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The CPT® Code 95700 refers to a continuous electroencephalogram (EEG) recording, which is a diagnostic procedure used to monitor and record the electrical activity of the brain over an extended period. This procedure is particularly valuable in capturing brain wave patterns that may indicate various neurological conditions. The recording is performed continuously for a minimum duration of 2 hours, allowing for a comprehensive assessment of brain activity. When indicated, video monitoring (referred to as video EEG or VEEG) may also be included to provide visual context to the electrical signals being recorded. This combination of EEG and video is essential for accurately diagnosing seizure disorders, determining the specific type and location of seizures, and evaluating the effectiveness of ongoing treatments. The setup for the EEG involves the application of a minimum of 8 electrodes to the patient's scalp, which are secured using a conductive paste. The placement of these electrodes is critical, as it allows for the capture of brain activity from various regions. In certain cases, particularly with older children or adults, more than 15 channels may be utilized to enhance the detail of the recordings. The EEG technician plays a vital role in this process, as they are responsible for the setup, patient education regarding the procedure, and the takedown of the equipment after the recording is complete. The technician ensures that the patient is comfortable and understands the importance of remaining still and keeping their eyes closed during the recording to obtain accurate results. The electrical signals from the brain are then converted into visual representations, typically displayed as wavy lines on a monitor, which can be analyzed by healthcare professionals to identify any abnormalities in brain function.
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The continuous electroencephalogram (EEG) recording, as described by CPT® Code 95700, is indicated for several specific clinical scenarios. These include:
The procedure for conducting a continuous EEG recording involves several critical steps, which are outlined as follows:
After the continuous EEG recording is completed, the patient may be monitored for a short period to ensure they are stable before being discharged. The technician will provide any necessary post-procedure instructions, which may include information on how to care for the scalp where the electrodes were applied. The recorded data will be analyzed by a neurologist or other qualified healthcare professional to interpret the findings and determine the next steps in the patient's care plan. Follow-up appointments may be scheduled to discuss the results and any potential treatment options based on the EEG findings.
| Short Descr | EEG CONT REC W/VID EEG TECH | Medium Descr | EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS | Long Descr | Electroencephalogram (EEG) continuous recording, with video when performed, setup, patient education, and takedown when performed, administered in person by EEG technologist, minimum of 8 channels | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 01 - Procedure must be performed under the general supervision of a physician. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Procedure or Service, Not Discounted when Multiple | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GA | Waiver of liability statement issued as required by payer policy, individual case | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | GC | This service has been performed in part by a resident under the direction of a teaching physician | GP | Services delivered under an outpatient physical therapy plan of care | GV | Attending physician not employed or paid under arrangement by the patient's hospice provider | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary | KX | Requirements specified in the medical policy have been met | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2020-01-01 | Added | Code added. |
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