Neurology & Pain Management Coding Alert

You Be the Coder:

Coding for Shorter Video EEG

Question: How would we code an EEG video monitoring of less than six hours? CPT® guidelines direct us to use modifier 52 for less than 12 hours, but I’m thinking I’ve been told to use 95813 when the test is less than six hours.   Florida Subscriber Answer: Code 95813 (Electroencephalogram [EEG] extended monitoring; greater than 1 hour) would not be correct [...]
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