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:

  1. Duration of recording

  2. When the report is generated

  3. Performed with or without video

  4. 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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