Respiratory Question for the Week of July 31, 2023

Question:

Are the additional 30 minutes included with codes 95816-95822?

Answer:

The reimbursement assigned to codes 95816–95822 includes the additional 30–60 minutes of preparation and documentation time associated with the procedure. This additional time does not affect the code assignment. The guidelines that accompany these codes state that the average recording time is 20–40 minutes. However, the individual codes do not include a defined time limit. The number of recording pages generated during these routine EEGs is fairly predictable.

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.

Print Friendly, PDF & Email
Facebook
Twitter
LinkedIn

CPT® copyright 2023 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.

Happy World Health Day! Our exclusive webcast, ‘2024 SDoH Update: Navigating Coding and Screening Assessment,’  is just $99 for a limited time! Use code WorldHealth24 at checkout.

SPRING INTO SAVINGS! Get 21% OFF during our exclusive two-day sale starting 3/21/2024. Use SPRING24 at checkout to claim this offer. Click here to learn more →