Wiki 95950

Yes. Up to 3 units can be billed for ambulatory EEGs with some carriers. For continuous services that last beyond midnight, use the date in which the service began and report the total units of time provided continuously.

Source: CPT Guidelines - Medicine - Neurology and Neuromuscular Procedures
Chapter: Medicine/Neurology&Neuromuscular Procedures
Subject: Special EEG Testing Procedures
Version: 2015-01-01 -



Codes 95950-95953 and 95956 are used per 24 hours of recording. For recording more than 12 hours, do not use modifier 52. For recording 12 hours or less, use modifier 52. Codes 95951 and 95956 are used for recordings in which interpretations can be made throughout the recording time, with interventions to alter or end the recording or to alter the patient care during the recordings as needed.

Codes 95961 and 95962 use physician or other qualified health care professional time as a basis for unit of service. Report 95961 for the first hour of attendance. Use modifier 52 with 95961 for 30 minutes or less. Report 95962 for each additional hour of attendance.
 
Thank you for your reply. Do you think if my provider is providing the professional componant only and we are using modfier 26, would this still be quantity billed? Medicare isn't allowing it.
 
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