Neurology & Pain Management Coding Alert

You Be the Coder:

Injections With Electromyographies

Question: Our neurologist performed a unilateral needle electromyography on three extremities for a patient with multiple sclerosis. During the procedure, he also injected steroids in the facet joint nerve of one thoracic level. Can we report codes for the procedure and the injection, or are they bundled? Missouri Subscriber Answer: Thanks to a change in the Correct Coding Initiative (CCI) edits, you can report both codes on the claim. You have been able to report facet joint injections separately from electromyographies since January 2006. This was possible after the CCI unbundled the two services. (Previously, the injection was bundled into the electromyography.) Include three codes on your claim: - 95863 (Needle electromyography; three extremities with or without related paraspinal areas) for the electromyography - 64470 (Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; cervical or thoracic, single level) for the injection. - Diagnosis 340 (Multiple sclerosis) with 95863 and 64470 to prove medical necessity for both procedures.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Neurology & Pain Management Coding Alert

View All