Prior Auth Required

95716 - increment of 12-26 hours; with continuous, real-time monitoring and maintenance

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceincrement of 12-26 hours; with continuous, real-time monitoring and maintenance
Procedure / Service Description

Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, - 95715 increment of 12-26 hours; with intermittent monitoring and maintenance Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each 95716 increment of 12-26 hours; with continuous, real-time monitoring and maintenance Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologist

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.