How To Use CPT Code 95719

CPT 95719 describes the continuous recording, analysis, and interpretation of an electroencephalogram (EEG) by a physician or other qualified healthcare professional. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 95719?

CPT 95719 can be used to describe the continuous recording, analysis, and interpretation of an electroencephalogram (EEG) by a physician or other qualified healthcare professional. This code is used when the EEG recording lasts for more than 12 hours, up to a maximum of 26 hours, and does not include video recording.

2. Official Description

The official description of CPT code 95719 is: ‘Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, each increment of greater than 12 hours, up to 26 hours of EEG recording, interpretation and report after each 24-hour period; without video.’

3. Procedure

1. A physician or other qualified healthcare professional 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 recorded events are reviewed by the healthcare professional, who analyzes spike and seizure detection.
4. The data is interpreted, and a report is prepared after each 24-hour period of EEG recording.
5. No video recording is obtained during the procedure.

4. Qualifying circumstances

CPT 95719 is used for patients who require continuous EEG recording for more than 12 hours, up to a maximum of 26 hours. This procedure is typically performed 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 recording must be reviewed and analyzed by a physician or other qualified healthcare professional.

5. When to use CPT code 95719

CPT code 95719 should be used when a continuous EEG recording lasts for more than 12 hours, up to a maximum of 26 hours, and does not include video recording. This code should not be used for EEG procedures involving an EEG technologist or for extended monitoring lasting 61 to 119 minutes.

6. Documentation requirements

To support a claim for CPT 95719, the healthcare professional must document the following information:

• Length of the EEG recording, specifying each increment of greater than 12 hours up to 26 hours
• Review of recorded events and analysis of spike and seizure detection
• Interpretation of the EEG data
• Preparation of a report after each 24-hour period of EEG recording

7. Billing guidelines

When billing for CPT 95719, ensure that the EEG recording lasts for more than 12 hours, up to a maximum of 26 hours, and does not include video recording. This code should not be reported with other EEG procedure codes involving an EEG technologist or extended monitoring lasting 61 to 119 minutes. It is important to accurately document the length of the EEG recording and the analysis performed by the healthcare professional.

8. Historical information

CPT 95719 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. A physician reviewing and interpreting a 20-hour continuous EEG recording for a patient with suspected epilepsy.
2. A neurologist analyzing spike and seizure detection in a 24-hour EEG recording for a patient with a sleep disorder.
3. A psychiatrist interpreting the findings of a 16-hour continuous EEG recording for a patient with a mental disorder.
4. A neurosurgeon reviewing and preparing a report after each 24-hour period of a 26-hour EEG recording during a surgical procedure.
5. A neurologist analyzing the data from a 14-hour continuous EEG recording for a patient with a head injury.
6. A pediatrician interpreting the findings of an 18-hour EEG recording for a child with suspected brain tumor.
7. A neurologist reviewing and analyzing spike and seizure detection in a 22-hour EEG recording for a patient in a coma.
8. A physician preparing a report after each 24-hour period of a 15-hour continuous EEG recording for a patient with suspected brain death.
9. A neurologist analyzing the data from a 25-hour continuous EEG recording for a patient undergoing evaluation for dementia.
10. A psychiatrist reviewing and interpreting a 13-hour EEG recording for a patient with a nervous system disorder.