Coding Guidelines for Long-term EEG Monitoring CPT Codes (95705-95726)

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Coding Guidelines for Long-term EEG Monitoring
CPT Codes (95705-95726)
Long-term EEG (Electroencephalogram) monitoring
is a diagnostic procedure used to record and
analyze the electrical activity of the brain over
an extended period. This monitoring helps
healthcare professionals diagnose and manage
various neurological conditions such as epilepsy,
sleep disorders, and brain injuries. Proper
coding for long-term EEG monitoring is essential
for accurate billing and reimbursement. In this
article, we will delve into the coding guidelines
for long-term EEG monitoring CPT codes
95705-95726, along with coding examples to
facilitate better understanding. Coding
Guidelines for Long-term EEG Monitoring CPT Codes
(95705-95726) Understanding the CPT Code
Range Long-term EEG monitoring CPT codes
(95705-95726) encompasses different components
and aspects of the monitoring process, allowing
healthcare providers to code accurately and
report services provided. These codes are used to
describe the continuous recording and
interpretation of EEG activity over an extended
period, typically lasting 24 hours or more. The
specific code within this range is selected based
on the duration and type of monitoring, as well
as the interpretation and reporting
requirements. Documentation Requirements
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Coding Guidelines for Long-term EEG Monitoring
CPT Codes (95705-95726)

• Accurate and comprehensive documentation is
  crucial for proper coding and billing. The
  following elements should be included in the
  medical record
• Indication for long-term EEG monitoring, such as
  epilepsy, sleep disorders, or other neurological
  conditions.
• A detailed description of the monitoring
  procedure, including the duration of monitoring,
  electrode placement, and other relevant technical
  aspects.
• Findings and interpretation of the recorded EEG
  data.
• Clinical impressions or diagnoses based on the
  EEG findings.
• Any additional procedures or interventions
  performed during the monitoring process.
• Code Selection
• To accurately code long-term EEG monitoring,
  healthcare providers must consider the duration
  of the monitoring, the involvement of video
  recording, and the professional interpretation
  and report. Here are the main codes within the
  95705-95726 range

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Coding Guidelines for Long-term EEG Monitoring
CPT Codes (95705-95726)

• 95705 Electroencephalogram (EEG) monitoring,
  continuous recording, from a minimum of 16
  channels up to 24 channels, for at least 48 hours
  or more, without video. This code is used for
  continuous EEG monitoring using a minimum of 16
  channels up to 24 channels. The monitoring
  duration should be at least 48 hours or longer.
  No video recording is included.
• 95706 Electroencephalogram (EEG) monitoring,
  continuous recording, from a minimum of 16
  channels up to 24 channels, for at least 48 hours
  or more, with video. Similar to code 95705, this
  code involves continuous EEG monitoring with a
  minimum of 16 channels up to 24 channels. The
  monitoring duration should be at least 48 hours
  or longer. Video recording is included as part of
  the monitoring process.
• 95707 Electroencephalogram (EEG) monitoring,
  during a minimum of 16 channels up to 24
  channels, each 24 hours, or a major portion
  thereof (e.g., 22 to 26 hours). This code is
  applicable when the EEG monitoring is conducted
  in discrete 24-hour periods or a substantial
  portion of a 24-hour period. A minimum of 16
  channels up to 24 channels is used for
  monitoring.
• 95708 Electroencephalogram (EEG) monitoring,
  41-60 minutes, greater than 16 channels, with
  interpretation and report. This code is used when
  EEG monitoring is performed for a specific
  duration of 41 to 60 minutes. The monitoring
  setup includes more than 16 channels. The service
  includes interpretation and a detailed report.

