New EEG tech codes (95708)

Linda0530

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CPT suggests each increment of 12-26 hours for review of data, technical description by EEG tech be coded with 95708. When we use a quantity greater than one, for example, 95708x3, we receive an MUE edit. Has anyone come across this and if so, how did you handle it?
 

shanamarie

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CPT suggests each increment of 12-26 hours for review of data, technical description by EEG tech be coded with 95708. When we use a quantity greater than one, for example, 95708x3, we receive an MUE edit. Has anyone come across this and if so, how did you handle it?
I have been billing them daily, and haven’t had any issues. If I needed 3 units I would bill 1 unit each day. Not sure if this is correct, but after reviewing the MUE’s that’s how I assumed the correct way of billing these was. I hope some clarification comes out at some point regarding this.
 

Linda0530

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I have been billing them daily, and haven’t had any issues. If I needed 3 units I would bill 1 unit each day. Not sure if this is correct, but after reviewing the MUE’s that’s how I assumed the correct way of billing these was. I hope some clarification comes out at some point regarding this.
Thank you very much for your reply! We are also hoping more clarification comes our way.
 

fradyk

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My practice also bills one unit daily per 24-hour period and there have been no issues. The question we have run across is, should the date of service be the recordings start date or the date the provider interprets the procedure? Our office uses the start date as suggested by the AAN but I have heard others state they are using the date of interpretation for the professional codes.
 

bkwrmz7

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I have been billing them daily, and haven’t had any issues. If I needed 3 units I would bill 1 unit each day. Not sure if this is correct, but after reviewing the MUE’s that’s how I assumed the correct way of billing these was. I hope some clarification comes out at some point regarding this.
Are you billing each additional day with a modifier? In the past we billed the 2nd and 3rd day with a mod 76. I am getting claim denials for not correct mod.
 

shanamarie

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My practice also bills one unit daily per 24-hour period and there have been no issues. The question we have run across is, should the date of service be the recordings start date or the date the provider interprets the procedure? Our office uses the start date as suggested by the AAN but I have heard others state they are using the date of interpretation for the professional codes.
We are also using the start date for provider interpretation as well.
 

shanamarie

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Are you billing each additional day with a modifier? In the past we billed the 2nd and 3rd day with a mod 76. I am getting claim denials for not correct mod.
We are billing daily with no modifiers on any codes, and haven’t had any issues.
 
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Bitola, Bitola
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We are billing daily with no modifiers on any codes, and haven’t had any issues.

So you would bill 95700 and 95708 the first day, then 95708 the next day and again 95708 with the professional code? Does your practice do daily reports by the tech for this to be billed or just one professional report? We are billing all the codes in one day with 95708 with units , but we are getting denials for exceeding the frequency.

I want to try billing the tech code daily, but I'm not sure if we need daily reports for that.


Thank you.
 

shanamarie

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Eagan
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So you would bill 95700 and 95708 the first day, then 95708 the next day and again 95708 with the professional code? Does your practice do daily reports by the tech for this to be billed or just one professional report? We are billing all the codes in one day with 95708 with units , but we are getting denials for exceeding the frequency.

I want to try billing the tech code daily, but I'm not sure if we need daily reports for that.


Thank you.
Yes, that’s how we bill except we also bill the professional code the first day with the 95700 and 95708.
48hr ambulatory EEG
Day 1: 95700, 95721,95708
Day 2: 95708
I haven’t seen any requirements stating a report is needed daily in order to bill for 95708, I believe it only applies to the professional component. We typically only have 1 report at the completion of the study. This is how we have billed from the beginning and haven’t had issues. I did check the MUE’s today though, and it does say 4 which means you should be able to bill multiple units. I recall it saying 1 before so I’m not sure when that changed.
 
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