Summary & Overview

CPT 95724: Continuous Video EEG for Spike and Seizure Detection (60–84 hrs)

CPT code 95724 covers physician or qualified health care professional review and interpretation of continuous electroencephalography (EEG) recordings with video, specifically for spike and seizure detection where the complete study exceeds 60 hours and is up to 84 hours in duration. Nationally, prolonged EEG monitoring with video is critical for accurate diagnosis and management of seizure disorders, affecting hospital utilization, neurologic specialty services, and payer coverage decisions.

Key payers commonly involved in coverage for this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of what CPT code 95724 represents, the clinical context for prolonged EEG with video, and what to expect when this code appears on an encounter or claim.

This publication presents benchmarks and coverage context relevant to neurologic monitoring services, summarizes the clinical rationale for extended EEG monitoring, and outlines where this service is typically delivered (inpatient units or specialized epilepsy monitoring units). Data not available in the input prevents inclusion of payer-specific reimbursement rates or local policy variations.

AetnaBlue Cross Blue ShieldCigna HealthUnitedHealthcareMedicareCPT 95724continuous EEGvideo EEGseizure monitoringneurologyprolonged monitoringEEG interpretationhospital servicesepilepsy monitoring

Billing Code Overview

CPT code 95724 describes physician or other qualified health care professional review and analysis of recorded events from a continuous electroencephalography (EEG) study focused on spike and seizure detection. The complete study includes greater than 60 hours and up to 84 hours of EEG recording, and a video is obtained to correlate clinical events with EEG findings. The provider interprets the captured data and prepares a formal report.

Service type: Continuous prolonged EEG monitoring with video for spike and seizure detection, physician/qualified professional interpretation and report
Typical site of service: Inpatient acute care unit or an epilepsy monitoring unit where extended EEG with video capture can be performed

Clinical & Coding Specifications

Clinical Context

A 28-year-old patient with recurrent unexplained episodes of altered awareness and suspected epilepsy is admitted for continuous video-electroencephalographic (video-EEG) monitoring. The clinical workflow begins with ordering continuous EEG monitoring with video capture to detect and characterize seizures and interictal epileptiform discharges. Scalp electrodes are applied and a synchronized video camera is set up to capture clinical events. Monitoring continues inpatient or in an appropriately equipped outpatient monitoring unit for more than 60 hours and up to 84 hours. A qualified healthcare professional (QHCP) or physician reviews the recorded EEG data, analyzes spike and seizure detection results, integrates video correlation, and interprets the findings. The provider documents the interpretation in a formal report addressing seizure frequency, localization or lateralization of epileptiform activity, electrographic onset patterns, and any technical limitations. The report supports treatment planning such as medication adjustment, further diagnostic testing, or consideration for epilepsy surgery evaluation.

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when billing only the physician interpretation/report separate from technical recording provided by another entity.
`TC`

Taxonomy Code	Specialty	Notes
`207R00000X`	Neurology	Neurologists commonly interpret long-term EEG studies and prepare the report.
`2084P0800X`	Clinical Neurophysiology	Specialists in EEG and neurophysiology perform advanced EEG analysis and interpretation.
`207L00000X`	Psychiatry & Neurology (combined)	Providers with combined training may manage seizure disorders and interpret EEGs.
`163W00000X`	Electroencephalographic Technologist	Technologists perform electrode application, recording, and video capture (technical component).

ICD-10 Code	Description	Clinical Relevance
`G40.909`	Epilepsy, unspecified, not intractable, without status epilepticus	Common indication for long-term video-EEG to characterize seizure type and frequency.
`G40.901`	Epilepsy, unspecified, intractable, without status epilepticus	Used when seizures are drug-resistant and prolonged monitoring guides further management.
`R56.9`	Unspecified convulsions	Applied when the event type is unclear and EEG monitoring aims to confirm epileptic vs nonepileptic events.
`F44.5`	Conversion disorder with seizures or convulsions	Video correlation during EEG helps differentiate psychogenic non-epileptic seizures from epileptic seizures.
`G40.811`	Localization-related (focal) epilepsy with seizures of localized onset, intractable, without status epilepticus	Used when prolonged monitoring seeks to localize epileptogenic focus for surgical evaluation.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`95720`	Electroencephalogram (EEG) monitoring for seizure detection; continuous EEG recording for 1 hour up to 24 hours, interpretation and report	Shorter-duration continuous EEG studies often used when initial monitoring duration is expected to be less than 60 hours; may be performed prior to extending to long-term monitoring coded with `95724`.
`95722`	Electroencephalogram (EEG) monitoring for seizure detection; continuous EEG recording for greater than 24 hours and up to 48 hours, interpretation and report	Intermediate-duration continuous EEG; used when monitoring is escalated from shorter durations and before reaching the >60 hour threshold of `95724`.
`95723`	Electroencephalogram (EEG) monitoring for seizure detection; continuous EEG recording for greater than 48 hours and up to 60 hours, interpretation and report	Used when monitoring spans durations between 48 and 60 hours prior to the duration applicable to `95724`.
`95951`	Monitoring for localization of epileptogenic focus by scalp or intracranial EEG including electrode placement and removal, interpretation and report	Performed when additional localization procedures are required; may precede or follow prolonged video-EEG for surgical evaluation.
`93229`	External ambulatory EEG, recording with storage and review (technical component)	Ambulatory EEG services may be used as an outpatient alternative or preliminary study before extended inpatient video-EEG monitoring coded by `95724`.

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