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Neurology & Pain Management Coding Alert

Reader Question:

Rely on Modifier 25 for Same-Day EMG, E/M

Published on Thu Jun 09, 2011

Question: Can I bill for both EMG and E/M services on the same day?Michigan SubscriberAnswer: 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 pre- and 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 typically includes the performance of a brief history and physical exam, which are necessary [...]
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