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The CPT® Code 95722 refers to a long-term electroencephalogram (EEG) that involves continuous recording of brain wave activity for a duration exceeding 36 hours, but not exceeding 60 hours. This procedure is critical for capturing and analyzing the electrical activity of the brain, particularly in patients experiencing seizures or other neurological abnormalities. The continuous recording is often accompanied by video monitoring (VEEG), which allows healthcare professionals to observe the patient's brain activity in real-time, especially during seizure events. This dual approach enhances the accuracy of the diagnosis by correlating the EEG data with the patient's physical manifestations observed on video. The procedure is performed by a physician or another qualified healthcare professional who reviews the recorded EEG events, conducts an analysis focused on spike and seizure detection, and ultimately provides a comprehensive interpretation and summary report of the findings. The professional review includes a detailed diagnostic analysis of any spikes or abnormal events detected during the recording, along with recommendations for further management based on the results. This code specifically captures the professional component of the EEG service when video is utilized, distinguishing it from similar codes that apply to EEG recordings without video. The importance of this procedure lies in its ability to assist in diagnosing seizure disorders, monitoring treatment efficacy, and evaluating potential surgical interventions for epilepsy, as well as screening for new neurological changes in critically ill patients.
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The long-term electroencephalogram (EEG) represented by CPT® Code 95722 is indicated for several clinical scenarios, particularly when there is a need for extended monitoring of brain activity. The following conditions may warrant the use of this procedure:
The procedure for conducting a long-term EEG with video monitoring involves several key steps that ensure accurate data collection and analysis. The following outlines the procedural steps:
Post-procedure care following a long-term EEG with video monitoring typically involves providing the patient with information regarding the next steps based on the findings of the EEG. The physician will discuss the results with the patient and may recommend further diagnostic testing, adjustments to current treatment plans, or referrals to specialists if necessary. Patients may experience some discomfort or irritation at the electrode sites, but this is generally mild and resolves quickly. Follow-up appointments are often scheduled to review the EEG results in detail and to discuss any implications for the patient's ongoing care and management.
| Short Descr | EEG PHY/QHP>36<60 HR W/VEEG | Medium Descr | EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/VEEG | Long Descr | 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 36 hours, up to 60 hours of EEG recording, with video (VEEG) | Status Code | Active 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 | 09 - Concept does not apply. | 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 | Items and Services Not Billable to the MAC | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| GC | This service has been performed in part by a resident under the direction of a teaching physician | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | 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. | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | CG | Policy criteria applied | CR | Catastrophe/disaster related | GA | Waiver of liability statement issued as required by payer policy, individual case | 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 | Q0 | Investigational clinical service provided in a clinical research study that is in an approved clinical research study | 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 | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period |
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| 2020-01-01 | Added | Code added. |
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