Billing and Coding: Special EEG Tests

Coverage for Special EEG tests is limited to services that meet the reasonable and necessary requirements of LCD L34521; services not meeting the LCD are non-covered and should not be billed as covered. When billing non-covered services use the appropriate modifier, and retain complete, legible medical records that include patient identifiers, provider signature, supporting documentation for selected ICD-10-CM and CPT/HCPCS codes, and an order per 42 CFR 410.32(a).

"Special EEG tests are covered only when they meet the reasonable and necessary requirements described in Local Coverage Determination (LCD) L34521."

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