In Billing
Oct 11th, 2018
Valid claims submitted by physical therapists (PTs) in private practice are being denied by some Part B Medicare Administrative Contractors (MACs), according to the Centers for Medicare & Medicaid Services (CMS). These claims are for the professional component (PC) or global code for certain diagnostic services involving electromyography (EMG), nerve conduction velocity (NCV), and sensory-evok...
In Coding
Nov 13th, 2014
Question: Is it appropriate to report intraoperative monitoring codes 95940-95941 for monitoring during pedicle screw placement? Answer: No. According to the May 2013 CPT® Assistant, “Use electromyography codes 95860-95864, 95869, 95870, 95885, or 95886 when performing monitoring during pedicle screw placement.” Pedicle screws are placed for spinal stabilization. Misplaced pedicle screws may result...
Jul 1st, 2012
CPT® 2012 updates reporting for electrodiagnostic testing with the addition of three codes to describe electromyography (EMG) services performed with a nerve conduction study (NCS). +95885   Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code for primary...
Jun 1st, 2012
CPT® 2012 revises intraoperative neurophysiologic monitoring code usage for surgery. By Gloria Galloway, MD, FAAN Use of intraoperative neurophysiologic monitoring (IONM) has increased over the last decade due to evidence of its role in reducing or preventing the incidence of paralysis or paraparesis in certain types of surgeries. Changes to CPT® 2012 affect codes used ...
Mar 1st, 2009
Five steps is all you need for modifier 25 claim success. By G. John Verhovshek, MA, CPC Misuse of modifier 25 Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service is among the most common coding mistakes, costing medical practices millions each year ...