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Thread: Can You Answer. Eeg

  1. #1
    Join Date
    Apr 2007

    Default Can You Answer. Eeg

    AAPC: Back to School
    If You Were Coding, And Then Got A Call From The Physician Office Staff Asking For A Cpt Code For

    Eeg Procedure, Diagnosis Is Sleep Deprive.

    What Would You Tell Them, Looking At The Section In The Cpt Book It's Such A Broad Range. I Gave Them The Cpt Code 95816.

    The Question Is Being Ask Because It's For Authorization Request From The Insurance.

    I Went With, 95816.

    Any Input.

    Daniel, Cpc

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Pretty good guess

    That's a pretty good guess, but I think I would have gone back to the doctor to ask what was actually being ordered. It could be 95812, 95813 or 95819.

    Sometimes you can tell by looking at the chart and actually see what the doctor is requesting. Sometimes you have to go talk to the doc.

    If you find that the doctor really intends to have the patient have a different procedure than 95816, I'd ask for an amendment to the pre-auth as soon as possible.

    F Tessa Bartels, CPC, CPC-E/M
    Last edited by FTessaBartels; 11-04-2008 at 04:39 PM.

  3. #3
    Join Date
    Apr 2007


    Great Answer, I'll Keep This In Mind.


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