practice expense (office) RVU2.35 · 36%
- Malpractice RVU0.33 · 5%
2.7K
Medicare services in 2024 · #2254 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.
95721 compared with similar codes
Office rates for Washington, from the same CMS release.
$268.70–$291.57
Choose 95723 for a no-video recording lasting over 60 but under 84 hours. Code 95721 covers the shorter duration band.
$111.55–$121.11
Code 95717 covers a no-video recording lasting 2–12 hours; 95721 is for a much longer recording over 36 but under 60 hours.
Compare 95721 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
Rest Of Washington →
Office / nonfacility
$221.64
Facility
$177.68
Seattle (King Cnty) →
Office / nonfacility
$240.69
Facility
$189.46
Need rates for a whole code list?
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95721 billing questions
When is 95721 selected instead of 95722?
Use 95721 for a recording over 36 but under 60 hours without video. Use 95722 for the same duration when video accompanies the EEG.
Does the duration mean physician reading time?
No. The duration refers to the EEG recording, not the time spent reviewing it or preparing the report.
Is 95721 the EEG acquisition service?
No. It represents the physician or qualified health care professional’s review, interpretation, and report. EEG acquisition and monitoring are represented by distinct technical-service codes when applicable.
What documentation supports reporting 95721?
Document the recording’s total duration, that video was not used, and the professional’s interpretation and findings. The record should support a duration over 36 but under 60 hours.
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.
12,50895718,,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
12,51395723,,Eeg phy/qhp>60<84 hr w/o vid,A,,4.75,2.81,,1.33,,0.36,7.92,6.44,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,51495724,,Eeg phy/qhp>60<84 hr w/veeg,A,,6.00,3.54,,1.68,,0.46,10.00,8.14,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00