PT  - JOURNAL ARTICLE
AU  - Selim R. Benbadis
TI  - The Best Seizure Diagnostic Tool Is Not a Medical Device
AID  - 10.1212/CPJ.0000000000200117
DP  - 2023 Feb 01
TA  - Neurology: Clinical Practice
PG  - e200117
VI  - 13
IP  - 1
4099  - http://cp.neurology.org/content/13/1/e200117.short
4100  - http://cp.neurology.org/content/13/1/e200117.full
AB  - The diagnosis of seizures and epilepsy is primarily based on the history, but history-taking is fraught with difficulties and has serious limitations, which is one reason for the common misdiagnosis of seizures. EEG is a very useful tool, but routine EEG has poor sensitivity, and prolonged EEG-video monitoring, the gold-standard for diagnosis, is only useful for patients with frequent events. Smartphones are ubiquitous, and their videos are increasingly used as an extension of the history and a diagnostic tool. Stand-alone videos should be considered a diagnostic tool and treated as such, including with a Current Procedural Terminology (CPT) code, the American uniform nomenclature for medical procedures, which is used for billing and reimbursement.