2025 CPT code 95720
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Electroencephalography (EEG) Neurology and Neuromuscular Procedures Feed
Electroencephalogram (EEG) continuous recording, physician or other qualified healthcare professional review, analysis of spike and seizure detection, each increment of >12 hours up to 26 hours, interpretation and report after each 24-hour period, with video (VEEG).
Modifiers may be appropriate depending on the circumstances of the service provided. Refer to CPT guidelines for appropriate modifier use.
Medical necessity is established when the continuous EEG/VEEG monitoring is required to properly evaluate a patient's neurological condition, particularly those suspected of having epilepsy or similar conditions, that require lengthy observation.
The clinical responsibility lies with a physician or other QHCP to review and interpret the EEG and video recordings. This includes analyzing the data for spike and seizure detection, and generating reports based on their findings.They are also responsible for communicating findings and recommendations to the patient's care team.
- Neurology and Neuromuscular Procedures
- Electroencephalography (EEG) > Long-term EEG Monitoring > Professional Component
In simple words: This code covers a doctor's review and interpretation of a special brainwave test (EEG) with video, done over more than 12 hours but less than 26 hours. The doctor checks the recording, looks for signs of seizures, and writes a report every 24 hours.
This CPT code encompasses the professional interpretation and reporting of a continuous video electroencephalogram (VEEG) recording lasting more than 12 hours but not exceeding 26 hours.The service includes physician or other qualified healthcare professional (QHCP) review of recorded events, analysis of spike and seizure detection, interpretation of the EEG data, and generation of a report after each 24-hour period.The recording must include video for at least 80% of the recording time to qualify for this code.Daily reports are generated during the long-term recording, even if the entire study extends over multiple days.Automated spike and seizure detection and trending software use is included.
Example 1: A patient with suspected epilepsy undergoes a 20-hour continuous VEEG monitoring.Code 95720 is reported for the professional component of the 13-26 hour segment., A patient admitted to the hospital with altered mental status undergoes a 15-hour VEEG. Code 95720 would be used for the professional interpretation, and additional codes for technical components (95700-95716), depending on the type of monitoring., A patient in the epilepsy monitoring unit undergoes a 24-hour VEEG. The physician reviews the recordings daily, reports the findings daily, and prepares a final summary report after the completion of the study. 95720 is used for each 12-26 hour interval.
Detailed clinical indication for the study, including patient's history and symptoms. Complete EEG tracing with video recordings. Daily interpretation and reports, including all relevant findings and recommendations. Summary report at the end of the study.
** The specific codes for the technical components (95700-95716) will depend on the duration of the recording and the type of monitoring (unmonitored, intermittent, or continuous).
- Revenue Code: T2D (OTHER TESTS - OTHER)
- RVU: This information is not available in provided source. Consult the AMA's CPT codebook or relevant payer fee schedule for RVU values and reimbursement information. RVUs vary based on geographic location and practice setting.
- Global Days: Not applicable.This code represents the professional component of each 12-26 hour increment of the overall study, not the entire global period.
- Payment Status: Active
- Modifier TC rule: This code represents the professional component, therefore, a technical component (TC) modifier does not apply.
- Fee Schedule: Fee schedules vary by payer and location. Consult your payer's fee schedule for accurate pricing information.The information is not available from the source.
- Specialties:Neurology, Epilepsy, Neurosurgery, Critical Care Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center, Epilepsy Monitoring Unit