Long Term EEG Code Provisions
In 2016, Medicare Physician Fee Schedule final rule for 2017 identified 95951 as a “high volume service”. Total Medicare utilization of 10,000 or more claims. Volume growth in claims increased by at least 100% over 5 years. In an effort to clarify billing, Medicare deleted some codes and created new codes that took effect January 1, 2020. Deletion of CPT Codes:
95950 - 8 channel EEG
95951 - VEEG
95953 - ambulatory 16 channel EEG
95956 - prolonged EEG without video (bedside EEG study)
Established 10 professional component codes. Established 13 technical component codes. (see chart below)
The long term EEG professional component codes are:
Time based
Includes:
Review recorded EEG events
Analysis of spike and seizure detection and ICU trending
Interpretation and report
E&M codes may be reported separately
Cortical stimulation (95961 and 95962) may be reported separately.
Reporting is based on the following elements:
Duration of recording
When the report is generated
Performed with or without video
Physician access to EEG and video during recording or after testing is completed.
Technical Components
95700 EEG continuous recording, with video when performed, setup, patient education, and takedown when performed, administered in person by EEG technologist, minimum of 8 channels
Monitoring (95705-95716) (see chart below)
Time based 2-12 hour or 12-26 hours recording
Includes
Review of EEG/VEEG data
Written technical description of data and interventions
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