| MP 2.01.10 | Topographic Brain Mapping | |
| Medical Policy | ||
| Section Medicine |
Original Policy Date 12/1/95 |
Last Review Status/Date Reviewed by consensus/3:2003 |
| Issue 3:2003 |
Return to Medical Policy Index |
Description
Topographic brain mapping (TBM) is an extension of conventional electroencephalography. TBM, sometimes referred to as brain electrical activity mapping (BEAM), involves the computerized analysis and topographic display of EEG rhythms and evoked potential data on a color video screen. A wide assortment of maps can be created to represent different measurement patterns. The purpose of TBM is to identify patterns that distinguish pathological groups from normal ones.
Policy
Topographic brain mapping is considered investigational.
Policy Guidelines
No applicable information
Benefit Application
BlueCard/National Account Issues
Denial of this procedure is applicable for contracts or certificates of coverage that maintain an exclusion for investigational services.
Rationale
A search of the literature was completed through the MEDLINE database for the period of January 1992 through February 20, 1997. The search strategy focused on references containing the following Medical Subject Heading:
– Brain Mapping
Research was limited to English-language journals on humans.
See also:
– TEC Evaluation & Coverage 1987: p. 174
|
Codes |
Number |
Description |
| CPT | No Code | |
| ICD-9 Procedure | No Code | |
| ICD-9 Diagnosis | Investigational for all codes | |
| HCPCS | S8040 | Topographic brain mapping |
| Type of Service | Medical/Diagnostic | |
| Place of Service | Inpatient | |
Index
Topographic brain mapping
Policy History
| Date | Action | Reason |
| 12/1/95 | Add to Medicine section | New policy |
| 7/31/97 | Replace policy | Reviewed without changes |
| 7/12/02 | Replace policy | Policy reviewed without literature review; new review date only |
| 10/9/03 | Replace policy | Policy reviewed without literature review; policy no longer scheduled for further review as this topic was of minimal interest to plans. Likely that topographic brain mapping is coded for by CPT code for quantitative EEG. |
Find a Provider
Medicare
Prescription Drugs
Medicare Formulary