95715 Medicare Reimbursement Rate (2026)
Current CMS pricing and breakdown for Veeg ea 12-26hr intmt mntr.
National Average Payment
Non-Facility (Private Office) Rate
95715 Reimbursement Rate History
| Quarter | Q1 2025 | Q2 2025 | Q3 2025 | Q4 2025 | Q1 2026 | Q2 2026 |
|---|---|---|---|---|---|---|
| National Average Payment | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
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Code Description
Video EEG monitoring with continuous recording for 12 to 26 hours, with intermittent physician review. Extended brain wave monitoring combined with video recording to capture and characterize seizure events. Used in the evaluation of epilepsy for surgical planning or to classify seizure types.
Reimbursement Summary
CPT code 95715 (Video EEG monitoring with continuous recording for 12 to 26 hours, with intermittent physician review. Extended brain wave monitoring combined with video recording to capture and characterize seizure events. Used in the evaluation of epilepsy for surgical planning or to classify seizure types.) does not currently have a published national facility or non-facility reimbursement rate in 2026.
95715 is a CPT code in the category “Physician Service.” Medicare does not publish a single national payment amount for this code in 2026 (Contractor Priced). Price is set by your local MAC, not nationally.
To estimate a local payment amount when available, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool on the homepage and confirm final pricing guidance through CMS or your local Medicare Administrative Contractor (MAC).
95715 Reimbursement Rate History
| Quarter | Q1 2025 | Q2 2025 | Q3 2025 | Q4 2025 | Q1 2026 | Q2 2026 |
|---|---|---|---|---|---|---|
| National Average Payment | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
Historical Medicare Reimbursement
| Quarter | Non-Facility Rate | Facility Rate | YoY % Change (Non-Fac) | YoY % Change (Fac) |
|---|---|---|---|---|
| 2026 Q2 | $0.00 | $0.00 | — | — |
| 2026 Q1 | $0.00 | $0.00 | — | — |
| 2025 Q4 | $0.00 | $0.00 | — | — |
| 2025 Q3 | $0.00 | $0.00 | — | — |
| 2025 Q2 | $0.00 | $0.00 | — | — |
| 2025 Q1 | $0.00 | $0.00 | — | — |
Commercial Payer Rates for 95715
Pro FeatureNational average reimbursement from major commercial payers based on CMS Transparency in Coverage machine-readable files.
| Modifier | Place of Service | Avg. Rate | vs Medicare | Percentile Range |
|---|---|---|---|---|
| NULL | Office (11) | $91.46 | -4.0% | $80 — $104 |
| NULL | Telehealth (02) | $88.20 | -7.4% | $76 — $102 |
| NULL | Facility (21) | $79.31 | -15.6% | $68 — $95 |
| NULL | Outpatient Hospital (22) | $84.92 | -10.2% | $71 — $99 |
| NULL | Home (12) | $96.14 | +1.0% | $84 — $113 |
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Source: CMS Transparency in Coverage machine-readable files (MRFs). Commercial rates reflect payer-published negotiated amounts and may not reflect individual contracted rates.
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Facility vs. Non-Facility (Office) Payment
Medicare often publishes two payment rates for the same code: a **non-facility** rate (typically used when the service is performed in a private office where the clinician bears more overhead) and a **facility** rate (typically used when performed in a hospital or facility where the facility bills separately for its costs).
Because the practice expense portion of RVUs differs by setting, the non-facility and facility payment amounts can be different. For locality-adjusted estimates in 2026, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool.
Q2 2026 Breakdown
| Component | Office (Non-Fac) | Facility (Hosp) |
|---|---|---|
| Work RVU | 0 | 0 |
| Practice Expense (PE) | 0 | 0 |
| Malpractice (MP) | 0 | 0 |
| Total RVUs | 0.00 | 0.00 |
Learn How This Reimbursement Is Calculated
Medicare reimbursement is determined by RVUs, geographic adjustments, and the annual conversion factor.
Frequently Asked Questions
What is the 2026 Medicare rate for 95715?
Medicare does not publish a single national rate for 95715 because it is contractor-priced. Payment is determined by your local MAC (Price is set by your local MAC, not nationally.).
What is the description for code 95715?
Video EEG monitoring with continuous recording for 12 to 26 hours, with intermittent physician review. Extended brain wave monitoring combined with video recording to capture and characterize seizure events. Used in the evaluation of epilepsy for surgical planning or to classify seizure types.
Why do facility and non-facility payments differ for 95715?
For many physician services, Medicare publishes different practice-expense RVUs by setting. In general, non-facility rates apply when services are performed in a private office, while facility rates apply when performed in a hospital or facility where the facility bills separately.
How can I find my local Medicare rate for 95715?
Use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool on the homepage to estimate your locality-adjusted reimbursement. Medicare payment can vary based on geographic adjustments (GPCI), place of service, and claim specifics.
Is 95715 covered by Medicare?
Coverage depends on medical necessity, setting, and Medicare policy. Some codes may be bundled, contractor-priced, or restricted. Verify final coverage guidance through CMS or your local MAC when applicable.
