Advanced Search

Podiatry Coding & Billing Alert

Reader Questions:

Bill the Correct Number of Gait Analysis Codes

Published on Thu May 12, 2011

Question: I've had trouble billing for motion analysis codes when our podiatrists perform more than one test. For example, one time I billed 96002 twice for two different electromyography tests a patient underwent -- once while wearing her orthoses and once without. This claim was denied along with several other claims similar to it. Am I doing something wrong?Texas SubscriberAnswer: Your payer was probably denying these claims because you may only report multiple motion analysis test sessions -- not the number of conditions under which the podiatrist ran the test. This means that the same code counts for one session, regardless of how many trials the podiatrist ran. In the example you gave about the patient retested with and without her orthoses, you may report 96002 (Dynamic surface electromyography, during walking or other functional activities, 1-12 muscles) only once.However, this doesn't mean the patient has to have a completely separate appointment in [...]
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

Podiatry Coding & Billing Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.