Question: Should I report 95851 once per extremity or once per session, regardless of the number of limbs the neurologist tests? Answer: You should report 95851 (Range-of-motion measurements and report [separate procedure]; each extremity [excluding hand] or each trunk section [spine]) per limb that the neurologist tests. Payers will regularly bundle any of the above services into any E/M service that the neurologist provides on the same day. Therefore, you can expect denials for 95851-95852 and/or 95831-95834 when you bill them at the same time as an E/M visit. You may only report the range-of-motion testing separately if the neurologist provides the service independent of an E/M service.
Arizona Subscriber
Code 95851 describes manual testing of each arm or leg or sections of the spinal muscles in a separately reported procedure. To bill for each extremity, report 95851 on one line of the CMS-1500 or claim form and multiply it by the number of limbs tested. For example, if the neurologist tests both arms, you should use 95851 x 2. Documentation should include a report for each extremity or spinal section the neurologist examines.
CPT includes several "range-of-motion" codes other than 95851.