Linda Posted Wed 22nd of October, 2014 11:12:19 AM
How would EEGs of 4-9 hour duration be coded? These are video monitored. One of my providers wants to code 95951-52 and one wants to code 95813 because it is extended monitoring. What differentiates the 95951 from 95813?
SuperCoder Answered Wed 22nd of October, 2014 11:25:12 AM
Thank you for your question. Code explanations provided below. 95951 is more appropriate for the service described in your question.
95951-Monitoring for localization of cerebral seizure focus by cable or radio, 16 or more channel telemetry, combined electroencephalographic (EEG) and video recording and interpretation (eg, for presurgical localization), each 24 hours
**This code includes video recording and interpretation. Other components of the code must be met. If all components are not met, modifier 52 may be appended
95813:Electroencephalogram (EEG) extended monitoring; greater than 1 hour
In this procedure, the provider performs an extended electroencephalogram to measure the electrical activity of the brain using small electrodes placed on the scalp of the patient. Extended monitoring is a routine electroencephalogram that runs longer than the standard 40–minute recording time. The provider uses the extended EEG to diagnose epilepsy that causes abnormalities in the EEG reading. He may also use the EEG for diagnosis of other brain disorders like coma or sleep disorders. Use this code when the provider performs the electroencephalogram extended monitoring for greater than one hour in duration.