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CPT 95726: Prolonged Continuous EEG with Video Interpretation
CPT code 95726 represents physician or qualified healthcare professional review and interpretation of prolonged continuous electroencephalography (cEEG) recordings exceeding 84 hours, including video. This code captures the analytic component of long-duration EEG monitoring used to detect spikes and seizures and to document electrographic events that inform neurologic diagnosis and management. Nationally, prolonged cEEG with video is an essential tool in epilepsy care and critical care neurology, impacting inpatient pathways, diagnostic accuracy, and clinical decision making.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a national perspective on the clinical context for use of prolonged cEEG, typical sites of service, and the elements that define billing under CPT code 95726. The publication outlines common modifiers and payer considerations where available, benchmarks for utilization and reimbursement patterns where supplied, and relevant policy or coverage updates affecting prolonged EEG interpretation. The content is intended to help coding, compliance, and clinical teams understand how CPT code 95726 is applied and documented in practice, and what information is typically required to support billing for extended-duration EEG interpretation.
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Billing Code Overview
CPT code 95726 describes a review and analysis of continuous electroencephalography (cEEG) recordings lasting more than 84 hours. A physician or other qualified healthcare professional reviews recorded events, analyzes spike and seizure detection, interprets the findings from the study (which includes video), and prepares a formal report.
Service type: Interpretation and analysis of prolonged continuous EEG with video
Typical site of service: Inpatient or facility-based monitoring settings where prolonged EEG with video recording is performed, such as an inpatient neurology service, epilepsy monitoring unit, or critical care unit.