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Because of these advances over time and efficiencies, RVUs are expected to be lower. Efficiencies in the current generation of services, compared with 25 years ago, result in lower expenses per typical patient. Technologists monitoring screens for seizures are trained to watch more patients now than 25 years ago. No longer does the typical patient have depth-electrode EEG with 150 channels, risk of bleeding from the depth electrodes, and use of EEG results for surgical decisions. In the meantime, many of those services have become more efficiently provided, and the typical patient is more easily tested. Some existing EEG monitoring codes had not been reviewed for more than 2 decades. Inputs were provided to CMS to calculate RVUs appropriate for the technical component of the services. These technical components inputs included technologist staffing, supplies, and equipment for each type of service. Industry representatives contributed details about how the services are provided. The ASET Neurodiagnostic Society gave input and a survey to evaluate the technical components for each service. The physician RUC survey estimated the typical time taken by a physician for each service and the work intensity compared to other typical services. This survey included a wide group of physicians from the National Association of Epilepsy Centers, the American Clinical Neurophysiology Society, and the American Academy of Neurology’s Epilepsy and Clinical Neurophysiology Sections. Physician RUC survey results were used to set codes for physician work RVUs.
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This article is meant to aid in that learning. This is different than how most neurodiagnostic codes are used, so familiarity with this new code set will take some time and practice.
#Cpt code for eeg professional#
To better identify the exact service provided, professional and technical services were separated into different code sets. Altogether, this was a deep dive into the services, and how they should be restructured. Commercial industry and the technologist society also participated actively in reviewing the services. Representatives from several medical societies were deeply involved with these review stages. The review included both video-EEG and EEG monitoring without video. This is the code family that includes EEG done in the epilepsy monitoring unit (EMU) or intensive care unit (ICU) and ambulatory EEG monitoring. Such a periodic review was conducted recently for EEG monitoring codes.
#Cpt code for eeg update#
Along with this code review, the AMA-CMS Relative Value Update Committee (RUC) reviews and resets the relative value units (RVUs) associated with the codes. Over time, this process evaluates coding for all medical, surgical, and diagnostic procedures. From time to time, the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) review and revise the Current Procedural Terminology (CPT) codes.