2025 CPT code 95722
(Active) Effective Date: N/A Revision Date: N/A Neurology - Electroencephalography (EEG) Medicine Services and Procedures > Neurology and Neuromuscular Procedures Feed
This CPT code represents a comprehensive long-term EEG study, lasting between 36 and 60 hours, incorporating video EEG (VEEG) recording, analysis of spike and seizure detection, interpretation by a physician or qualified healthcare professional, and a final report.
Modifiers may apply depending on the services performed, such as modifier 26 (professional component) if the interpretation is billed separately from the technical component.
Medical necessity is established by clinical indications such as suspected epilepsy, unexplained altered mental status, evaluating treatment response in known epilepsy cases, pre-surgical evaluations, and monitoring for neurological events in critical care patients.Documentation must clearly support the need for such extensive monitoring.
A physician or other qualified healthcare professional is responsible for interpreting the EEG/VEEG data, analyzing any detected spikes or seizures, preparing the final report, and providing recommendations based on the study findings. An EEG technologist is responsible for the technical aspects of the study, including setup, monitoring (if applicable), and maintenance.
In simple words: This code covers a long test (36-60 hours) that records the brain's electrical activity, including video. A doctor or qualified specialist reviews the recording, checks for abnormal activity (spikes or seizures), and creates a report explaining the results.
CPT code 95722 encompasses a continuous electroencephalography (EEG) recording lasting more than 36 hours but not exceeding 60 hours, inclusive of video electroencephalography (VEEG).The service includes the physician's or other qualified healthcare professional's review of recorded events, analysis of spike and seizure detection, interpretation of the data, and the creation of a comprehensive summary report.The recording must be continuous for the entire duration; any interruptions halt the clock.The study involves real-time data acquisition, analysis of acquired data, and integration with a video component.
Example 1: A patient with suspected epilepsy undergoes a 48-hour VEEG monitoring to identify seizure patterns and pinpoint their location within the brain for potential surgical intervention., A patient in a critical care unit with unexplained altered mental status is monitored with continuous VEEG for 40 hours to detect any signs of non-convulsive seizures or other neurological events., A patient with a history of complex partial seizures requires a long-term VEEG study to assess the efficacy of their current medication regime and to evaluate for the need for alternative treatment options.
** Accurate code selection requires careful consideration of all parameters mentioned in the CPT guidelines.Consult a qualified medical billing specialist for assistance if needed. This information is current as of December 3rd, 2024.
- Revenue Code: T2D (OTHER TESTS - OTHER)
- RVU: The RVUs for this code will vary depending on geographic location and other factors; consult a fee schedule or pricing database for specific values.RVUs include work, practice expense, and malpractice components and differ between facility and non-facility settings.
- Global Days: Not applicable; this is a comprehensive, continuous study and not a procedure with a defined global period.
- Payment Status: Active
- Modifier TC rule: Modifier TC (technical component) applies to the technical aspects of the EEG, while modifier 26 (professional component) applies to the physician's or qualified healthcare professional's interpretation.Both components may be billed separately.
- Fee Schedule: Fee schedules vary significantly by payer and geographic location.Consult current fee schedules for up-to-date information.
- Specialties:Neurology, Epilepsy, Neurosurgery, Critical Care Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center,Other Place of Service (depending on the patient setting)