Wiki Auditing Nerve Conduction Studies

[ShellieSulzberger]

Can you help me with the total number of nerves for billing? I put what I think counts and what I am not sure on. Can you email me directly at: ssulzberger@ccipro.net

Anti-sensory summary:

Right Median D2 anti-sensory (median D2)

Right Median D3 anti-sensory (3rd digit)

Right Radial anti-sensory (base 1st digit)

Right Ulnar D5 anti-sensory (5th digit)

So I count 4



Motor summary:

Right Median motor (abd poll brev)

Right Ulnar motor (abd dig minimi)

Right Ulnar inching motor (FDI) not sure if this is counted separately since ulnar is above

So either 2 or 3 depending on the ulnar inching (FDI)



Sensory Comparison Summary:

Right Median/Radial Sensory Comparison (Digit 1)

Median 10cm

Radial 10cm

Not sure if this counts and if so 1 or 2?



F Wave Studies:

Right Median

Right Ulnar

This does not count

 

[SharonCollachi]

Appendix J found in the AMA CPT® codebook is a list of individual nerves created for the purposes of billing NCS. The list identifies each individual sensory, motor, or mixed nerve, or nerve segment that can be counted separately toward the NCS total. Each line of Appendix J’s list of nerves refers to a different nerve and should be counted as an individual unit. For example, the ulnar motor nerve has 4 different nerve segments that can each be counted separately toward the total (i.e., ulnar motor nerve to the abductor digiti minimi, ulnar motor nerve to the palmar interosseous, ulnar motor nerve to the first dorsal interosseous, ulnar motor nerve to the flexor carpi ulnaris) (click me for more info).

Inching studies are not counted separately. You may need to educate your providers on how to report the studies to you.