sharonippolito
Guest
- Messages
- 6
- Best answers
- 0
TO ALL CODERS WHO USE EMG AND NCV STUDIES CPT CODES:
I work for a Physiatrist who frequently conducts EMGs and NCV studies for up to 2 extremities. I am new to this practice, but I am told that until this year, we were able to bill for an EMG using code 95861 and bundle that with 95900-95904. Now, a healthcare company has informed us that this cannot be a bundled relationship. I've since reviewed the 2012 CPT coding book and see what codes can and cannot be bundled. We've since re-submitted a denial and gotten reimbursed because we submitted an EMG code 95861 and used a -59 Modifier. However, it appears that we may been able to benefit monetarily if we used other codes, i.e., the new EMG codes. Since our office will conduct NCV studies for mulitiple nerves, do we use the new code 95885 for example and bundle that with the NCV study code FOR EACH NERVE. Let's say that Dr. R. performs an EMG, 2 extremities and a NCV study Motor Nerves (95900), Motor, w/F-Wave Study x 2, and NCV Sensory Nerves x 2: What would be the best way to code for these services??
I was thinking that we'd have to use the new code for one extremity (95885) twice (one for each extremity), then code 95900-95904 for the NCV studies for EACH NERVE:
For example:
95885 Extremity 1 + 95900 Motor Nerves x 2;
95885 Extremity 2 + 95903 Motor, w/F-Wave Study x 2;
95904 NCV Sensory Nerves x 2
I would appreciate the help of someone who is or has worked with EMG and NCV codes.
We don't want to submit the wrong codes or submit codes that would be underbilling ourselves.
The new code 95885 pays less than half of what code 95861 pays. We certainly don't want to be accused of overbilling, BUT we do wish to recover reimbursement for fees that are rightfully ours.
HELP!
I work for a Physiatrist who frequently conducts EMGs and NCV studies for up to 2 extremities. I am new to this practice, but I am told that until this year, we were able to bill for an EMG using code 95861 and bundle that with 95900-95904. Now, a healthcare company has informed us that this cannot be a bundled relationship. I've since reviewed the 2012 CPT coding book and see what codes can and cannot be bundled. We've since re-submitted a denial and gotten reimbursed because we submitted an EMG code 95861 and used a -59 Modifier. However, it appears that we may been able to benefit monetarily if we used other codes, i.e., the new EMG codes. Since our office will conduct NCV studies for mulitiple nerves, do we use the new code 95885 for example and bundle that with the NCV study code FOR EACH NERVE. Let's say that Dr. R. performs an EMG, 2 extremities and a NCV study Motor Nerves (95900), Motor, w/F-Wave Study x 2, and NCV Sensory Nerves x 2: What would be the best way to code for these services??
I was thinking that we'd have to use the new code for one extremity (95885) twice (one for each extremity), then code 95900-95904 for the NCV studies for EACH NERVE:
For example:
95885 Extremity 1 + 95900 Motor Nerves x 2;
95885 Extremity 2 + 95903 Motor, w/F-Wave Study x 2;
95904 NCV Sensory Nerves x 2
I would appreciate the help of someone who is or has worked with EMG and NCV codes.
We don't want to submit the wrong codes or submit codes that would be underbilling ourselves.
The new code 95885 pays less than half of what code 95861 pays. We certainly don't want to be accused of overbilling, BUT we do wish to recover reimbursement for fees that are rightfully ours.
HELP!