Neurology · CMS status A
95816
Eeg awake and drowsy
Electroencephalogram (EEG); awake and drowsy.
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
Work RVU
1.05
National non-QP estimate
$413.50
National GPCI · non-facility · CF $33.4009
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
RVU anatomyWork 1.05 + Practice 11.23 + Malpractice 0.10 = 12.38 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
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Common modifiers
26TC
Common ICD-10 pairings
G40.909R56.9
See what 95816 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.