What guidance does the AMA CPT® Assistant Newsletter (July 2000) provide regarding the necessity of hyperventilation and/or photic stimulation in EEG testing, specifically for codes 95816 and 95819, and how are these procedures billed in relation to the EEG service?
Per precedent set with the previous category III code +0715T for this service, the AHA Coding Clinic Volume 23 Number 2 Second Quarter 2023 establishes that this add-on code service may be reported by facilities with base services described by HCPCS Level II Code range C9600-C9608, when applicable.
This question was answered in our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.