Reader Question:
Employ Modifier 25 for Same-Day EMG, E/M
Published on Tue Nov 17, 2009
Question: Can I bill codes for EMG and E/M services on the same day? Michigan Subscriber Answer: If your neurologist performed both services and properly documented medical necessity for both services, you can bill E/M services for the same patient on the same date as an EMG (Electromyography) or nerve conduction study (NCS). If your neurologist performs and documents additional work that is not only separately identifiable from the preand post-diagnostic study work, but also meets the criteria of significant, then it is appropriate to append modifier 25 to the E/M code. There are many instances when you would report E/M services on the same day with electrodiagnostic medicine codes, such as 95860 (Needle electromyography; 1 extremity with or without related paraspinal areas) or 95900 (Nerve conduction, amplitude and latency/velocity study, each nerve; motor, without F-wave study). Neuromuscular electrodiagnostic testing typicallyincludes the performance of a brief history and physical exam, [...]
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