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Neurology & Pain Management Coding Alert

Neurology:

Don't Miss Indicator Change from '0' to '2' for 95928 and 95929

Published on Thu Oct 13, 2011

Your pay won't change, but modifier shifts to better reflect procedure.If you code for motor evoked potential testing, you'll need to be up to speed on a bilateral modifier change that could change your reporting. New modifier indicators are in effect as of Oct. 1, 2011 for these procedures, thanks to Medicare Physician Fee Schedule updates. Prepare for '0' to '2' Modifier Status The modifier indicator change affects codes 95928 (Central motor evoked potential study [transcranial motor stimulation]; upper limbs) and 95929 (... lower limbs). Previous schedules listed bilateral indicator "0" for the codes; now the schedule lists bilateral indicator "2."Details: At first glance indicators "0" and "2" seem the same because they both mean that payment adjustments for bilateral procedures do not apply. The difference is that procedures with indicator "2" do not allow for payment adjustment because the RVUs associated with the code are already based on a [...]
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