Neurology · CMS status A
95816
EEG awake & drowsy
Electroencephalogram (EEG); awake and drowsy.
Work RVU
1.08
2026 Medicare pays
$154.98
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 1.08 + Practice 3.46 + Malpractice 0.10 = 4.64 total
Work (your effort)Practice expenseMalpractice
When to use it
Routine outpatient awake + drowsy EEG.
Documentation checklist
- ✓Indication, recording duration, interpretation, comparison to prior.
Common pitfalls
- !Modifier 26 in hospital outpatient settings.
Common modifiers
26TC
Common ICD-10 pairings
G40.909R56.9
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.