Neurology & Pain Management Coding Alert

Reader Questions:

Go With 95816 for 'Awake' EEG

Question: How should we code an electroencephalogram (EEG) for a patient who remains awake?

New York Subscriber


Answer: CPT does not include a code for -awake- EEGs. Your best option is to report the case as -awake and drowsy- with 95816 (Electroencephalogram [EEG]; including recording awake and drowsy). 

Include any appropriate modifiers such as 26 (Professional component) or TC (Technical component), depending on who performs the procedure.

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