My physician is wanting to bill CPT 95957 for each date that we perform an Amb. EEG (ex 95953 95957 day 1, 95953 95957 day 2, 95953 95957 day 3) I am unable to find anything that says if this is ok or not. Any answers or suggestions??
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Wiki Cpt 95957
- Thread starter jflynn
- Start date
pclaybaugh
Guru
I would advise against it unless you are sure that this service is performed. Our facility just went through a review of this code and found that it was not billed correctly.
This is off the BCBS site
Digital EEG is significantly more comprehensive than just a digital reading of the EEG. The analysis of the digital data may include data that expands more than 24 hours of continual monitoring. In general, this would entail an extra hour?s work by the technician to process the data from the EEG, and an extra 20-30 minutes of physician time to review the technician's work and review the data produced.
Read the rest of the guidance prior to billing this code.
https://www.bcbsal.org/providers/policies/final/368.pdf
This is off the BCBS site
Digital EEG is significantly more comprehensive than just a digital reading of the EEG. The analysis of the digital data may include data that expands more than 24 hours of continual monitoring. In general, this would entail an extra hour?s work by the technician to process the data from the EEG, and an extra 20-30 minutes of physician time to review the technician's work and review the data produced.
Read the rest of the guidance prior to billing this code.
https://www.bcbsal.org/providers/policies/final/368.pdf
Last edited:
Thank you so much for you reply! I appreciate the advise and will pass it on 