Respiratory Question for the Week of February 12, 2024

Question:

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?

Answer:

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.

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