Eli's Rehab Report
Return to Your Documentation for EMG Coding
Question: If I am billing an office EMG of one extremity with two motor and two sensory, and the doctor does four repetitive stimulations on the same muscle, should I use a modifier on the repetitive stimulation? If so, can I list this as four units, or do I have to list them individually? Answer: Time to look back at your documentation. Ask your provider whether he is performing neuromuscular junction testing (NMJ).
Florida Subscriber
NMJ is a diagnostic test in which the physician repetitively stimulates the muscle(s) innervated by a specific nerve. Physicians often use NMJ to confirm myasthenia gravis.
If so, you should report 95937 (Neuromuscular junction testing [repetitive stimulation, paired stimuli], each nerve, any one method). This CPT code is based on documentation of each nerve tested rather than muscles or number of stimulations.
Eli's Rehab Report
- Revitalize Your Dx Coding for Fracture Repair Rehab Service
Bury the myth that you cannot report a V code as a primary diagnosis When [...] - Don't Let Supervision Regs Undermine Your Claim
The documentation must support direct supervision for electrodiagnostic services If your provider isn't documenting his [...] - News You Can Use:
Fight Fraud With This 8-Minute-Rule Refresher Course
Plus: Familiarize yourself with these vital licensing requirements When the OIG put therapy services on [...] - You Be the Coder:
Chemodenervation on Right Leg and Right Arm
Question: I'm confused. Can I use modifier 50 (Bilateral procedure) with CPT 64614 [...] - Reader Questions:
Switch A Codes to Q Codes for LOCM
Question: I heard there was a change in how we should report LOCM (low osmolar [...] - Reader Questions:
Predict Payer Issues for 2 Procedures Same Day
Question: A physiatrist performed a digital nerve block on a partial amputation and then sent [...] - Reader Questions:
Select 64640 for Phenol Injections
Question: How should I code (1) phenol injections to the left pectoralis major muscle group [...] - Reader Questions:
Make Use of Modifier 59 With Motor NCS
Question: When my physiatrist performs CPT 95900 and 95903 on different nerves, should [...] - Reader Questions:
Examine the PT/OT Angle of Burn Coding
Question: I'm a new coder at a rehab center with therapists, and we see burn [...] - Reader Questions:
Return to Your Documentation for EMG Coding
Question: If I am billing an office EMG of one extremity with two motor and [...] - Reader Questions:
Note How Rule of Nine Can Change
Question: Does ICD-9 Codes always stick to the percentages for the Rule of Nines? How [...] - Reader Questions:
Report 64450 for Lesser Occipital Nerve Block
Question: What is the correct way to bill for bilateral greater and lesser occipital nerve [...]
