Wiki EEG video

debrakae

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I am doing billing for a neurologist and am getting conflicting information on CPT 95951. My understanding is if this test is done for less then 8 hrs, you add a modifier 52. If my provider only reads this shorter EEG, I would bill 95951 with a modifier 26.

I am now being told that I also have to add a modifier 52 with the 26, but the insurance is denying and invalid modifier. Can somebody please clarify this for me? Thanks.
 
hmmm

from what I see in the book 95951 with mod 52 is for recording less than 12 hours... and includes interpretations during recording with changes to care of patient. What insurance carrier is denying it?
 
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