CPT Code 95813: A Detailed Guide to EEG Coding

CPT Code 95813: Electroencephalography (EEG)

Electroencephalography (EEG) is a non-invasive procedure that records electrical activity in the brain. It is used to diagnose and monitor a variety of neurological disorders, including epilepsy, sleep disorders, and brain tumors.

CPT Code 95813 is the specific code used to bill for EEG services. It covers the following services:

• Recording of EEG for up to 20 minutes
• Interpretation of the EEG by a qualified healthcare professional

CPT Code 95813: Modifiers

CPT Code 95813 may be modified to indicate the specific type of EEG performed. The most common modifiers are:

• -59: Repeat EEG
• -76: EEG with sleep deprivation
• -77: EEG with photic stimulation
• -78: EEG with hyperventilation

CPT Code 95813: Documentation Requirements

To support the use of CPT Code 95813, the following documentation is required:

• A written report describing the EEG findings
• A statement of the reason for the EEG
• A copy of the EEG recording

CPT Code 95813: Billing Tips

• CPT Code 95813 should only be billed once per session.
• If multiple EEGs are performed during the same session, each EEG should be billed separately using the appropriate modifier.
• EEG interpretation should be billed separately using CPT Code 95957.

CPT Code 95813: Code Comparison

CPT Code 95813 is often compared to the following codes:

• CPT Code 95957: Electroencephalographic (EEG) interpretation and report
• CPT Code 95958: Continuous EEG monitoring for 24 hours or more

CPT Code 95813: New Applications

CPT Code 95813: Future Trends

Tables

Table 1: Types of EEG Modifiers

Table 2: CPT Code 95813 Documentation Requirements

Table 3: CPT Code 95813 Billing Tips

Table 4: CPT Code 95813 Code Comparison

Effective Strategies

• Use CPT Code 95813 correctly to ensure accurate billing.
• Document all services provided to support the use of CPT Code 95813.
• Stay up-to-date on the latest CPT coding guidelines.

Tips and Tricks

• Use a medical billing software program to help with CPT coding.
• Consult with a coding professional if you have any questions about CPT Code 95813.
• Keep a record of all EEG services provided for easy reference.

FAQs

1. What is the difference between CPT Code 95813 and CPT Code 95957?

CPT Code 95813 covers EEG recording and interpretation, while CPT Code 95957 covers EEG interpretation only.

2. What are the modifiers for CPT Code 95813?

The most common modifiers for CPT Code 95813 are -59, -76, -77, and -78.

3. What documentation is required for CPT Code 95813?

A written report describing the EEG findings, a statement of the reason for the EEG, and a copy of the EEG recording are required for CPT Code 95813.

**4. How often can CPT Code