naptime7k@aol.com
Networker
I am looking for any documentation from AMA or AASEM, or anyone, regarding the proper documentation and requirements of pf-Ncs testing. I have so many chiropractors overusing and I can't prove it. I always though CPT code 95904 required all components mentioned in the description to be correctly identified, but someone is telling me that's not true.
Providers use 95999 to report pf-NCS, but report 18 or 16 units for each nerve tested. I have been using 0110T as a relatively consistent code to reference for this service and unlisted code, which also changes the unit options to "how many extremities tested". Also, since WC does not have a RVU for this code either, I have used 95904 RVU as a reference for reimbursement.
Is this correct? Or can the provider simply go straight to 95904 and report by nerve. I also do not have medical records, simply working off denials.
Any ideas? Thanks
Providers use 95999 to report pf-NCS, but report 18 or 16 units for each nerve tested. I have been using 0110T as a relatively consistent code to reference for this service and unlisted code, which also changes the unit options to "how many extremities tested". Also, since WC does not have a RVU for this code either, I have used 95904 RVU as a reference for reimbursement.
Is this correct? Or can the provider simply go straight to 95904 and report by nerve. I also do not have medical records, simply working off denials.
Any ideas? Thanks