Question

A 50-year-old with left internal carotid artery stenosis presents for a left carotid thromboendarterectomy with electroencephalogram monitoring. electroencephalogram (eeg) leads were placed on his head prior to surgery. throughout the procedure, eeg patterns were symmetrical. what cpt® code is reported for this eeg monitoring

Answer 1

The appropriate CPT code for EEG monitoring during a carotid thromboendarterectomy is typically 95957. However, coding may vary based on the duration, complexity, and specific guidelines at the time of the procedure. It is important to consult the latest CPT code manual and professionals for accuracy.

Step-by-step explanation:

The student is asking about the Current Procedural Terminology (CPT) code that should be reported for electroencephalogram (EEG) monitoring during a carotid thromboendarterectomy procedure. Since the question is specific to EEG monitoring, it is important to note that the CPT code for EEG monitoring performed intraoperatively is different from those used for simpler diagnostics or routine EEG recordings.

An appropriate CPT code for intraoperative EEG monitoring could be 95957, which is designated for 'Monitoring for localization of cerebral seizure focus by computerized portable electroencephalography, 16 or more channel recording, per hour (List separately in addition to code for primary procedure)'. However, specific codes may vary depending on additional factors such as the duration of the procedure, the complexity of the monitoring required, whether or not the video was used, and the medical coding guidelines at the time of the procedure. It is important to reference the most current CPT code manual and to consult with a professional coder or the billing department to ensure that the correct code is used for billing purposes.

Answer 2

In this case, the EEG monitoring takes place for a longer Duration of time

The CPT code for the EEG for an extended period of time is 95812 and 95813. The Code 95812 covers duration of 41-60 minutes and the code 95813 covers the duration of more than an hour. On an average, the duration of the carotid endarterectomy is more than an hour. So, the most appropriate code for this EEG is 95813.