How To Use CPT Code 95725

CPT 95725 describes the continuous recording and analysis of the electrical activity of the brain, known as 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 95725?

CPT 95725 is used to report the complete study of an electroencephalogram (EEG) that involves continuous recording of the electrical activity of the brain for more than 84 hours. This code does not include video recording and is performed by a physician or other qualified healthcare professional.

2. Official Description

The official description of CPT code 95725 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 84 hours of EEG recording, without video.’

3. Procedure

  1. The patient is positioned in a supine position.
  2. The healthcare professional 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. The EEG recording continues for more than 84 hours without video recording.
  6. 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 95725 is performed when a continuous recording of the electrical activity of the brain is required for more than 84 hours. This procedure is typically used to diagnose conditions such as epilepsy, sleep disorders, dementia, nervous system or mental disorders, head injuries, tumors, coma, or brain death. The interpretation and analysis of the recorded events are performed by a physician or other qualified healthcare professional.

5. When to use CPT code 95725

CPT code 95725 should be used when a complete study of an EEG is performed, involving continuous recording of the electrical activity of the brain for more than 84 hours. This code should not be used if video recording is included in the study. It is important to accurately document the duration of the EEG recording and ensure that the analysis and interpretation are performed by a physician or other qualified healthcare professional.

6. Documentation requirements

To support a claim for CPT 95725, the following documentation is required:

  • Duration of the EEG recording, which should be more than 84 hours
  • Review of recorded events
  • Analysis of spike and seizure detection
  • Interpretation of the data
  • Preparation of a summary report

7. Billing guidelines

When billing for CPT 95725, it is important to ensure that the EEG recording is continuous for more than 84 hours and does not include video recording. The analysis and interpretation of the recorded events should be performed by a physician or other qualified healthcare professional. It is also important to follow any additional guidelines provided by payers regarding the use of this code.

8. Historical information

CPT 95725 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 performing a complete study of an EEG recording for more than 84 hours to diagnose epilepsy in a patient.
  2. A neurologist analyzing the recorded events and interpreting the spike and seizure detection in an EEG study lasting more than 84 hours to evaluate a patient with sleep disorders.
  3. A qualified healthcare professional reviewing the continuous EEG recording for more than 84 hours and preparing a summary report to assess the brain activity of a patient with dementia.
  4. A physician analyzing the recorded events and interpreting the EEG study lasting more than 84 hours to evaluate a patient with a head injury.
  5. A neurologist reviewing the continuous EEG recording for more than 84 hours and analyzing the spike and seizure detection to assess the brain activity of a patient in a coma.
  6. A qualified healthcare professional interpreting the data and preparing a summary report based on the continuous EEG recording for more than 84 hours to evaluate a patient with suspected brain death.
  7. A physician analyzing the recorded events and interpreting the EEG study lasting more than 84 hours to measure brain activity during a surgical procedure.
  8. A neurologist reviewing the continuous EEG recording for more than 84 hours and analyzing the spike and seizure detection to assess the brain activity of a patient with a brain tumor.
  9. A qualified healthcare professional interpreting the data and preparing a summary report based on the continuous EEG recording for more than 84 hours to evaluate a patient with a nervous system disorder.
  10. A physician analyzing the recorded events and interpreting the EEG study lasting more than 84 hours to assess the brain activity of a patient with mental disorders.

Similar Posts

Leave a Reply

Your email address will not be published. Required fields are marked *