2025 CPT code 95726
(Active) 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 summary report, complete study; greater than 84 hours of EEG recording, with video (VEEG).
Modifier 26 can be used if only the professional component (interpretation and report) is being performed. Modifier 52 may be appropriate for reduced services.
Medical necessity for prolonged EEG is determined by the clinical condition requiring continuous monitoring and the potential benefit to patient management.Justification examples:Evaluating uncontrolled seizures, monitoring critically ill patients, diagnosing sleep disorders.
The physician or other qualified healthcare professional is responsible for reviewing the long-term EEG recording (greater than 84 hours), including video, analyzing the data for spikes and seizures, interpreting the findings, and preparing a summary report.
In simple words: A physician or other qualified healthcare professional reviews the brainwave activity recorded during a continuous EEG, along with any detected spikes or seizures. This comprehensive study involves over 84 hours of EEG recording and includes video. The physician analyzes the information and creates a report.This procedure is used to diagnose conditions like epilepsy, sleep disorders, or other brain conditions.
Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary report, complete study; greater than 84 hours of EEG recording, with video (VEEG). (When the entire study includes recording greater than 36 hours, and the professional interpretation is performed after the entire recording is completed, see 95721, 95722, 95723, 95724, 95725, 95726) (Do not report 95721, 95722, 95723, 95724, 95725, 95726 in conjunction with 95717, 95718, 95719, 95720)
Example 1: A patient with uncontrolled seizures undergoes continuous VEEG monitoring for 90 hours to determine seizure type and location for potential surgical intervention., A critically ill patient in the ICU receives continuous EEG monitoring for 96 hours to detect non-convulsive seizures or other brain dysfunction., A patient with a suspected sleep disorder undergoes continuous VEEG monitoring for 88 hours to evaluate sleep stages and identify any abnormalities.
Documentation should include the reason for the prolonged EEG, the total recording time, presence of video recording, technical description of the EEG findings by the technologist, interpretation report by the physician, and any relevant clinical information.
- Revenue Code: T2D - OTHER TESTS - OTHER
- Modifier TC rule: No.
- Specialties:Neurology, Epileptology, Critical Care Medicine, Sleep Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital, Skilled Nursing Facility