Summary & Overview

CPT 95713: Prolonged EEG with Video, 2–12 Hours

CPT code 95713 represents a prolonged electroencephalography (EEG) study with continuous monitoring and video capture lasting between 2 and 12 hours. This service documents the technical component of extended EEG monitoring where an EEG technologist provides real-time monitoring, maintenance, and a technical description of recorded activity. Prolonged EEGs with video are important for diagnosing seizure disorders, characterizing paroxysmal events, and guiding neurologic management across inpatient and outpatient settings nationwide.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context and typical sites of service, plus national benchmarking and policy considerations relevant to billing and coverage for prolonged EEG with video. The publication outlines coding application, common modifiers, typical service lines, and payer-specific coverage patterns where available.

This summary equips clinicians, billing professionals, and policy analysts with the clinical definition of the service, the operational settings where it is commonly performed, and the types of payer considerations that influence authorization and reimbursement. Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicare95713CPTelectroencephalographyEEGprolonged-monitoringneurologyvideo-eegambulatory-eeghospital-outpatient

Billing Code Overview

CPT code 95713 describes an electroencephalography (EEG) study with prolonged recording, lasting 2 to 12 hours with continuous, real-time monitoring and maintenance. A video recording is made during the EEG, and an EEG technologist performs review and documents a technical description of the recording.

Service type: Prolonged ambulatory or inpatient EEG monitoring with video

Typical site of service: Hospital outpatient EEG lab, inpatient neurology service, or dedicated EEG monitoring unit

Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.

Clinical & Coding Specifications

Clinical Context

A 28-year-old patient with recurrent, unprovoked staring spells and intermittent alteration of awareness is admitted for prolonged electroencephalographic monitoring. The patient is admitted to an inpatient neurology monitoring unit or an outpatient epilepsy monitoring unit and is fitted with scalp electrodes and continuous synchronous video recording. An EEG technologist performs continuous, real-time monitoring and technical maintenance of the montage for 6 hours, documents events and artifact, and produces a technical report. The monitoring is used to capture typical events, correlate clinical behavior with electrographic activity, and guide neurologist interpretation and management decisions.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when billing only the physician interpretation and report separate from the technical recording.
`TC`	Technical component	Use when billing only the EEG technologist and equipment services without the physician interpretation.

Taxonomy Code	Specialty	Notes
`207RH0000X`	Neurology	Specialists who interpret EEGs and provide clinical correlation.
`2080P0000X`	Clinical Neurophysiology	Physicians focused on EEG and neurodiagnostic testing interpretation.
`390200000X`	Electroencephalographic Technologist	Technologists who acquire the EEG recording and perform real-time monitoring.
`207L00000X`	Neurological Surgery	Occasionally involved when invasive monitoring or surgical planning is required.
`2084N0400X`	Epileptologist (subspecialty of Neurology)	Neurologists specializing in epilepsy who manage prolonged monitoring and interpretation.

CPT Code	Description	Relationship to This Procedure
`95816`	Electroencephalogram (EEG); 1 to 60 minutes of recording, awake and drowsy	Short routine EEG often performed as an initial diagnostic test before prolonged monitoring.
`95714`	Continuous EEG; greater than 12 hours of recording with continuous real-time monitoring and maintenance, with video	Used when monitoring exceeds 12 hours; follows or extends the monitoring captured by `95713`.
`90911`	Extracorporeal therapy procedures (not directly EEG-related)	Data not available in the input.
`96020`	Electroencephalogram for evaluation of brain death (EEG)	Performed in specific clinical contexts to assess brain activity; related when EEG is used for critical care determinations.
`99183`	Perform and interpret complex EEG or sleep study monitoring (example code for monitoring setup)	Used for procedures involving advanced monitoring setup or technician time; supports technical services for prolonged recordings.

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