Billing and Coding: Special Electroencephalography

Ambulatory continuous EEG is covered only when preceded by a routine “resting” EEG (CPT 95812, 95813, 95816, 95819, or 95822), where the routine EEG is a recording of less than 24 continuous hours. The prior routine EEG claim must have been submitted to Medicare with a date of service within one year of the ambulatory EEG; claims with CPT codes not listed require supporting documentation and will be reviewed individually. Providers must bill only the professional or technical component they actually provided.

"Ambulatory continuous EEG is covered only if a prior routine “resting” EEG was performed before the ambulatory EEG."

Sign up to see full coverage criteria, indications, and limitations.