Wiki 95886 Stand Alone

[ms.bones206]

My Provider only billed for the 95886 (needle EMG) without the primary code because provider did not do a study (95907 through 95913). This was denied by insurance and I need to know how to resubmit (or if I can resubmit) to get what the provider did complete approved. Denial stated "Service/Report can not be billed separately". Has anyone else encountered this where their provider ONLY did the needle EMG?

 

[shanamarie]

My Provider only billed for the 95886 (needle EMG) without the primary code because provider did not do a study (95907 through 95913). This was denied by insurance and I need to know how to resubmit (or if I can resubmit) to get what the provider did complete approved. Denial stated "Service/Report can not be billed separately". Has anyone else encountered this where their provider ONLY did the needle EMG?

There are specific codes to bill when emg is done with no nerve conduction. Page 708 states to use emg codes 95860-95864 and 95867-95870 when no nerve conduction studies are performed on that day. I would review that section for the appropriate code.

 

[idaelperez]

My Provider only billed for the 95886 (needle EMG) without the primary code because provider did not do a study (95907 through 95913). This was denied by insurance and I need to know how to resubmit (or if I can resubmit) to get what the provider did complete approved. Denial stated "Service/Report can not be billed separately". Has anyone else encountered this where their provider ONLY did the needle EMG?

You still can bill 95886 and add CPT 95907-95913, however, you would also need to add ICD 10 Z53.9 (Procedure and treatment not carried out, unspecified reason) and make this ICD10 the only diagnosis for CPT 95907-95913.