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Wiki 95816 Coding

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Brose02

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Question: Is 95816 an appropriate code when the patient is AWAKE only?
 
Hello, I realize this post is old. Did you ever find a solution? I am getting denials for this code.
Our Doc did an EEG awake and 95816 was billed. Insurance is denying stating medical records submitted include that EEG was performed. However, the records didn't include recording in awake and drowsy state. I can’t find an EEG code for alert only. Any suggestions/ appeal examples?

Here is an example of the report:

1621959046422.png




Thank you for any help!
Mary Jo
 
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