CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 95720 RVU and Medicare Payment (2026)
Eeg phy/qhp ea incr w/veeg — 3.76 work RVU, about $212.1 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 3.76
- PE RVU (non-facility)
- 2.29
- PE RVU (facility)
- 1.08
- MP RVU
- 0.3
- Office payment
- $212.1
- Facility payment
- $171.68
How the payment is calculated
Total RVU is work plus practice expense plus malpractice, each adjusted by its GPCI factor, then multiplied by the conversion factor. For 95720 in a non-facility setting with national GPCI: (3.76 + 2.29 + 0.3) × $33.4009 ≈ $212.1. The same code in a facility setting pays about $171.68 because facility PE RVU (1.08) replaces office PE RVU.
What changes by locality
GPCI moves 95720 non-facility payment from $196.45 to $275.36 across CMS localities — from Arkansas to Alaska. Check your exact locality in the GPCI calculator rather than using a state average.
Related codes
Checking a different code or locality? Open the full RVU calculator to run any of the 7,790 CPT/HCPCS codes with your own GPCI factors.
Frequently asked questions
What is the 2026 work RVU for CPT 95720?
3.76. Work RVU measures physician time, skill, and intensity — it does not change by setting or locality. Total payment adds practice expense and malpractice RVUs plus the conversion factor.
How much does Medicare pay for CPT 95720 in 2026?
About $212.1 non-facility ($171.68 facility) at national GPCI with the 2026 $33.4009 conversion factor. Your locality GPCI moves the number — see the range above.
Does the work RVU change between office and facility?
No. Work RVU (3.76) and malpractice RVU stay fixed; only practice expense changes (2.29 office vs 1.08 facility). That is the entire office-vs-facility payment gap.