Wiki Consult / EMG Test - Help!

[Miax0328]

Can the same provider bill a new patient E/M if he or she has previously performed only an EMG/NCV test on a previous date of service?? Or would it be considered an established patient? Thank You

 

[jemimah crescentia]

I think if your provider had not previously consulted or evaluated the patient but performed only tests/procedures such as EMG/NCV, then he/she can bill the patient with new pt visit

With Regards,
Dr. Jemimah, CPC

 

[mhstrauss]

If the provider had only done the NCV portion of the test previously, which does not require direct face-to-face contact between the physician and patient, he would be eligible to charge a new patient E/M service now. But if he had done the EMG, which does require direct face-to-face contact, then he cannot charge a new patient visit now...will have to be established.

Hope this helps!

 

[MarcusM]

Part of performing electro diagnostic testing is a face to face evaluation to confirm medical necessity for testing. If referred for right upper extremity test, the doctor should evaluate bilateral arms to determine a baseline. The Dr. will possible compare left to right to determine severity of right arm issues in the testing.