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Wiki 95885 and 95886

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lfriedman200

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Medicare informed me, both 95885 and 95886 will not pay when billed together, even if billed with a -59 mod. Is this true?
 
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
 
The XS modifier may be more specific for Medicare to indicate that the EMG testing was performed on separate extremities
 
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