2025 CPT code 95957

Digital analysis of electroencephalogram (EEG) (e.g., for epileptic spike analysis).

For professional component only, use modifier 26. For technical component only, use modifier TC (unless the hospital provided the technical component). Do not append modifiers for global services where one provider renders both components.

Modifiers 26 (Professional Component) and TC (Technical Component) may be applicable depending on who performs the service.

Medical necessity for digital EEG analysis is supported by diagnoses such as epilepsy, seizure disorders, and other neurological conditions where assessing brain electrical activity is crucial for diagnosis, treatment planning, and monitoring.

Electroencephalography (EEG) measures the electrical activity of the brain through electrodes placed on the scalp. Digital analysis of an electroencephalogram involves using a computer–based instrument for analyzing an EEG recording.

IMPORTANT Do not report 95957 for use of automated software. For use of automated spike and seizure detection and trending software when performed with long-term EEG, see 95700-95726.

In simple words: This procedure involves computer-based analysis of an EEG (electroencephalogram), which measures brain electrical activity. It's used to pinpoint specific events in the brain, such as epileptic spikes and seizures, helping doctors understand brain function and diagnose conditions like epilepsy.

Digital analysis of an electroencephalogram (EEG) involves using a computer-based instrument for analyzing an EEG recording. In epilepsy, digital EEG analysis methods include services such as detecting the source of epileptic spikes and epileptic seizures from the EEG recordings. This helps the provider in pinpointing the event of interest. The automated spike and seizure detection and trending software is included in 95700-95726 when performed.

Example 1: A patient with suspected epilepsy undergoes an EEG. The recording is then analyzed using digital software to detect epileptic spikes and determine their source, aiding in diagnosis and treatment planning., A patient with known epilepsy experiences increased seizure frequency. Digital EEG analysis is performed to evaluate changes in brain activity, assess treatment effectiveness, and adjust medication if needed., A patient undergoes long-term EEG monitoring. The digital analysis software automatically detects and trends spikes and seizures, helping the physician review the extensive recording and identify patterns related to seizure activity.

Documentation should include the EEG recording, the digital analysis report, and interpretation by a physician or other qualified healthcare professional. The report should specify the software used, the findings of the analysis, and any clinical correlation.

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