2025 CPT code 95718
Effective Date: N/A Medicine - Neurology and Neuromuscular Procedures Feed
Electroencephalogram (EEG) continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation and report, 2-12 hours of EEG recording; with video (VEEG).
The VEEG is medically necessary to diagnose, evaluate, or manage seizures or other neurological conditions. The documentation should support the clinical indication for the procedure.
The physician or other qualified healthcare professional is responsible for reviewing the VEEG recording, analyzing the data for spikes and seizures, interpreting the findings, and generating a report with recommendations based on the results.
In simple words: A physician or other qualified healthcare professional analyzes a video EEG recording of your brain activity that lasts between 2 and 12 hours. They review the recording for seizures or other unusual brain activity, interpret the results, and create a report for your doctor.
This code represents the professional component of a continuous EEG recording with video (VEEG) lasting 2-12 hours. It includes physician or other qualified healthcare professional review of recorded events, analysis of spike and seizure detection, interpretation, and report generation. It is used when the provider has real-time access to the data, generates a daily report, and a final summary report at the conclusion of the study. This code does not include the technical component of the EEG, which is billed separately. If the recording exceeds 12 hours, different codes (95720, 95722, 95724, 95726) apply. This code may be used a maximum of once for a multi-day recording to capture either the total time of service or the final 2-12 hour increment of a service extending beyond 24 hours.
Example 1: A patient with suspected epilepsy undergoes a 8-hour VEEG to capture and analyze seizure activity. The physician reviews the video and EEG data, identifies a seizure, determines its type and location, and documents the findings in a report., A patient experiences episodes of altered consciousness. A 10-hour VEEG is performed to determine if these episodes are related to seizure activity. The physician reviews the recording, analyzes the EEG data alongside the video, and prepares a report indicating whether the episodes correlate with epileptic activity., A child with a known seizure disorder is admitted for VEEG monitoring following changes in medication. The physician reviews the 6-hour VEEG recording to assess the effectiveness of the new medication regimen, looking for seizure activity or changes in the EEG pattern.
The documentation should include the total recording time, a description of any observed seizures or other events, interpretation of the EEG and video data, and a report summarizing the findings and recommendations. The medical necessity for the procedure should also be documented.
- Specialties: Neurology, Epilepsy
- Place of Service: Inpatient Hospital, Outpatient Hospital, Office, Independent Diagnostic Testing Facility (IDTF), Home