Neurology & Pain Management Coding Alert

Question: If the provider billed for the interpretation of a 128 channel EEG that took place over 7 days - would you bill 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 [e.g., for presurgical localization], each 24 hours)-26 (Professional component)? Since the provider is spending more time reviewing 128 channels, is there a way to modify it to reflect extra time it takes to go over all the seizure activity over the course of 7 days the patient was monitored?   Could we report 95951-22 (Increased procedural service), 26 with a letter from the provider documenting the work required to provide that interpretation was substantially greater than typically required for a 16 channel EEG? Or would we use an unlisted code and send the necessary documentation?   New Jersey Subscriber Answer:  You report [...]