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Ambulatory EEG
Why Neurotech In-Home EEG
aEEG Library
Physicians FAQs
Continuous EEG
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Neonatal cEEG
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cEEG Library
Clinical Research
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Patients FAQs
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What to Expect for Pediatrics
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Patient Information
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Insurance Information
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Order Information
Hookup selection
95700 - EEG hookup
Intermittent Monitoring
95715 - with video
95709 - without video
Diagnosis Code
Select Code
F44.5 - Conversion disorder with seizures or convulsions
G40.001- Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, with status epilepticus
G40.009 - Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus
G40.011 - Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus
G40.019 - Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus
G40.101 - Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus
G40.109 - Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus
G40.111 - Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus
G40.119 - Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus
G40.201 - Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus
G40.209 - Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus
G40.211 - Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus
G40.219 - Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus
G40.301 - Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus
G40.309 - Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus
G40.311 - Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus
G40.319 - Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticus
G40.401 - Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus
G40.409 - Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus
G40.411 - Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus
G40.419 - Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus
G40.501 - Epileptic seizures related to external causes, not intractable, with status epilepticus
G40.509 - Epileptic seizures related to external causes, not intractable, without status epilepticus
G40.801 - Other epilepsy, not intractable, with status epilepticus
G40.802 - Other epilepsy, not intractable, without status epilepticus
G40.803 - Other epilepsy, intractable, with status epilepticus
G40.804 - Other epilepsy, intractable, without status epilepticus
G40.811 - Lennox-Gastaut syndrome, not intractable, with status epilepticus
G40.812 - Lennox-Gastaut syndrome, not intractable, without status epilepticus
G40.813 - Lennox-Gastaut syndrome, intractable, with status epilepticus
G40.814 - Lennox-Gastaut syndrome, intractable, without status epilepticus
G40.821 - Epileptic spasms, not intractable, with status epilepticus
G40.822 - Epileptic spasms, not intractable, without status epilepticus
G40.823 - Epileptic spasms, intractable, with status epilepticus
G40.824 - Epileptic spasms, intractable, without status epilepticus
G40.89 - Other seizures
G40.901 - Epilepsy, unspecified, not intractable, with status epilepticus
G40.909 - Epilepsy, unspecified, not intractable, without status epilepticus
G40.911 - Epilepsy, unspecified, intractable, with status epilepticus
G40.919 - Epilepsy, unspecified, intractable, without status epilepticus
G40.A01 - Absence epileptic syndrome, not intractable, with status epilepticus
G40.A09 - Absence epileptic syndrome, not intractable, without status epilepticus
G40.A11 - Absence epileptic syndrome, intractable, with status epilepticus
G40.A19 - Absence epileptic syndrome, intractable, without status epilepticus
G40.B01 - Juvenile myoclonic epilepsy, not intractable, with status epilepticus
G40.B09 - Juvenile myoclonic epilepsy, not intractable, without status epilepticus
G40.B11 - Juvenile myoclonic epilepsy, intractable, with status epilepticus
G40.B19 - Juvenile myoclonic epilepsy, intractable, without status epilepticus
R25.0 - Abnormal head movements
R25.1 - Tremor, unspecified
R25.2 - Cramp and spasm
R25.3 - Fasciculation
R25.8 - Other abnormal involuntary movements
R25.9 - Unspecified abnormal involuntary movements
R55 - Syncope and collapse
R56.1 - Post traumatic seizures
R56.9 - Unspecified convulsions
EEG Duration
Routine (30 Minutes)
24 Hours
48 Hours
72 Hours
96 Hours
Other Duration
Until Event Occurs
ECG will be done on all patients over 2 years of age. Check below if you do NOT want ECG.
No ECG
Additional Services
T1/T2 electrodes
A1/A2 electrodes
Hyperventilation
Photic Stimulation
Sleep Deprivation
Patient Notes
Patient history and previous EEG results are required for preauthorization. Please upload below to avoid delays in scheduling.
Patient History (Max size: 5MB)
Previous EEG Results (Max size: 5MB)
Physician Reports/Interpretation
I/my practice will provide a single report at the conclusion of the entire EEG recording.
I would like Neurotech to provide an interpreting physician.
Referring Physician
Office Location
Interpreting Physician
Physician's Email
Physician's Signature
By checking the box, you are indicating that you are the referring physician and are authorizing the EEG study for this patient.
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