How To Use CPT Code 95709

CPT 95709 describes the procedure for long-term electroencephalogram (EEG) monitoring without video, with intermittent monitoring and maintenance. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 95709?

CPT 95709 can be used to describe the procedure for long-term electroencephalogram (EEG) monitoring without video. This code is used when an EEG technologist attaches electrodes to the patient’s head and connects them to a computer for recording the electrical activity of the brain. The monitoring lasts for 12 to 26 hours with intermittent monitoring and maintenance.

2. Official Description

The official description of CPT code 95709 is: ‘Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, each increment of 12-26 hours; with intermittent monitoring and maintenance.’

3. Procedure

1. An EEG technologist attaches electrodes to the patient’s head while they are in a supine position.
2. Wires connect the electrodes to a computer, which records the electrical activity of the brain.
3. The recording continues for a period of 12 to 26 hours with intermittent monitoring and maintenance.
4. No video recording is made during the procedure.
5. The EEG technologist reviews the data and prepares a technical description.

4. Qualifying circumstances

CPT 95709 is performed when a patient requires long-term EEG monitoring without video. This procedure is used to diagnose conditions affecting brain activity, such as epilepsy, sleep disorders, dementia, nervous system or mental disorders, head injuries, tumors, coma, or brain death. The EEG technologist performs the procedure, and no video recording is made.

5. When to use CPT code 95709

CPT code 95709 should be used when a patient needs long-term EEG monitoring without video. This code is appropriate when the monitoring lasts for 12 to 26 hours with intermittent monitoring and maintenance. If the monitoring duration is different or video recording is involved, a different CPT code should be used.

6. Documentation requirements

To support a claim for CPT 95709, the following documentation is required:

• Indication for long-term EEG monitoring without video
• Start and end time of the monitoring period
• Details of any intermittent monitoring and maintenance performed
• Technical description of the EEG recording by the EEG technologist

7. Billing guidelines

When billing for CPT 95709, ensure that the procedure meets the criteria for long-term EEG monitoring without video. The EEG technologist should perform the procedure, and the monitoring should last for 12 to 26 hours with intermittent monitoring and maintenance. Review or analysis of the data and a technical description by the EEG technologist are usually included in the billing. It is important to follow any additional guidelines provided by payers for accurate billing.

8. Historical information

CPT 95709 was added to the Current Procedural Terminology system on January 1, 2020. There have been no updates to the code since its addition.

9. Examples

1. An EEG technologist performs long-term EEG monitoring without video for a patient with suspected epilepsy. The monitoring lasts for 18 hours with intermittent monitoring and maintenance.
2. A patient with a history of sleep disorders undergoes long-term EEG monitoring without video. The monitoring period is 14 hours with intermittent monitoring and maintenance.
3. An EEG technologist attaches electrodes to a patient’s head for long-term EEG monitoring without video. The monitoring lasts for 24 hours with intermittent monitoring and maintenance.
4. A patient with a head injury undergoes long-term EEG monitoring without video. The monitoring period is 16 hours with intermittent monitoring and maintenance.
5. An EEG technologist performs long-term EEG monitoring without video for a patient with suspected brain death. The monitoring lasts for 20 hours with intermittent monitoring and maintenance.
6. A patient with dementia undergoes long-term EEG monitoring without video. The monitoring period is 12 hours with intermittent monitoring and maintenance.
7. An EEG technologist attaches electrodes to a patient’s head for long-term EEG monitoring without video. The monitoring lasts for 26 hours with intermittent monitoring and maintenance.
8. A patient with a suspected tumor undergoes long-term EEG monitoring without video. The monitoring period is 22 hours with intermittent monitoring and maintenance.
9. An EEG technologist performs long-term EEG monitoring without video for a patient in a coma. The monitoring lasts for 15 hours with intermittent monitoring and maintenance.
10. A patient with a nervous system disorder undergoes long-term EEG monitoring without video. The monitoring period is 13 hours with intermittent monitoring and maintenance.