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Neurology & Pain Management Coding Alert

Denial Woe:

Bust 95900 Bundles By Employing 3 Tactics

Published on Mon May 25, 2009

The AMA, modifier 59, and a highlighter can win NCS appeals. You can kiss your -without F-wave serve conduction study (NCS)- pay good-bye unless you use these strategies to show the payer the additional study is separately payable. Take a look at this recent reader's scenario and put your nerve conductioncoding skills to the test. Solve the Scenario A patient arrives for neuromuscular electrodiagnostic testing on his lower extremity.Your neurologist performs a study that includes a distal and proximal Peroneal nerve conduction recorded off the extensor digitorum brevis (EDB) muscle, along the foot.The late-response F-wave study is also performed. How should this be billed? Answer: Bill the NCS as 95903 (Nerve conduction, amplitude and latency/ velocity study, each nerve; motor, with F-wave study). So far, so good. The plot thickens: The distal compound muscle action potential (CMAP) amplitude is below normal, so your neurologist performs an additional Peroneal conduction study, [...]
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