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CPT 95722: Continuous Video EEG Monitoring, 36–60 Hours
CPT code 95722 represents physician or qualified healthcare professional review and interpretation of continuous electroencephalography (EEG) with video for spike and seizure detection when the recording extends greater than 36 hours and up to 60 hours. This prolonged-monitoring EEG service is critical for diagnosing epilepsy, characterizing seizure types, and guiding treatment decisions for patients with suspected or refractory seizures. Nationally, prolonged continuous EEG with video supports inpatient and outpatient epilepsy monitoring programs and informs utilization and reimbursement discussions.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for prolonged EEG monitoring, typical sites of service such as epilepsy monitoring units and hospital observation areas, and what to expect in terms of documentation and interpretation requirements. The publication outlines benchmarks and coding guidance relevant to 95722, summarizes common modifiers associated with EEG services (input data provided), and highlights policy considerations that affect coverage and claims processing for prolonged continuous video EEG. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 95722 describes physician or other qualified healthcare professional review and analysis of recorded events for spike and seizure detection from continuous electroencephalography (EEG). The service covers an interpreted study where the continuous EEG recording lasts greater than 36 hours and up to 60 hours and includes concurrent video capture. The provider reviews the recorded data, interprets findings related to epileptiform activity and seizures, and prepares a formal report.
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Service type: Continuous video EEG interpretation and analysis for prolonged monitoring
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Typical site of service: Inpatient or outpatient neurology monitoring units where continuous EEG with video capture is performed, including epilepsy monitoring units and hospital observation settings