Neurology & Pain Management Coding Alert
Threshold for Video EEG Reporting
Question: How long do we actually need to videotape the patient during a 95 hour video EEG? My neurologist thinks the guideline is 12 hours.
Kentucky Subscriber
Answer: The video EEG code, 95951 (Monitoring for localization of cerebral seizure focus by cable or radio, 16 or more channel telemetry, combined electroencephalographic [EEG] and video recording and interpretation [e.g., for presurgical localization], each 24 hours) is based on each 24 hours of monitoring, with a threshold of more than 12 hours of monitoring needed during a day before you can report the code. If 12 hours of video EEG monitoring or less is performed during a 24 hour period, you would need to append modifier 52 (Reduced service) to the 95951 code. Ninety-five hours of video EEG diagnostic testing would be reported as 95951 with 4 units of service.
Neurology & Pain Management Coding Alert
- CPT® 2014:
Catch the Chemodenervation Corrections to CPT® Coding Descriptors
Plus: Get clear on ‘qualified health care professional’ definition. The American Medical Association (AMA) began [...] - AMA Symposium:
Get the Lowdown on New Guidelines for Chemodenervation and Intraoperative Neurophysiology
Hint: It’s all about counting muscles or time units. Attendees at the American Medical Association’s [...] - ICD-10:
Spasmodic Torticollis Diagnosis 333.83 Makes an Easy Shift to G24.3
Don’t forget to include an E code when necessary. Spasmodic torticollis (ST) – also known [...] - You Be the Coder:
Threshold for Video EEG Reporting
Question: How long do we actually need to videotape the patient during a 95 hour [...] - Reader Question:
Same Day Service Is OK for 76942 With 76881 or 76882
Question: If our provider performs an ultrasound guided procedure (76942) on the same date of [...] - Reader Question:
Code 63650 Will Include SCS Trial Lead L8680 for 2014
Question: Does the stimulator trial lead (L8680) now get included in the implantation (63650) when [...] - Reader Question:
Skip 62368 With 95991 and J Code
Question: We used to bill the 62368, 95991, and the appropriate J code for pump [...] - Reader Question:
J3301 Represents Single Unit Administered
Question: Dictation from an encounter states that the physician used 2 mL of 0.75% Marcaine [...] - Reader Question:
Watch Medical Necessity Before Billing 95812 With 95819
Question: Does my provider need to document certain things to prove medical necessity before billing [...] - Reader Question:
99144 Can Be OK With Epidural Injections
Question: One of our physicians adds 99144 to his billing sheet whenever he performs LESI, [...]
