Wiki Need help 95812-95819

cummins

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NEED Help on codes 95812---95819 Do you need medical necessity to bill extended EEG (95812)and do you bill that in addition to 95819???I trying to understand this section in the CPT book, THANKS
 
95812-95819

When billing for an extended EEG, I would think that medical necessity would play a big part as you are doing a much longer EEG than normal. I also would not bill the 95819 with the 95812 unless there is significant documentation that would allow for a 59 modifier to be used as they cannot be billed together without a 59 modifier.

I hope that helps. :)

Tylene Garner, RHIT
 
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