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See a sample rate comparisonCPT 95812 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.
Extended Brain Wave Test (Eeg), Additional Time For An Eeg (Electroencephalogram) Where The Electrical Activity In The Brain Is Recorded Using An Instrument. Wires From The Recorder Are Attached To The Scalp Using Patches (Electrodes).
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Neurology and Neuromuscular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $383.11 national non-facility rate (2026) · View Medicare rates for 95812 |
| Medicaid Fee Schedule | $308.92 median of the 8 states in the free preview · View Medicaid rates for 95812 |
National average reimbursement for CPT 95812 by major payers:
$395.67
$399.13
$459.36
$525.62
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CPT 95812
5 of 25 sample ratesHigher to lower in this preview
Joseph Pepitone
Northshore University Healthsystem Faculty Practice Associates
$802.79Published rateDavid Ritacco
Pediatric Faculty Foundation In
$525.54Published rateChristopher Lombardi
$437.86Published rateMatthew Niedzwiecki
$114.15Published rateLovdie Lewis
Cardiology Consultants, P.C.
$65.11Published rate
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See a sample payer proposalCPT 95812 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95812 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 95812 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 |
|---|---|---|
| 95812-CPT | Moderate | Extended Brain Wave Test (Eeg), Additional Time For An Eeg (Electroencephalogram) Where The Electrical Activity In The Brain Is Recorded Using An Instrument. Wires From The Recorder Are Attached To The Scalp Using Patches (Electrodes). |
| 95813-CPT | Moderate | Extended Brain Wave Test (Eeg), Additional Time For An Eeg (Electroencephalogram) Where The Electrical Activity In The Brain Is Recorded Using An Instrument. Wires From The Recorder Are Attached To The Scalp Using Patches (Electrodes). |
| 95816-CPT | Moderate | Electroencephalogram (Eeg) Inc, Electroencephalogram (Eeg) Including Recording Awake Anddrowsy With Hyperventilation Andor Photic Stimulation |
| 95819-CPT | Moderate | Electroencephalogram (Eeg) Inc, Electroencephalogram (Eeg) Including Recording Awake Andasleep With Hyperventilation Andor Photic Stimulation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95812. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95812 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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