CPT Code 95816: Guidelines, Modifiers, Error Codes & Outsourcing Solutions

CPT Code 95816 covers Electrocorticography (ECoG) under anesthesia or sedation, a specialized procedure crucial for neurologists and neurosurgeons in diagnosing conditions like epilepsy. Accurate coding, documentation, and modifier usage are essential for proper reimbursement and compliance. Errors in medical necessity, documentation gaps, or incorrect modifier application often lead to claim denials and revenue loss. This article explores CPT Code 95816 guidelines, key modifiers (26, TC, 59), and the impact of error codes on billing outcomes. Outsourcing CPT 95816 billing to Allzone ensures accurate coding, compliance with payer policies, and proactive denial management. With expertise in neurophysiology, Allzone provides efficient workflows, internal auditing, and up-to-date knowledge of CPT changes. Partnering with Allzone reduces administrative burdens, prevents costly errors, and maximizes reimbursement. If your practice struggles with CPT 95816 billing challenges, outsourcing to Allzone Management Services offers a reliable, cost-effective, and scalable solution tailored to your needs.