Neurology & Pain Management Coding Alert
Report 95957 With 95816/95819/95954 Only
Question: May I report sleep studies 95819/95951 with spike analysis 95957? Answer: You may report digital spike analysis 95957 (Digital analysis of electroencephalogram [EEG] [e.g., for epileptic spike analysis]) with codes 95816 (Electro-encephalogram [EEG]; including recording awake and drowsy), 95819 (... including recording awake and asleep) or 95954 (Pharmacological or physical activation requiring physician attendance during EEG recording of activation phase [e.g., thiopental activation test]), according to the CPT Assistant. You may not report 95957 with 95951 (Monitoring for localization of cerebral seizure focus by cable or radio, 16 or more channel telemetry, combined electroencephalographic [EEG] and video recording and interpretation [e.g., for presurgical localization], each 24 hours).
Michigan Subscriber
Neurology & Pain Management Coding Alert
- 4 Guidelines Help You Bill Epidural Blocks
Look for documented location, depth and substance Do you have difficulty selecting the right code [...] - Make the Most of Block Billing
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Don't make choosing an epidural block code harder than it has to be. Typically, neurologists [...] - Billing 'Starred' Procedures:
Get Paid for E/M Services During Global Periods
Did you know that you can bill for services, such as follow-up E/M care, that [...] - You Be the Coder:
Reporting Multiple Evoked Potentials
Question: I reported 95925 x 4 with modifier -51 appended to the second, third and [...] - Get the Answers to Your Consult and Referral Questions
Coding expert Nicoletti weighs in with her advice Don't allow your practice to lose money [...] - 5-Point Checklist Will Get You Paid When Using Modifier -22
If you're submitting claims for unusual procedural services without first determining how you're going to [...] - Reader Question:
Use 'M' Codes at Payer/Facility Request
Question: What are "M" codes? Should I use them?
California Subscriber Answer: The M codes (for [...] - Reader Question:
Don't Confuse 'XXX' and '000' Global Periods
Question: What's the difference between an XXX global period and a 000 global period?
Indiana Subscriber
Answer: [...] - Reader Question:
Supervision Requirements Vary by Test, Locale
Question: Our practice wants to hire a neuro-physiologist who has a PhD, but not an [...] - Reader Question:
Report 95957 With 95816/95819/95954 Only
Question: May I report sleep studies 95819/95951 with spike analysis 95957?
Michigan Subscriber Answer: You may [...] - Reader Question:
Use E/M for Day-After Visit
Question: Our group of neurologists evaluates a patient on day one. The following day the [...] - Reader Question:
Don't Use -50 With 95870
Question: What is the best method to report 95870 in three muscles of each arm [...] - Reader Question:
ED Codes Are Off-Limits for the Office
Question: Recently, an allergy patient presenting for evaluation of carpal tunnel experienced anaphylactic shock while [...] - Reader Question:
Don't Risk Undercoding E/Ms
Question: I am trying to figure out an easy way to determine risk levels for [...] - Reader Question:
Hold Claims for New Doctor
Question: We have a new doctor who does not have her Medicare or other provider [...] - Tools You Can Use:
Nerve Block Decision Quiz
Looking for a quick way to choose the correct nerve block code? Take this easy [...]
