CPT / HCPCS code · 2026 CMS data · Verified 2026-08-31
CPT 95726 RVU and Medicare Payment (2026)
Eeg phy/qhp>84 hr w/veeg — 7.58 work RVU, about $426.53 non-facility Medicare payment at the 2026 conversion factor.
- Work RVU
- 7.58
- PE RVU (non-facility)
- 4.59
- PE RVU (facility)
- 2.17
- MP RVU
- 0.6
- Office payment
- $426.53
- Facility payment
- $345.7
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 95726 in a non-facility setting with national GPCI: (7.58 + 4.59 + 0.6) × $33.4009 ≈ $426.53. The same code in a facility setting pays about $345.7 because facility PE RVU (2.17) replaces office PE RVU.
What changes by locality
GPCI moves 95726 non-facility payment from $395.19 to $554.09 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 95726?
7.58. 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 95726 in 2026?
About $426.53 non-facility ($345.7 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 (7.58) and malpractice RVU stay fixed; only practice expense changes (4.59 office vs 2.17 facility). That is the entire office-vs-facility payment gap.