Billing and Coding

Resources

 

AES2020 NAEC/AES JOINT SESSION

NAEC/AES Session on EEG/VEEG and E & M Coding and Other Policy Changes in 2021

This session, presented at AES2020, provides a historical overview of CPT Code 95951 (VEEG) and explains the coding changes for reporting long-term EEG/VEEG monitoring services that became effective on January 1, 2020. This session also covers the proposed changes to coding Evaluation and Management services and the proposed Medicare relative values and payment rates for 2021 and proposed policies for telehealth and other physician services.
View on YouTube
 

 

 

Example Insurance Appeal Letters for Intracranial Neuromodulation in Children 

 

Intracranial neuromodulation for drug resistant epilepsy (DRE) has become widely adopted for patients with non-lesional disease, or in whom lesions cannot safely be resected or ablated. Deep Brain Stimulation (DBS) and Responsive Neurostimulation (RNS) are FDA approved for patients above the age of 18. There is growing data of the safety and efficacy of these devices in the pediatric population as well. Due to the lack of FDA approval, many payers consider the “off-label” use of DBS or RNS in pediatric patients as “investigational,” and as such, will not approve their use. In these circumstances, letters of appeal can be instrumental in securing prior authorization. AES has gathered example appeal letters that can be tailored to individual patients to help increase access to these therapies. 

Appeal letter 1
Appeal letter 2
Appeal letter 3
 

 

 

Other Resources