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
Billing guidance for 95816 is locked
- When to use it: the exact clinical situations that support billing 95816
- Documentation checklist: the 1 elements your note needs before submitting
- Common pitfalls: the 1 mistakes that get 95816 downcoded or denied
Start your free 3-month trial →Every new account gets full Pro Max access for 3 months. No card needed.
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.