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See a sample rate comparisonCPT 95716 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Veeg Ea 12 26hr Cont Mntr, Electroencephalogram With Video Veeg Review Of Data Technical Description By Eeg Technologist Each Increment Of 12 26 Hours With Continuous Real Time Monitoring And Maintenance
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | TC - Technical component PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 95716 |
| Medicaid Fee Schedule | $965.095 median of the 8 states in the free preview · View Medicaid rates for 95716 |
National average reimbursement for CPT 95716 by major payers:
$1,387.09
$1,395.11
$1,279.29
$1,904.10
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CPT 95716
5 of 25 sample ratesHigher to lower in this preview
Andrew Knox
Aurora Medical Group Inc
$3,438.83Published rateNeil Jariwala
$2,260.38Published rateMayurika Pise
Riverside Health System
$1,413.42Published ratePaul Berkowitz
Presence Healthcare Services
$1,112.55Published rateRyan Miyamoto
Town Center Orthopaedic Associates, P.C.
$1,006.25Published rate
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See a sample payer proposalCPT 95716 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95716 code is part of the Medicine Services and Procedures services used for Neurology and Neuromuscular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 95716 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 95713-CPT | Moderate | Electroencephalogram With Vide, Electroencephalogram With Video (Veeg) Review Of Data Technical Description By Eeg Technologist 2-12 Hours With Continuous Real-Time Monitoring And Maintenance |
| 95714-CPT | Moderate | Electroencephalogram With Vide, Electroencephalogram With Video (Veeg) Review Of Data Technical Description By Eeg Technologist Each Increment Of 12-26 Hours Unmonitored |
| 95715-CPT | High | Veeg Ea 12 26hr Intmt Mntr, Electroencephalogram With Video Veeg Review Of Data Technical Description By Eeg Technologist Each Increment Of 12 26 Hours With Intermittent Monitoring And Maintenance |
| 95716-CPT | High | Veeg Ea 12 26hr Cont Mntr, Electroencephalogram With Video Veeg Review Of Data Technical Description By Eeg Technologist Each Increment Of 12 26 Hours With Continuous Real Time Monitoring And Maintenance |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95716. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95716 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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