CPT® Code 95711

Official Description

Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; unmonitored

Common Language Description

The CPT® Code 95711 refers to an electroencephalogram (EEG) with video (VEEG) that is performed for a duration of 2 to 12 hours without continuous monitoring. This procedure involves the continuous recording of brain wave activity while simultaneously capturing video footage of the patient. The primary purpose of this extended EEG service is to observe and analyze brain wave patterns, particularly during seizure events, allowing for a more accurate diagnosis of seizure disorders and other neurological conditions. The EEG technologist plays a crucial role in this process by reviewing the data collected, providing a technical description of the findings, and ensuring that the data is properly documented and archived for further analysis by the physician or qualified personnel. The procedure is particularly beneficial for diagnosing the specific type and location of seizures, monitoring the effectiveness of current treatments, and determining the potential for surgical intervention in cases of epilepsy. Additionally, it can be utilized in critically ill patients to identify any new adverse neurological changes. The time counted for this procedure begins when the actual EEG recording starts and continues for the duration of the recording, emphasizing the importance of capturing real-time brain activity during the assessment.

1. Indications

The following indications are associated with the performance of an electroencephalogram with video (VEEG) as described by CPT® Code 95711:

Seizure Disorders - To diagnose specific types and locations of seizures.
Monitoring Treatment - To assess the effectiveness of current treatment regimens for epilepsy or other seizure disorders.
Distinguishing Conditions - To differentiate between seizure disorders and other neurological abnormalities.
Surgical Evaluation - To determine the potential for surgical intervention in patients with epilepsy.
Neurological Changes - To screen for new adverse neurological changes in seriously ill patients.

2. Procedure

The procedure for conducting an electroencephalogram with video (VEEG) as per CPT® Code 95711 involves several key steps:

Preparation The patient is prepared for the EEG by ensuring that the scalp is clean and free of oils or hair products that may interfere with electrode adhesion. Electrodes are then placed on the patient's scalp according to the standard 10-20 system to ensure accurate recording of brain activity.
Recording The EEG technician initiates the recording process, which must last between 2 to 12 hours. During this time, the patient's brain wave activity is continuously recorded, and video footage is captured to correlate any observed seizures with the EEG data.
Data Review After the recording period, the EEG technologist reviews the raw data collected. This includes annotating and editing the data to highlight recognized events, both those generated by the patient and those detected by the EEG machine.
Data Storage The reviewed data is then stored or archived for further analysis. This ensures that the physician or other qualified personnel can access the information for a comprehensive review.
Reporting Finally, the EEG technologist prepares a written report documenting the review of the data, including any technical interventions that were necessary during the recording process. This report is crucial for the physician's interpretation and subsequent treatment planning.

3. Post-Procedure

Post-procedure care following an electroencephalogram with video (VEEG) typically involves the following considerations: The patient may be monitored for any immediate side effects or reactions to the procedure, although the EEG itself is non-invasive and generally well-tolerated. The EEG technologist will ensure that the patient is comfortable and provide any necessary instructions regarding the removal of electrodes. The physician will review the recorded data and the accompanying report to make informed decisions regarding diagnosis and treatment options. Follow-up appointments may be scheduled to discuss the findings and any further diagnostic or therapeutic steps that may be required based on the results of the EEG.

Short Descr	VEEG 2-12 HR UNMONITORED
Medium Descr	VEEG BY TECH 2-12 HOURS UNMONITORED
Long Descr	Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; unmonitored
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.
GC	This service has been performed in part by a resident under the direction of a teaching physician
Q6	Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area