A deep dive into CPT updates for long-term-EEG monitoring and analysis

January 28th, 2020

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews updated CPT guidance for long-term electroencephalogram (EEG) monitoring and analysis. It is aimed at coders and coding professionals who need to understand how provider documentation supports selection of the correct EEG-related service categories across setup, technical monitoring, and physician review/analysis. The article also includes a practical case study to illustrate how the updated coding framework applies in a real clinical setting.

Why This Topic Matters

Long-term EEG services involve multiple distinct components, and the updated CPT structure requires careful attention to what was performed, by whom, and under what monitoring conditions. Understanding the article helps coding staff recognize relevant documentation elements and apply the correct category of service within the EEG code family.

Article Sections

  1. Overview of EEG and long-term monitoring

    Introduces EEG as a diagnostic test and explains the general context for extended monitoring sessions. The section also describes ambulatory monitoring at a high level.

  2. EEG set-up

    Covers the setup phase of long-term EEG services and the documentation elements associated with initial preparation. It discusses who may perform the setup and how the article frames that portion of the service.

  3. EEG monitoring: The technical component

    Summarizes the technical monitoring portion of long-term EEG services and the broad categories used to distinguish monitoring patterns. It also notes the documentation questions highlighted in the article.

  4. EEG review and analysis

    Addresses the post-recording review and analysis phase performed by a physician or other qualified healthcare professional. The section describes the general relationship between duration, video use, and the review/analysis code family.

  5. Test yourself

    Presents a practice case study involving a patient scenario and a coding exercise. The section is intended to reinforce application of the article’s long-term EEG coding topics.

What You Will Learn

  • How the article organizes long-term EEG services into setup, technical monitoring, and review/analysis components
  • What kinds of documentation details are emphasized for selecting among EEG-related CPT categories
  • How long-term EEG monitoring is discussed in relation to duration and video status
  • How a case study is used to reinforce the article’s coding concepts

Who Should Read This

  • Medical coders
  • Coding auditors
  • Coding educators
  • Revenue cycle professionals
  • Neurology coding staff

Codes Discussed

  • CPT: 95700
  • CPT: 95999
  • CPT: 95717
  • CPT: 95718
  • CPT: 95721
  • CPT: 99214
  • CPT: 95706

Code Ranges Discussed

  • CPT: 95700-95726
  • CPT: 95705-95716
  • CPT: 95717-95726

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