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Coding Guidelines for Long-term EEG Monitoring
CPT Codes (95705-95726)

• 95710 Electroencephalogram (EEG) recording in
  coma or sleep, recording and interpretation. This
  code is specific to EEG recordings performed in
  comatose or sleeping patients. It covers both the
  recording process and interpretation of the EEG
  results.
• 95711 Electroencephalogram (EEG) extended
  monitoring greater than 24 hours up to 72 hours
  by continuous acquisition and storage. This code
  is used when EEG monitoring is performed for an
  extended duration, ranging from more than 24
  hours up to 72 hours. The monitoring involves
  continuous acquisition and storage of EEG data.
• 95713 Electroencephalogram (EEG) during
  nonintracranial surgery (e.g., carotid surgery).
  This code is applicable when EEG monitoring is
  conducted during non-intracranial surgeries such
  as carotid surgery. It includes the recording and
  interpretation of the EEG data.
• 95716 Electroencephalogram (EEG) recording in
  the operating room, intensive care unit, or
  emergency department, with video when performed.
  This code is used when EEG recording is conducted
  in settings like the operating room, intensive
  care unit, or emergency department. If video
  recording is performed alongside EEG monitoring,
  it is included in the service.

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Coding Guidelines for Long-term EEG Monitoring
CPT Codes (95705-95726)

• 95720 Electroencephalogram (EEG), recording in
  special circumstances, including but not limited
  to drug-induced sleep, electrical brain
  stimulation, hyperventilation, or photic
  stimulation, recording only. This code covers EEG
  recordings performed under specific
  circumstances, such as drug-induced sleep,
  electrical brain stimulation, hyperventilation,
  or photic stimulation. The service includes the
  recording process only.
• 95726 Electroencephalogram (EEG), recording in
  special circumstances, including but not limited
  to drug-induced sleep, electrical brain
  stimulation, hyperventilation, or photic
  stimulation, interpretation and report. This code
  is similar to 95720 but includes not only the
  recording process but also interpretation and a
  detailed report.
• Additional Considerations
• Familiarize yourself with the specific clinical
  indications for long-term EEG monitoring to
  appropriately assign the corresponding CPT code.
• Determine if the EEG monitoring includes video
  recording, supervision, and interpretation.
  Select the corresponding code that encompasses
  all the necessary components of the service
  provided.

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Coding Guidelines for Long-term EEG Monitoring
CPT Codes (95705-95726)

• Modifier 26 If the EEG monitoring is performed
  by a technician or technologist under the
  supervision of a physician, modifier 26
  (Professional Component) may be appended to the
  CPT code to indicate that the interpretation and
  report were provided by the physician.
• Modifier 52 If the monitoring procedure was
  stopped prematurely, modifier 52 (Reduced
  Services) may be added to the CPT code to reflect
  the reduced duration.
• Documentation of Medical Necessity It is
  essential to provide a clear rationale for
  long-term EEG monitoring in the medical record,
  ensuring medical necessity and supporting proper
  coding.
• Accurate coding is vital for appropriate billing
  and reimbursement for long-term EEG monitoring
  CPT codes. Familiarity with the CPT code range
  95705-95726, along with adherence to the
  documentation guidelines and coding examples,
  enables healthcare providers to report these
  services correctly. By following these coding
  guidelines, healthcare professionals can ensure
  that patients receive the necessary diagnostic
  procedures while maintaining compliance with
  coding and billing regulations.
• About Medical Billers and Coders (MBC)

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Coding Guidelines for Long-term EEG Monitoring
CPT Codes (95705-95726)
Medical Billers and Coders (MBC) is an expert
neurology billing company that specializes in
providing comprehensive coding services
specifically tailored for the field of neurology.
With our in-depth knowledge and experience in
neurology coding guidelines, MBC ensures accurate
and efficient coding for various neurology
procedures, including long-term EEG
monitoring. Our team of certified medical coders
and billers possesses a thorough understanding of
the intricacies involved in coding for neurology
services, staying up-to-date with the latest
coding regulations and guidelines. For further
information about neurology coding services,
please reach out via email at info_at_medicalbillersa
ndcoders.com or by calling 888-357-3226.