CPT® Code 95713

Official Description

Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance

Common Language Description

The CPT® Code 95713 refers to a specialized procedure known as an electroencephalogram with video (VEEG), which is a diagnostic test used to monitor and record electrical activity in the brain over an extended period of time, specifically between 2 to 12 hours. This procedure is particularly significant in the evaluation of seizure disorders, as it allows for continuous observation of brain wave patterns while the patient is simultaneously recorded on video. The video component is crucial as it enables healthcare providers to correlate the patient's physical movements and behaviors with the electrical activity captured by the EEG, especially during seizure events. The procedure is conducted with continuous, real-time monitoring, ensuring that any significant changes in brain activity can be promptly recognized and documented. The EEG technologist plays a vital role in this process, as they are responsible for the technical aspects of the EEG, including the uploading of data generated by the EEG equipment, reviewing the raw data, and making necessary annotations and edits to highlight recognized events, whether they are generated by the patient or detected by the machine. Additionally, the technologist is tasked with archiving the reviewed data for further analysis by the physician or other qualified personnel, and they must provide a written report that details their review of the data, including any technical interventions that were performed. This comprehensive approach not only aids in diagnosing the specific type and location of seizures but also assists in monitoring the effectiveness of current treatments and determining the potential for surgical intervention in cases of epilepsy. Overall, CPT® Code 95713 encapsulates a critical component of neurological diagnostics, emphasizing the importance of both electrical monitoring and visual observation in understanding and managing seizure disorders.

1. Indications

The procedure associated with CPT® Code 95713 is indicated for various clinical scenarios where detailed monitoring of brain activity is essential. The following conditions and symptoms may warrant the use of this extended EEG service:

Seizure Disorders - To diagnose the specific type and location of seizures, which is crucial for determining appropriate treatment options.
Monitoring Treatment Efficacy - To assess the effectiveness of current treatment regimens in patients with known seizure disorders.
Differentiating Seizure Disorders from Other Abnormalities - To distinguish between seizure disorders and other neurological conditions that may present with similar symptoms.
Surgical Evaluation - To determine if a patient’s epilepsy may be amenable to surgical intervention based on the data collected during the monitoring period.
Screening for Neurological Changes - In seriously ill patients, to identify new or adverse neurological changes that may require immediate attention.

2. Procedure

The procedure for CPT® Code 95713 involves several critical steps that ensure comprehensive monitoring and data collection. The following outlines the procedural steps involved:

Step 1: Patient Preparation - The patient is prepared for the EEG by having electrodes placed on the scalp to measure electrical activity in the brain. This preparation is essential for obtaining accurate readings during the monitoring period.
Step 2: Continuous Monitoring Setup - The EEG equipment is set up to allow for continuous, real-time monitoring of brain activity. This setup includes the integration of video recording equipment to capture the patient's physical responses during the EEG.
Step 3: Data Recording - The EEG recording begins, and data is collected continuously for a duration of 2 to 12 hours. The time is counted from the moment the actual EEG recording starts until the recording is completed.
Step 4: Video Monitoring - Throughout the recording period, the patient is monitored via video, ensuring that at least 80% of the time the EEG is recording, the video is also capturing the patient's activities. This allows for correlation between brain activity and physical manifestations.
Step 5: Data Review and Annotation - After the recording, the EEG technologist reviews the raw data, annotating and editing it to highlight significant events, whether they are patient-generated or machine-detected. This step is crucial for accurate interpretation of the results.
Step 6: Data Archiving - The reviewed data is stored or archived for further analysis by the physician or other qualified personnel, ensuring that all relevant information is available for diagnosis and treatment planning.
Step 7: Report Generation - A written report is generated by the EEG technologist, documenting the review of the data, any technical interventions performed, and key findings that will assist the physician in making informed clinical decisions.

3. Post-Procedure

After the completion of the procedure associated with CPT® Code 95713, several post-procedure considerations are important for patient care and follow-up. The patient may be monitored for any immediate effects of the EEG, and the technologist will ensure that all data is properly archived for physician review. The physician will analyze the recorded data and the accompanying video to interpret the findings, which may lead to further diagnostic testing or treatment adjustments based on the results. Patients may be advised on any necessary follow-up appointments to discuss the findings and potential next steps in their care plan. Additionally, any significant neurological changes observed during the monitoring period may prompt immediate clinical intervention or further evaluation.

Short Descr	VEEG 2-12 HR CONT MNTR
Medium Descr	VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING
Long Descr	Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenance
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

26	Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number.
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).
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.
CC	Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
GW	Service not related to the hospice patient's terminal condition
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