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See a sample rate comparisonCPT 95726 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 Phy Qhp 84 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 Summary Report Complete Study Greater Than 84 Hours Of Eeg Recording With Video Veeg
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 11 - Office 21 - Inpatient Hospital 99 - Other POS |
| Common Modifiers | None 26 - Professional component 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 95726 |
| Medicaid Fee Schedule | View Medicaid rates for 95726 |
National average reimbursement for CPT 95726 by major payers:
$516.62
$543.02
$509.32
$647.25
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CPT 95726
5 of 25 sample ratesHigher to lower in this preview
Trilok Shah
Ascension Medical Group-Fox Valley Wisconsin Inc
$1,322.75Published rateSunila Oconnor
Pediatric Faculty Foundation In
$824.13Published rateLubov Romantseva
Rush University Medical Center
$783.23Published rateJohn Millichap
$580.64Published rateConnor Maldonado
Town Center Orthopaedic Associates, P.C.
$382.67Published rate
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See a sample payer proposalCPT 95726 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95726 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 95726 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 |
|---|---|---|
| 95723-CPT | Moderate | Eeg Phy Qhp 60 84 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 Summary Report Complete Study Greater Than 60 Hours Up To 84 Hours Of Eeg Recording Without Video |
| 95724-CPT | Moderate | Eeg Phy Qhp 60 84 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 Summary Report Complete Study Greater Than 60 Hours Up To 84 Hours Of Eeg Recording With Video Veeg |
| 95725-CPT | Moderate | Eeg Phy Qhp 84 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 Summary Report Complete Study Greater Than 84 Hours Of Eeg Recording Without Video |
| 95726-CPT | Moderate | Eeg Phy Qhp 84 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 Summary Report Complete Study Greater Than 84 Hours Of Eeg Recording With Video Veeg |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95726. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95726 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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