How To Use CPT Code 95721

CPT 95721 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 95721?

CPT 95721 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 study lasts for more than 36 hours and up to 60 hours, without the inclusion of video recording.

2. Official Description

The official description of CPT code 95721 is: ‘Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary report, complete study; greater than 36 hours, up to 60 hours of EEG recording, without video.’

3. Procedure

  1. The patient is positioned in a supine position.
  2. The EEG technologist attaches electrodes or sensors to the patient’s head.
  3. Wires connect the sensors to a computer, which records the electrical activity of the brain.
  4. The computer displays a graphical representation of the recorded events on a monitor or prints out the graphical recording.
  5. No video recording is obtained during the EEG study.
  6. The EEG study continues for more than 36 hours and up to 60 hours.
  7. The physician or other qualified healthcare professional reviews the recorded events, analyzes spike and seizure detection, interprets the data, and prepares a summary report.

4. Qualifying circumstances

CPT 95721 is used for patients who require a continuous EEG study lasting more than 36 hours and up to 60 hours, without the inclusion of video recording. This procedure is typically performed by a physician or other qualified healthcare professional who is trained in reviewing and interpreting EEG recordings.

5. When to use CPT code 95721

CPT code 95721 should be used when a continuous EEG study is conducted for more than 36 hours and up to 60 hours, without the inclusion of video recording. It is important to ensure that the study meets the specific time criteria and does not involve video recording. If the study duration is less than 36 hours or includes video recording, a different CPT code should be used.

6. Documentation requirements

To support a claim for CPT 95721, the following documentation is required:

  • Recorded events during the EEG study
  • Analysis of spike and seizure detection
  • Interpretation of the EEG data
  • Summary report of the complete study

7. Billing guidelines

When billing for CPT 95721, it is important to ensure that the study duration meets the criteria of more than 36 hours and up to 60 hours, without video recording. This code should not be reported with other EEG procedure codes, as it represents a complete study. It is also important to review the specific guidelines provided by payers to ensure accurate billing and reimbursement.

8. Historical information

CPT 95721 was added to the Current Procedural Terminology system on January 1, 2020. There have been no updates or changes to the code since its addition.

9. Examples

  1. A physician conducting a continuous EEG study for 48 hours to monitor a patient with suspected epilepsy.
  2. A neurologist reviewing the recorded events and analyzing spike and seizure detection during a 50-hour EEG study for a patient with a history of seizures.
  3. A qualified healthcare professional interpreting the EEG data and preparing a summary report for a 55-hour continuous EEG study on a patient with suspected sleep disorders.
  4. A neurosurgeon conducting a 60-hour EEG study to measure brain activity during a complex surgical procedure.
  5. A physician reviewing the recorded events and analyzing spike and seizure detection during a 40-hour EEG study for a patient with a traumatic brain injury.
  6. A neurologist interpreting the EEG data and preparing a summary report for a 45-hour continuous EEG study on a patient with suspected dementia.
  7. A qualified healthcare professional conducting a 50-hour EEG study to monitor brain activity in a patient in a coma.
  8. A physician reviewing the recorded events and analyzing spike and seizure detection during a 55-hour EEG study for a patient with a brain tumor.
  9. A neurologist interpreting the EEG data and preparing a summary report for a 58-hour continuous EEG study on a patient with suspected nervous system disorders.
  10. A qualified healthcare professional conducting a 60-hour EEG study to monitor brain activity in a patient with suspected brain death.

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