Alerts

Rate Change for EEG Procedure Codes

5/30/2024

PDF Version


TO:  Physicians and Independent Radiology Clinic Providers

 

RE:  Rate Change for EEG Procedure Codes

 

 

Effective for dates of service on and after October 1, 2024, the Alabama Medicaid Agency will change the reimbursement rates for the following EEG procedure codes:

 

CPT

Description

Current Medicaid

Reimbursement Rate

New Medicaid

Reimbursement Rate

(Effective 10/01/2024)

95700

EEG CONT REC W/ VID EEG TECH   

$78.65

$93.25

95706

EEG W/O VID 2-12HR INTMT MNTR   

$78.65

$132.73

95707

EEG W/O VID 2-12HR CONT MNTR

$78.65

$243.75

95708

EEG W/O VID EA 12-26HR UNMNTR  

$78.65

$112.50

95709

EEG W/O VID EA 12-26HR INTMT 

$78.65

$279.94

95710

EEG W/O VID EA 12-26HR CONT  

$78.65

$487.50

95712

VEEG 2-12 HR INTMT MNTR   

$186.65

$206.25

95713

VEEG 2-12 HR CONT MNTR 

$186.65

$281.25

95715

VEEG EA 12-26HR INTMT MNTR             

$186.65

$412.50

95716

VEEG EA 12-26HR CONT MNTR 

$186.65

$562.50

NOTE: These new rates do not impact Physician Teaching rates.

Providers with billing questions should contact the Gainwell Technologies Provider Assistance Center at 1-800-688-7989.

The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2024 American Medical Association
and © 20
24 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.