2011 Neurology CPT Code Changes
September 24th, 2010
CPT 2011 replaces the temporary G codes used for unattended sleep studies with new permanent codes:
95800 Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time
95801 Sleep study, unattended, simultaneous recording minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone)
The codes differ by whether or not sleep time is included. Assuming the SGR cut does not go into effect later this year, Medicare allowed for global 95800 will be about $925, and for global 95801, $1550.
CPT notes also advise Providers not to report ECG or sleep study services seperately when using 95800 or 95801.
Muscle, Range of Motion Testing
The term "Tensilon" has been removed from CPT Code 95857. The description is now: Cholinesterase inhibitor challenge test for myasthenia gravis.
The change was necessary because the drug Tensilon is no longer available.
Following the description of the add-on code 95920, CPT 2011 adds a note that discusses how to count time.
Do not report 95920 if recording lasts 30 minutes or less. For procedures that last beyond midnight, report services using the day on which the monitoring began.
More on Counting Time
Count every 24 hours: 95950-95953 and 95956. For recording 12 hours or less, use modifier 52.
Count every hour of physician attendance: 95961 and 95962. Report 95961 for the first hour of physician attendance. Use modifier 52 with 95961 for 30 minutes or less. Report 95962 for each additional hour of physician attendance.
The AMA requested that 95953 and 95956 be revised to clarify attendance and unattendance. The terminology of both were changed.
Code 95953 is for an ambulatory EEG, which is not attended by a technologist or nurse.
Code 95956 is used now for monitoring without video. It requires attendendance during the recording. The code descriptors now read:
95953 Monitoring for localization of cerebral seizure focus by computerized portable 16 or more channel EEG, electroencephalographic (EEG) recording and interpretation, each 24 hours, unattended
95956 Monitoring for localization of cerebral seizure focus by cable or radio, 16 or more channel telemetry, electroencephalographic (EEG) recording and interpretation, each 24 hours, attended by a technologist or nurse
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