Wiki Help with coding Nerve conduction

[Gina654]

Ok, the question has to do with nerve conduction studies.
95904 is a sensory nerve
95900 is a motor nerve
Patients always have several of each of these nerves tested during the nerve conduction studies.
So example: A patient has 5 sensory nerves tested, code 95904, how should they be coded?

From what I have learned in the past, the first one does not get a modifer but the rest of them do get a modifier, and is the modifier a 59 or 51 or 26 or something else?

Also do they have to be listed like 95904 and then 95904 (59) x4

Please Help!!!

Thanks!

 

[Kris Cummings]

Gina,

WPS Medicare Part B has excellent policies on these studies. I'll list the websites below, after you look at them, post again if there's still questions.

http://www.wpsmedicare.com/part_b/policy/neuro005_billing.pdf

http://www.wpsmedicare.com/part_b/policy/neuro005.pdf

Good luck!

Kris

 

[Gina654]

Kris,

Thanks so much!!

 

[scorrado]

We do not use modifiers when coding for nerve conduction studies. We let the insurance company know that we did more than one by changing the units. Never had a problem with payment. Hope this helps!