Pain Management Coding Alert
Counting, Separating Nerve Conduction Studies
Question: I need help with this nerve conduction study (NCS) claim: Notes indicate that the PM specialist performed a right median and right ulnar NCS. Additionally, she performed a left ulnar NCS. Is this a 95907 or 95908 claim? I’m wondering if the right and left ulnar studies are separate. Montana Subscriber Answer: If the PM specialist performs bilateral ulnar studies, it counts as two studies. So, you should report 95908 (Nerve conduction studies; 3-4 studies) for the service, as the PM specialist performed a right median NCS in addition to the two ulnar studies. Good idea: Since the provider performed studies on both sides of the body — and duplicated one test on the left and right side (ulnar) — there could be some confusion when the payer processes the claim. You might want to consider submitting a clarification in the notes that explains the situation. Something like “performed ulnar NCS on right and left sides.”
Pain Management Coding Alert
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