Wiki 95885 and 95886

[lfriedman200]

Medicare informed me, both 95885 and 95886 will not pay when billed together, even if billed with a -59 mod. Is this true?

 

[cpc2007]

CPT 95886 and 95885 have an NCCI edit to prevent you from reporting both codes for the same limb, but if your physician is performing a complete EMG of one limb (e.g., left leg) and a limited of another (e.g., right leg), you can report 95885 with modifier 59. The NCCI edit does allow for the modifier.

I hope that helps.

Kim
www.codingmastery.com

 

[marvelh]

The XS modifier may be more specific for Medicare to indicate that the EMG testing was performed on separate extremities