Coding an inconclusive EEG

kmerinfl

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How would you code this EEG?

Reason for EEG:
History of possible new onset seizures in face of history of bipolar disorder.

Clinical Description:
This EEG is best characterized by muscle artifact and movement artifact. The patient noted by tech to be grabbing at electrodes and not listening to commands. More than 80% of this EEG is obscured by such artifact. There were no clonic or tonic activity noted by technician. There were a few instances where some electrographic background was captured, appeared somewhat slow and disorganized in the frequency of 7 Hz. There was no arrhythmic background activity. No regionalized abnormalities appreciated on the few instances, not obscured by artifact.

Conclusion:
Overall, this is an inconclusive EEG due to the patient's behaviors while on EEG.

Thank you!
 

thomas7331

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I would query the ordering provider on this. Since there's no diagnosis given by the interpreting provider, you need to use the reason for the test, and I don't think that 'possible' seizure is sufficient information to accurately code this.
 
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