tci Outpatient Facility Coding Alert - 2017 Issue 2

Reader Question: Patient's Consciousness Determines Your EEG Coding Choices

Question: An established patient with history of frequent headaches reports to the office for an electroencephalogram (EEG). The provider notes state that the provider performed an EEG while the patient was awake, and then continued recording after the patient was asleep. How do I code this scenario? Maryland Subscriber Answer: If the patient was awake initially and then asleep later during EEG recording, you may report 95819 (Electroencephalogram [EEG]; including recording awake and asleep). The physician uses this EEG to compare activity in the patient’s waking and sleeping patterns. That’s not the only EEG your physician might...

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