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The CPT® Code 95723 refers to a long-term electroencephalogram (EEG) that involves continuous recording of brain wave activity for a duration exceeding 60 hours, but not exceeding 84 hours. This procedure is crucial for capturing and analyzing the electrical activity of the brain over an extended period, which is essential for diagnosing various neurological conditions, particularly seizure disorders. The continuous recording allows healthcare professionals to monitor brain activity in real-time, providing valuable insights into the patient's neurological status. The procedure is performed by a physician or another qualified healthcare professional who reviews the recorded EEG events, focusing on the detection of spikes and seizures. Following the recording, a comprehensive analysis is conducted, culminating in a summary report that includes the interpretation of the findings and any recommendations for further management. It is important to note that this specific code is designated for EEG recordings conducted without video monitoring, distinguishing it from other codes that may include video electroencephalography (VEEG). The detailed analysis and interpretation provided by the healthcare professional are critical for determining the appropriate treatment plan and assessing the patient's condition accurately.
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The long-term electroencephalogram (EEG) represented by CPT® Code 95723 is indicated for several specific 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 CPT® Code 95723 involves several critical steps to ensure accurate and comprehensive EEG recording and analysis. The following outlines the procedural steps:
Post-procedure care following the EEG recording involves several considerations. Patients may experience some discomfort or irritation at the electrode sites, which typically resolves quickly. The healthcare provider will review the findings with the patient and discuss any necessary follow-up actions based on the EEG results. This may include adjustments to treatment plans, further diagnostic testing, or referrals to specialists if indicated. It is essential for the patient to understand the results and the implications for their ongoing care. Additionally, the summary report generated from the EEG will be used for documentation and billing purposes, ensuring that all findings are accurately recorded and communicated to relevant healthcare providers.
| Short Descr | EEG PHY/QHP>60<84 HR W/O VID | Medium Descr | EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/O VIDEO | 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 60 hours, up to 84 hours of EEG recording, without video | 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 |
| 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | GC | This service has been performed in part by a resident under the direction of a teaching physician | 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) | GA | Waiver of liability statement issued as required by payer policy, individual case | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary |
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| 2020-01-01 | Added | Code added. |
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