September 1996 page 11d
Coding Consultation
Medicine, 95808, 95816 (Q&A)
Question
Can I report code 95816 for an EEG study with 95808, Poly-somnography?
AMA Comment
Yes, when the two studies are performed independently of one another. Polysomnography requires at least one central and usually several EEG electrodes. The EEG used during polysomnography differs from that performed for separate diagnostic purposes. However, do not use the EEG code to report the EEG recording component of the sleep study. Code 95808 includes this type of EEG monitoring. If a full EEG study is done separately from the EEG parameters obtained...
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Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This brief coding consultation explains the general relationship between sleep-study EEG monitoring and a separately performed diagnostic EEG. It is relevant to coders, billers, and clinical documentation staff working with neurology and sleep medicine claims, especially when determining whether multiple services discussed in the article are distinct for reporting purposes.
Why This Topic Matters
Articles like this help readers understand how a specific CPT Assistant clarification addresses overlapping EEG-related services in sleep medicine and neurology documentation. It can help reduce uncertainty when reviewing claims that involve both polysomnography and a separate EEG study.
Article Sections
Coding Consultation
A question-and-answer discussion focused on the relationship between sleep-study EEG monitoring and a separate diagnostic EEG service.
What You Will Learn
The article’s general focus within coding consultation guidance
How the discussion relates polysomnography to separate EEG testing
What kind of documentation scenario the Q&A addresses
Why the article is relevant to neurology and sleep medicine coding review
Who Should Read This
Medical coders
Coding auditors
Billing staff
Sleep medicine practices
Neurology practices
Codes Discussed
CPT: 95808
CPT: 95816
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