Neurology & Pain Management Coding Alert

Counting nerves correctly for 95937 = fewer repayments. Even though your neurologist may -- and often will -- repetitively stimulate a single nerve at various intervals of activity or inactivity, you've got to code based on separate and distinct nerves, not the number of stimulations performed on each nerve, or risk misreporting claims. Make 95937 a Single Line Item For neuromuscular junction (NMJ) testing, report 95937 (Neuromuscular junction testing [repetitive stimulation, paired stimuli], each nerve, any one method). Repetitive stimulation studies identify and differentiate disorders of the NMJ, such as myasthenia gravis (358.0x). The code description includes the term "each nerve," and that's where trouble often begins. You should report 95937 as a single line item with the total number of separate and distinct nerves tested reported in box 24G  or its electronic equivalent). Example: Suppose three separate and distinct nerves were repetitive stim tested -- the ulnar motor nerve to the abductor [...]