Full-Montage EEG with video capabilities
Understanding the appropriate CPT codes for EEG services is essential for accurate billing and reimbursement. With the introduction of Zeto ONE, our latest EEG headset for continuous monitoring, Zeto now has a product that can support both routine and longer-duration EEG studies. Following proper billing practices, Zeto now aligns with the expanded set of EEG CPT codes to ensure accurate documentation and billing.
In addition to our WR19 system for routine EEG collection, Zeto ONE enables extended monitoring up to 24+ hours with video, enabling clinicians to perform longer studies that may align with long-term EEG CPT codes.
Please note: The information provided in this article is for educational purposes only. This content is not intended as billing, coding, reimbursement or financial advice. Healthcare providers are advised to consult legal counsel and billing and coding specialists to determine appropriate CPT codes based on specific procedures, payer requirements, and patient needs.
Introducing Zeto ONE
Zeto ONE is our latest advancement in EEG monitoring designed for long-term, continuous EEG monitoring in acute care settings. Zeto ONE is a user-friendly full-montage headset and a portable recording device that provides reliable bedside seizure detection*, accompanied by video, audio, and live remote monitoring and interpretation service.
* enabled by encevis
WR19 vs. Zeto ONE: Enhanced Capabilities
| WR19 | Zeto ONE | |
| Monitoring Duration | Up to 6 hours | 24+ hours |
| Primary Use Cases | Routine EEG | Triage, Routine, Stat, and Continuous EEG |
| Video Integration | Yes | Yes |
| Billing Codes Range | Routine EEG codes | Full spectrum including extended monitoring |
Expanded CPT Code Coverage with Zeto ONE
For standard routine EEG billing codes (studies up to 2 hours), refer to our blog: Billing for Zeto: Zeto EEG Billing CPT Codes.
Long-Term Video EEG Monitoring (2-12 Hours)
| Video | Monitoring | CPT Code Technical Component | CPT Code Professional Component |
|---|---|---|---|
| Without Video | Unmonitored | 95705 | 95717 |
| Without Video | Intermittent | 95706 | 95717 |
| Without Video | Continuous | 95707 | 95717 |
| With Video | Unmonitored | 95711 | 95718 |
| With Video | Intermittent | 95712 | 95718 |
| With Video | Continuous | 95713 | 95718 |
Professional component codes include 95717 for studies without video and 95718 for studies with video. Zeto ONE’s advanced multi-stream video capability enables providers to utilize the video EEG codes when clinically appropriate.
Long-Term Video EEG Monitoring (12-26 Hours)
| Video | Monitoring | CPT Code Technical Component | CPT Code Professional Component |
|---|---|---|---|
| Without Video | Unmonitored | 95708 | 95719 |
| Without Video | Intermittent | 95709 | 95719 |
| Without Video | Continuous | 95710 | 95719 |
| With Video | Unmonitored | 95714 | 95720 |
| With Video | Intermittent | 95715 | 95720 |
| With Video | Continuous | 95716 | 95720 |
Technical Component for 24-Hour Monitoring
Technical component billing includes several options for extended monitoring:
- 95950 for seizure-focused monitoring for each 24-hour period, 95951 covers each additional 24-hour period.
- 95953 applies to computerized portable 16+ channel EEG monitoring for each 24-hour period
- 95956 covers portable EEG monitoring for each 24-hour period.
Video EEG: Enhanced Clinical Value and Reimbursement
Zeto ONE’s multi-stream video capability captures patient behavior, environmental factors, and seizure activity, enabling complete clinical assessment during long-duration EEG recordings. These integrated capabilities are designed to support robust documentation and assist clinicians in demonstrating medical necessity during the payer review process.
Key Documentation Requirements
Successful reimbursement for extended monitoring requires thorough documentation of medical necessity for monitoring durations exceeding routine timeframes. Clinical indications must clearly support the need for continuous versus intermittent monitoring EEG recordings. When billing video EEG codes, documentation should include specific rationale for video recording as well as the duration of the EEG based on clinical presentation and diagnostic requirements.
For 24+ hour studies, seizure detection protocols and safety monitoring procedures should be clearly documented to support medical necessity and appropriate code selection.
Conclusion
Healthcare providers can utilize Zeto ONE’s comprehensive monitoring range, from routine diagnostic studies to extended seizure monitoring with synchronized video capture.
For individualized guidance on EEG billing, several third-party consulting service providers are active in the market. For questions or an introduction to a consultant familiar with Zeto, complete the form below.
Disclaimer
Zeto, Inc. does not provide billing or coding services and does not offer advice, guidance, or recommendations regarding billing, coding, reimbursement, or claims submission. The information presented in this article is intended solely for general informational purposes and should not be construed as legal, compliance, coding, reimbursement, or financial advice.
It is the sole responsibility of each individual or organization to ensure the accurate selection and application of codes, modifiers, coverage, and documentation, as well as to establish medical necessity and submit claims in full compliance with all applicable federal, state, and local laws, regulations, and payor policies, including those of Medicare, Medicaid, and commercial insurers. To mitigate potential legal, financial, or regulatory risks, it is strongly recommended to consult with qualified legal counsel and experienced coding or reimbursement professionals. Requirements should also be independently verified with relevant payers and authoritative sources, prior to making any billing or coding decisions. This article is not a substitute for professional guidance or independent verification.
Zeto, Inc. makes no representations or warranties regarding the accuracy, completeness, or applicability of the information provided and expressly disclaims any liability for any losses, damages, or other consequences that may result from reliance on this content. Use of this information is at your own risk.