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Neurology & Pain Management Coding Alert

Reader Question:

Results Matter When Reporting 96110

Published on Thu Jan 28, 2010

Question: I've heard that in order for us to bill 96110, the report section should be included in the medical record. What are the requirements for reporting 96110? Illinois Subscriber Answer: In order to properly report 96110 (Developmental testing; limited [e.g., Developmental Screening Test II, Early Language Milestone Screen], with interpretation and report), your supporting documents need to show that your neurologist reviewed and interpreted a standardized test/tool. The report will be scored as either "normal" or "abnormal" on the chart. Your neurologist must also indicate that he reviewed and discussed the results with the patient or a family member. Keeping a copy of the actual questionnaire in the patient's record is probably good practice as well. Make sure the documentation refers to the test by name, however -- that way an auditor will see that your neurologist used a qualifying test. Important: Notice that you won't see codes for administering [...]
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