How To Use CPT Code 95723

CPT 95723 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 95723?

CPT 95723 is 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 greater than 60 hours and up to 84 hours, without the inclusion of video recording. The provider reviews the recorded events, analyzes spike and seizure detection, interprets the findings, and prepares a summary report.

2. Official Description

The official description of CPT code 95723 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 60 hours, up to 84 hours of EEG recording, without video.’

3. Procedure

  1. The patient is positioned in a supine position.
  2. The 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 greater than 60 hours and up to 84 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 95723 is performed when a continuous EEG study lasting greater than 60 hours and up to 84 hours is required. This study does not involve video recording. The physician or other qualified healthcare professional reviews the recorded events, analyzes spike and seizure detection, and interprets the findings to prepare a summary report.

5. When to use CPT code 95723

CPT code 95723 should be used when a continuous EEG study lasting greater than 60 hours and up to 84 hours is performed without video recording. This code is appropriate for cases where the physician or other qualified healthcare professional reviews the recorded events, analyzes spike and seizure detection, and interprets the findings to prepare a summary report.

6. Documentation requirements

To support a claim for CPT 95723, the following documentation is required:

  • Recorded events during the EEG study
  • Analysis of spike and seizure detection
  • Interpretation of the EEG findings
  • Summary report prepared by the physician or other qualified healthcare professional

7. Billing guidelines

When billing for CPT 95723, ensure that the EEG study lasts for greater than 60 hours and up to 84 hours without video recording. The physician or other qualified healthcare professional should review the recorded events, analyze spike and seizure detection, interpret the findings, and prepare a summary report. It is important to follow the specific guidelines provided by the payer and use appropriate modifiers if necessary.

8. Historical information

CPT 95723 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 the recorded events, analyzing spike and seizure detection, interpreting the findings, and preparing a summary report for a patient who underwent a continuous EEG study lasting 72 hours.
  2. A neurologist analyzing the recorded events and interpreting the EEG findings to prepare a summary report for a patient who had a continuous EEG study lasting 80 hours.
  3. A qualified healthcare professional reviewing the recorded events, analyzing spike and seizure detection, and interpreting the findings to prepare a summary report for a patient who underwent a continuous EEG study lasting 65 hours.
  4. A neurologist analyzing the spike and seizure detection, interpreting the EEG findings, and preparing a summary report for a patient who had a continuous EEG study lasting 70 hours.
  5. A physician reviewing the recorded events, analyzing spike and seizure detection, interpreting the findings, and preparing a summary report for a patient who underwent a continuous EEG study lasting 75 hours.
  6. A qualified healthcare professional analyzing the recorded events and interpreting the EEG findings to prepare a summary report for a patient who had a continuous EEG study lasting 80 hours.
  7. A neurologist reviewing the recorded events, analyzing spike and seizure detection, and interpreting the findings to prepare a summary report for a patient who underwent a continuous EEG study lasting 68 hours.
  8. A physician analyzing the spike and seizure detection, interpreting the EEG findings, and preparing a summary report for a patient who had a continuous EEG study lasting 72 hours.
  9. A qualified healthcare professional reviewing the recorded events, analyzing spike and seizure detection, interpreting the findings, and preparing a summary report for a patient who underwent a continuous EEG study lasting 78 hours.
  10. A neurologist analyzing the recorded events and interpreting the EEG findings to prepare a summary report for a patient who had a continuous EEG study lasting 82 hours.

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