Wiki Emg - help on coding

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msingh23

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Need help on coding EMG w/o paraspinal did not done before
Dr. did 2 extremity w/o related paraspinal areas no NCV :
& Nerve conduction studies was 9-10 studies
I pull CPT 95861 and CPT 95911
However as I check CPT 95861is components of CPT 95911 , so I cannot use both, now I have no idea what is next. Any assistance will be greatly appreciated.
CC: UE numbness and tingling.
Thank you
 
msingh23 said:
Need help on coding EMG w/o paraspinal did not done before
Dr. did 2 extremity w/o related paraspinal areas no NCV :
& Nerve conduction studies was 9-10 studies
I pull CPT 95861 and CPT 95911
However as I check CPT 95861is components of CPT 95911 , so I cannot use both, now I have no idea what is next. Any assistance will be greatly appreciated.
CC: UE numbness and tingling.
Thank you
Click to expand...

If both are done at same time, same DOS you should use the 95886 +95911
the 95861 is used when nerve conduction studies are NOT done on same DOS.
 
Thanks for your respond.
I now see in the CPT that it indicate I cannot bill 95861 when same day Nerve conduction test. However I just want to ensure I got this. I will bill 95886 & 95911 for both were done at same time, same DOS although this was done without related paraspinal areas no NCV.
I did not see indication of with/without so I though CPT 95886 could only be use when paraspinal was done, so this coded is for with and without ??? Please advise.
Thank you so much for your input, appreceiated.
 
EMG Coding

Make sure to verify with the payer if they still allow 95861 as the EMG codes have been replaced by 95885, 95886 and 95887.
 
msingh23 said:
Thanks for your respond.
I now see in the CPT that it indicate I cannot bill 95861 when same day Nerve conduction test. However I just want to ensure I got this. I will bill 95886 & 95911 for both were done at same time, same DOS although this was done without related paraspinal areas no NCV.
I did not see indication of with/without so I though CPT 95886 could only be use when paraspinal was done, so this coded is for with and without ??? Please advise.
Thank you so much for your input, appreceiated.
Click to expand...


You are correct--95885/95886 can be used when extremity studies are done with OR without related paraspinals.
 
Thanks so much Meagan.
Now I can note CPT 95885 or 95886 can be use when extremity studies are done With OR Without related paraspinals once nerve conduction studies (CPT 95907-95913) are done on same DOS.

NO NCV bill only 95860 - 95864 (NO CPT 95907-95913)
Thanks to all for their contrubtion I now have a better understanding for EMG's
 
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