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See a sample rate comparisonCPT 95822 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.
Brain Wave Test (Eeg), Recording Of Electrical Activity In The Brain (Eeg Or Electroencephalogram) While Asleep Or In A Coma.
| 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 |
| Common Modifiers | None 26 - Professional component TC - Technical component |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 95822 |
| Medicaid Fee Schedule | View Medicaid rates for 95822 |
National average reimbursement for CPT 95822 by major payers:
$447.94
$444.35
$516.56
$597.33
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CPT 95822
5 of 25 sample ratesHigher to lower in this preview
Jeremy Wong
Pediatric Faculty Foundation In
$745.89Published rateErin Hurst
University Of Chicago
$593.71Published rateJeremiah Brewer
$396.47Published rateDavid Hsu
Swedishamerican Hospital
$255.80Published rateNevada Eye Care Professionals Little & Stein, Ltd.
Nevada Eye Care Professionals
$48.08Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 95822 vs. Other Neurology and Neuromuscular Procedures Codes
The CPT 95822 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 95822 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). |
| 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 |
| 95822-CPT | Moderate | Brain Wave Test (Eeg), Recording Of Electrical Activity In The Brain (Eeg Or Electroencephalogram) While Asleep Or In A Coma. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 95822. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 95822 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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