Ambulatory or Video Electroencephalogram (EEG) Monitoring, Including Digital Analysis of Electroencephalogram

Covers ambulatory EEG (AEEG) and video EEG (VEEG) monitoring for diagnosis and classification of seizure disorders (including ictal/interictal recording), evaluation of intractable epilepsy and surgical candidacy, neonatal HIE on therapeutic hypothermia, and related indications, while digital analysis of EEG (DEEG) is considered not medically necessary. Major limitations/requirements: the policy is inactive and not for current claims adjudication; AEEG is typically diagnostic within 24–72 hours (extended monitoring beyond ~72 hours or for unattended/non‑cooperative patients is generally not covered), and VEEG is limited to specified indications and must be interpreted in the clinical context.

"For Illinois only: per Illinois Public Act 103-0458 (Insurance Code 215 ILCS 5/356z."

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