AMA CPT® Assistant - 2010 Issue 11 (November)

Coding Brief: EEG Epileptic Spike Reporting (November 2010)

November 2010 page 6 Coding Brief: EEG Epileptic Spike Reporting An electroencephalography (EEG) is an important test used for diagnosing epilepsy. Electrodes are attached to the scalp and record the normal or abnormal electrical activity of the brain. Certain abnormal patterns include spikes and sharp waves and may indicate seizure activity or epilepsy. This coding brief addresses the frequently asked questions posed when EEG is performed to test for epilepsy. Question: When can code 95957 be billed, assuming that code 95951 has also been performed and billed for the same patient (ie, what is the medical necessity for code...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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