2025 CPT code 95725

Continuous EEG recording >84 hours without video; physician/QHCP review, spike/seizure analysis, interpretation, and report.

Adhere to the current CPT guidelines for electroencephalography, specifically concerning continuous monitoring, technical and professional components, and reporting requirements.Follow payer-specific coding guidelines.

Modifiers may apply depending on the specific circumstances of the service. Refer to the CPT manual for guidance on appropriate modifier use.

Medical necessity for a long-term EEG (95725) is established when other less invasive methods fail to identify the cause of seizures or when the clinical presentation suggests a condition requiring prolonged monitoring (e.g., status epilepticus, epilepsy surgery evaluation).

The clinical responsibility includes preparation and application of EEG electrodes by a technologist, continuous EEG recording, and interpretation and reporting of the data by a physician or other qualified healthcare professional.

IMPORTANT Related codes include 95700-95726 for other durations and monitoring types of long-term EEG, and 95812-95822 for routine EEGs.

In simple words: This medical test measures brainwave activity continuously for more than 84 hours without video recording. A doctor or qualified healthcare professional reviews the results, analyzes any unusual patterns, interprets the data, and provides a detailed report to help diagnose conditions like epilepsy or sleep disorders.

This CPT code encompasses a comprehensive electroencephalography (EEG) study involving continuous recording of brainwave activity for a duration exceeding 84 hours.The procedure does not include video recording.A physician or other qualified healthcare professional (QHCP) is responsible for reviewing recorded events, analyzing spike and seizure detection, interpreting the data, and generating a comprehensive summary report.The service includes the technical aspects of the EEG recording and professional interpretation.

Example 1: A patient presents with recurrent seizures of unknown origin. A long-term EEG (95725) is ordered to identify the type and location of seizures, aiding in diagnosis and treatment planning., A patient with suspected non-convulsive status epilepticus requires continuous EEG monitoring (95725) to confirm the diagnosis and guide treatment decisions., A patient is being considered for epilepsy surgery. A prolonged EEG (95725) helps map brain activity to localize the seizure focus and assess surgical candidacy.

Detailed patient history, including seizure frequency, duration, and associated symptoms; description of EEG setup, including electrode placement and impedances; continuous EEG recording data; analysis of spike and seizure detection; interpretation and report by a physician or QHCP, including clinical correlation.

** The interpretation and report component of this code requires a physician or other qualified healthcare professional's expertise.Accurate documentation of the recording details and interpretation is essential for proper reimbursement.

  • Revenue Code: T2D (OTHER TESTS - OTHER)
  • RVU: Not specified in provided text.RVUs are dependent on various factors including geographic location and payer.
  • Global Days : Not applicable. This is a diagnostic test, not a surgical procedure.
  • Payment Status: Active
  • Modifier TC rule: The provided text does not specify whether a technical component (TC) modifier applies.Refer to the CPT manual and NCCI edits.
  • Fee Schedule : Fee schedules vary based on payer, location and year. Contact your payer for specific historical fee data.
  • Specialties:Neurology, Neurosurgery, Epilepsy Centers
  • Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center
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