Neurology & Pain Management Coding Alert

Verify total nerves tested, get specific for preconfigured devices.If you find reporting nerve conduction studies (NCS) especially problematic when your neurologist performs multiple and/or bilateral nerve testing, knowing how to report each unit of testing and work with bundles and modifiers could ease your coding -- and speed the way to smooth claims for these services. .1. Watch for NCS Bundles According to National Correct Coding Initiative (CCI) edits, you can't bill both 95900 (Nerve conduction, amplitude and latency/velocity study, each nerve; motor, without F-wave study) and 95903 (Nerve conduction, amplitude and latency/velocity study, each nerve; motor, with F-wave study) for conduction study on the same motor nerve. Code 95900 is a column 2 code for the more extensive column 1 code 95903. When you can legitimately report both codes, append a modifier to 95900 to differentiate the services provided.Example: If you read that your neurologist did nerve conduction testing on [...]