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2025 CPT code 95716

Electroencephalogram (EEG) with video (VEEG), data review, technical description by EEG technologist, for each 12-26 hour increment with continuous, real-time monitoring and maintenance.

Refer to the official CPT manual and payer-specific guidelines for the most up-to-date information.

Modifiers 52 (reduced services) and others might apply depending on the circumstances.Consult the CPT manual for specific guidance.

Medical necessity is established when the EEG/VEEG with continuous monitoring is indicated to evaluate suspected epilepsy, monitor for changes in critically ill patients, or assess sleep disorders.The specific documentation requirements must be met.

The EEG technologist is responsible for all technical aspects, including setup, maintenance, monitoring, data review, and documentation. The physician or other qualified healthcare professional is responsible for the interpretation and report of the findings.

IMPORTANT:Codes 95705-95715 are related codes for different durations and monitoring types.95812-95829 are codes for routine EEGs, not long-term recordings.Modifiers may be necessary depending on the specific circumstances of the service provided.

In simple words: This code covers the work done by a trained technician during a long-term brainwave test (EEG) that also includes video recording. The test runs for 12 to 26 hours, and the technician constantly monitors and maintains the equipment, checks the recordings, and writes a report.

This CPT code encompasses the technical components of a long-term EEG/VEEG recording, specifically for increments of 12 to 26 hours.It includes the EEG technologist's in-person setup and takedown (if performed), patient/caregiver education, continuous real-time monitoring and maintenance of the EEG/VEEG equipment, review of data, and creation of a technical description.Diagnostic video recording must be captured concurrently with EEG recording for at least 80% of the study duration for this code to be used.The service is defined by continuous, real-time monitoring which requires documentation of real-time concurrent monitoring of EEG data and video throughout the recording period.

Example 1: A patient with suspected epilepsy undergoes a 24-hour VEEG with continuous monitoring to identify seizure activity and characteristics., A critically ill patient in the ICU requires continuous VEEG monitoring for 18 hours to detect any changes in brain activity., A patient with suspected sleep disorder is monitored for 15 hours using VEEG with continuous monitoring to detect any abnormal brainwave patterns during sleep.

** The use of automated spike and seizure detection and trending software is included in the code.Do not report separately.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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