Neurology & Pain Management Coding Alert

Question:We have a claim calling for 95860 (once), 95903 (twice), and 95904 (four times). I read that you cannot split bill 95860 for professional and technical components because the physician reads the results while performing the test. Is that true? And will we need modifiers with any of the codes? Illinois Subscriber Answer:Keep several things in mind when selecting codes for this scenario, beginning with a clear understanding of what the codes include. You are correct in that if your neurologist is performing both the professional and technical components of the electrodiagnostic testing, you would bill the diagnostic studies as global services and not append any modifiers unless circumstances dictate otherwise.For example, if the neurologist performs an EMG on one arm in his office, you should bill 95860 (Needle electromyography' 1 extremity, with or without related paraspinal areas). If he performs the same test in a hospital setting, bill 98560 [...]