Video Electroencephalographic (vEEG) Monitoring and Recording – Commercial and Individual Exchange Medical Policyopen_in_new

UnitedHealthcare covers vEEG (ambulatory or inpatient) for diagnosing/characterizing seizures—including distinguishing epileptic vs psychogenic events, seizure classification, presurgical evaluation, ICU monitoring for subclinical seizures/status epilepticus, and when provocation maneuvers, medication adjustment/discontinuation, or inability to capture events with ambulatory monitoring require inpatient recording—but does not treat inpatient vEEG as automatically necessary for all suspected seizure cases. Coverage requires documentation that InterQual® criteria are met and a clinical rationale (e.g., prior inconclusive ambulatory EEG, need for inpatient provocation or medication changes), and final coverage/reimbursement is subject to the member’s specific benefit plan and applicable mandates (CPT listings do not guarantee payment).

"Video electroencephalographic (vEEG) monitoring and recording to distinguish between epileptic and non-epileptic seizures."