Wiki EMG coding - Hi I work for a Phyiatrist

[lindarosenberg]

Hi I work for a Phyiatrist who is board certified in Physical Medicine and Rehabilitation and Pain Management. For 2013 according to cpt manual codes 95860-95870 are to be used when no nerve conduction studies are performed on that day and 95885-95886 are to be used when emg is done in conjunction with a nerve conduction. Also according to cpt book 95885-886 are add on codes and we all know add ons can not be billed seperate. For medicare guidelines should i be billing for example:

95860,95885, and 95909


Please help.

 

[mhstrauss]

Hi I work for a Phyiatrist who is board certified in Physical Medicine and Rehabilitation and Pain Management. For 2013 according to cpt manual codes 95860-95870 are to be used when no nerve conduction studies are performed on that day and 95885-95886 are to be used when emg is done in conjunction with a nerve conduction. Also according to cpt book 95885-886 are add on codes and we all know add ons can not be billed seperate. For medicare guidelines should i be billing for example:

95860,95885, and 95909


Please help.

Your example is not correct. If a limited EMG of 1 extremity along with NCV-- 5-6 studies, the correct codes are 95909, 95885. The 95860 would only be used if EMG is performed without any NCV studies the same day. This is CPT/AMA guidelines, not just Medicare.

Hope this helps!