Neurology & Pain Management Coding Alert

Question: How do we report the EEG our neurologist does with polysomnography recording?

Alaska Subscriber

Answer: You do not additionally bill for EEG which is done during polysomnography. CPT® section guidelines indicate the parameters measured include a 3 lead electroencephalogram (EEG - frontal, central, and occipital), submental electromyogram (EMG) and occipital lead electrooculogram (EOG). Additional parameters that are typically required in polysomnography include ECG, nasal and/or oral airflow, respiratory effort, oxyhemoglobin saturation, and bilateral anterior tibialis EMG. Depending upon the number of additional parameters monitored, choose from codes 95808 (Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist), 95810 (Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist) or 95811 (Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist).

Note: When reporting 98511, you do not report 94660 (Continuous positive airway pressure ventilation (CPAP), initiation and management).