Neurology & Pain Management Coding Alert
95920 Can't Coincide With Office Visit
Question: One of our physicians says he can concurrently monitor intraoperative neurophysiology while conducting office visits. I think otherwise; what should I do about these claims? Michigan Subscriber Answer: Code +95920 (Intraoperative neurophysiology testing, per hour [list separately in addition to code for primary procedure]) is an add-on code, which means you must report it with a larger-scope service. CPT lists several procedures you can report with 95920, including 92585 (Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; comprehensive), 95860 (Needle electromyography; one extremity with or without related paraspinal areas), 95900 (Nerve conduction, amplitude and latency/velocity study, each nerve; motor, without F-wave study) and others. See the first parenthetical note with 95920 in CPT for a complete list of accepted primary services. None of the services listed, however, include office visits such as 99211-99215 (Office or other outpatient visit for the evaluation and management of an established patient ...). You are correct in thinking a physician should not report 95920 with an office visit.
Neurology & Pain Management Coding Alert
- Red Flag:
Urinary or Sepsis Problems Can Lead to Neurological Coding Complications
Code neurological conditions based on diagnosis, not symptoms You might be an ace at coding [...] - You Be the Coder:
Multiple-Level EMGs
Question: Should we bill modifier 59 when our neurologist performs multiple levels of EMGs? For [...] - Procedure Basics:
You Can Report 96118, 96119 Separately -- if Details Fit
Watch these 2 areas to keep your claims legit If correctly reporting CPT 96118 and [...] - Compliance:
PHI Release Authorizations Aren't Always Forever
Make sure your authorization to disclose PHI hasn't expired One year ago, your patient signed [...] - Reader Questions:
Watch Documentation for tPA and Critical Care
Question: What is the appropriate way to bill for tPA? Can we bill for tPA [...] - Reader Question:
Consult Criteria May Differ by Payer
Question: I-ve seen information containing consultation definitions that differ from CPT. How do I know [...] - Reader Question:
95920 Can't Coincide With Office Visit
Question: One of our physicians says he can concurrently monitor intraoperative neurophysiology while conducting office [...] - Reader Question:
Reason for Fall Helps Guide Diagnosis
Question: What diagnosis should I report for a patient who falls frequently? New Jersey Subscriber [...] - Reader Question:
Check That Diagnoses You Submit Are in ICD-9
Question: Our Blue Cross carrier denied our claim with diagnoses 847.0, 307.87 and 346.0; the [...] - Reader Question:
Understanding Transitional Facility vs. Nonfacility
Question: What is the difference between a transitional nonfacility and a transitional facility? I-m not [...] - Reader Question:
Verify Details Before Using 95812
Question: Should we report 95812 or 95816 for an EEG obtained in the awake state [...] - Reader Question:
Observe PHI Rules for Patients and Staff
Question: How should a medical facility handle employees- access to their own medical records or [...]
