KristinM522
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Our office if having an issue billing for EMG's as of 2012.
If we bill CPT code 95860 or 95870 with CPT codes from the 95900-95904 category insurances (BCBS, MCR etc) are denying to pay the 95860/70 WITH the 95900-04 charges. Has anybody else had this issue? Are you using a different coding procedure for these studies? Should we be adding a different modifier for the 95900-04 codes?
The CPT book direct us to 95885-95887 for EMG services preformed on the same day as the 95900-04 codes BUT theres debate in the office as to wheather its appropriate or not for us to use them when not testing the related paraspinal areas. Or if the 95885-95887 codes are really interchangable with the 95860/70. Neuro is far from my speciality so I have no idea how to help them on this one!
Thanks in advance for any help!
If we bill CPT code 95860 or 95870 with CPT codes from the 95900-95904 category insurances (BCBS, MCR etc) are denying to pay the 95860/70 WITH the 95900-04 charges. Has anybody else had this issue? Are you using a different coding procedure for these studies? Should we be adding a different modifier for the 95900-04 codes?
The CPT book direct us to 95885-95887 for EMG services preformed on the same day as the 95900-04 codes BUT theres debate in the office as to wheather its appropriate or not for us to use them when not testing the related paraspinal areas. Or if the 95885-95887 codes are really interchangable with the 95860/70. Neuro is far from my speciality so I have no idea how to help them on this one!
Thanks in advance for any help!
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