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See a sample rate comparisonCPT 95717 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Eeg Phys Qhp 2 12 Hr W O Vid, Electroencephalogram Eeg Continuous Recording Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Interpretation And Report 2 12 Hours Of Eeg Recording Without Video
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $109.89 national non-facility rate (2026) · View Medicare rates for 95717 |
| Medicaid Fee Schedule | $88.765 median of the 8 states in the free preview · View Medicaid rates for 95717 |
National average reimbursement for CPT 95717 by major payers:
$135.37
$135.25
$136.44
$169.26
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CPT 95717
5 of 25 sample ratesHigher to lower in this preview
Sunila Oconnor
Pediatric Faculty Foundation In
$247.52Published rateAbby Fredrickson
$204.61Published rateMaanasa Bandla
Loyola University Medical Center
$198.49Published rateGuoshi Zhang
Advocate Health And Hospitals Corporation
$175.13Published rateAniruddha Deka
$93.76Published rate
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See a sample payer proposalCPT 95717 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95717 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 95717 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 |
|---|---|---|
| 95709-CPT | Moderate | Eeg W O Vid Ea 12 26hr Intmt, Electroencephalogram Eeg Without Video Review Of Data Technical Description By Eeg Technologist Each Increment Of 12 26 Hours With Intermittent Monitoring And Maintenance |
| 95717-CPT | Low | Eeg Phys Qhp 2 12 Hr W O Vid, Electroencephalogram Eeg Continuous Recording Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Interpretation And Report 2 12 Hours Of Eeg Recording Without Video |
| 95718-CPT | Low | Eeg Phys Qhp 2 12 Hr W Veeg, Electroencephalogram Eeg Continuous Recording Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Interpretation And Report 2 12 Hours Of Eeg Recording With Video Veeg |
| 95719-CPT | Moderate | Eeg Phys Qhp Ea Incr W O Vid, Electroencephalogram Eeg Continuous Recording Physician Or Other Qualified Health Care Professional Review Of Recorded Events Analysis Of Spike And Seizure Detection Each Increment Of Greater Than 12 Hours Up To 26 Hours Of Eeg Recording Interpretation And Report After Each 24 Hour Period Without Video |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95717. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95717 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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