I cannot get Medicare to pay for two limited EMG studies (95870X2) on the same date. They will pay full EMG studies for up to four limbs (95860,95861,95863,95864), but they keep stating that it is not payable. I don't want to have my doc's unnecessary stick people more than five times if it is not warrented anyone else having this problem?
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki EMG Billing
- Thread starter taran
- Start date
dnostdahl
Contributor
Emg
It could be your diagnosis code
It could be your diagnosis code
dmaec
True Blue
or, maybe you need a modifier - like 59 or 76 why was it done twice ? repeat same extremity? second time different extremity?
cheermom68
Expert
Emg
Have you tried billing it with a RT and LT? Generally I have found that x2 will get denied but if you identify that it is two different sides they will pay.
Have you tried billing it with a RT and LT? Generally I have found that x2 will get denied but if you identify that it is two different sides they will pay.
nbluvette
Guest
Be sure you are using 95870 for muscles other than thoracic paraspinal (95869) paraspinal, cranial nerve supplied muscles..........
If it is two extremities, identify by LT or RT or RT, RT and the modifier -59 - may need that combination.
If it is two extremities, identify by LT or RT or RT, RT and the modifier -59 - may need that combination.