Neurology & Pain Management Coding Alert
Use +95920 for Some EMGs
Question: Can I use +95920 with EMGs? Illinois Subscriber Answer: You can use several of the electromyography (EMG) diagnostic study codes as the parent code to the add-on intraoperative monitoring (IOM) code +95920 (Intraoperative neurophysiology testing, per hour [List separately in addition to code for primary procedure]). The EMG codes include: - 95860 -- Needle electromyography; one extremity with or without related paraspinal areas - 95861 -- ... two extremities with or without related paraspinal areas - 95867 -- ... cranial nerve supplied muscle(s), unilateral - 95868 -- ... cranial nerve supplied muscles(s), bilateral - 95870 -- ... limited study of muscles in one extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters. Choose the "parent" code to report the baseline diagnostic study performed just prior to the surgical procedure and intra-operative monitoring. Many payers, including Medicare, have policies regarding IOM, so checking for any documentation, coding, and billing requirements is best. -- Clinical and coding expertise for You Be the Coder and Reader Questions reviewed by Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CHCO, owner of MJH Consulting in Denver.
Neurology & Pain Management Coding Alert
- Take Care Splitting EEG Into Pro and Tech Components to Fend off Denials
Purchasing power will change the rules for using modifiers 26, TC Reporting modifiers 26 (Professional [...] - Get Ready for New Stroke Code With Can't-Miss Insights
Check out what ICD-9 has in store for stroke patients treated with tPA If you [...] - ICD-9 Coding:
Think 'Likely' Diagnosis Trumps Symptoms? Think Again
Look for these phrases in your neurologist's documentation Typically, your first-listed ICD-9 code is your [...] - News You Can Use:
What a New AAN Neuralgia Guideline Means for You
Code 350.1 may be treated differently than in the past The American Academy of Neurology [...] - You Be the Coder:
Check ICD-9 for Coding Brain Death
Question: How do I go about coding brain death found by routine EEG? Wisconsin Subscriber [...] - Watch for Frequent Signs and Symptoms
Neurology highlights: Signs and symptoms you might encounter more frequently in a neurology practice include [...] - Reader Questions:
Use a Modifier for Short EEG Studies
Question: My neurologist performed an EEG with video monitoring for eight hours. How should I [...] - Reader Questions:
Code Right for Stroke Patient Critical Care
Question: How should I code for the critical care of a stroke patient on Medicare? [...] - Reader Questions:
Use +95920 for Some EMGs
Question: Can I use +95920 with EMGs? Illinois Subscriber Answer: You can use several of [...]
