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See a sample rate comparisonCPT 95718 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.
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| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | GC - Service performed by resident under supervision 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $137.95 national non-facility rate (2026) · View Medicare rates for 95718 |
| Medicaid Fee Schedule | $111.425 median of the 8 states in the free preview · View Medicaid rates for 95718 |
National average reimbursement for CPT 95718 by major payers:
$170.68
$177.76
$182.74
$217.34
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CPT 95718
5 of 25 sample ratesHigher to lower in this preview
Girishkumar Dhorajia
Carle West Physician Group Inc
$405.11Published rateCharles Marcuccilli
Pediatric Faculty Foundation In
$269.35Published rateJeremiah Brewer
Loyola University Medical Center
$221.66Published rateAndrei Pankov
$209.78Published rateKapil Aedma
Swope Health Services
$153.00Published rate
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See a sample payer proposalCPT 95718 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95718 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 95718 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 95718. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95718 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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