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Neurology & Pain Management Coding Alert

You Be the Coder:

Count Extremity for EMG, Nerves for NCS

Published on Sun Nov 25, 2012

Count Extremity for EMG, Nerves for NCS Question: Our neurologist completed an upper and lower extremity EMG and NCS on the same day. The diagnosis was the same for both extremities. How can we bill Medicare to avoid duplicate billing and rejection of the claim? Ohio Subscriber Answer: It is not clear from your question if the NCS comprised the motor or sensory nerve testing. Depending upon the type of study (motor without F-wave, motor with F-wave, or sensory), you may report code 95900 (Nerve conduction, amplitude and latency/velocity study, each nerve; motor, without F-wave study), 95903 (Nerve conduction, amplitude and latency/velocity study, each nerve; motor, with F-wave study), or 95904 (Nerve conduction, amplitude and latency/velocity study, each nerve; sensory). However, remember you cannot report multiple units if your clinician tests more than one place on a nerve. Report only a single code to represent testing multiple locations on a [...]
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