AAPC - Back to school
Results 1 to 2 of 2

Thread: Emg

  1. #1
    Join Date
    Apr 2007
    North Carolina

    Default Emg

    AAPC: Back to School
    Patient was scheduled to have NCS/EMG. The physician was not able to complete the entire procedure and had the patient return approx. one week later for an additional EMG. Rather than reporting 95860 twice, I think we should combine the two extremities and report 95861 with the final report and clearly document the dates involved and the reason for the patient returning to the office for completing the procedure.

    I have a fear that reporting 95860 twice will appear to be "upcoding" when the physician planned to have the patient return to the office...not to mention that reporting 95860 twice results in more RVU's...

    Any thoughts/comments?

  2. #2
    Join Date
    Apr 2007


    But if they request the report for the later date and you have billed 95861 but it is only documented that one extermity was done. If 95860 was completed on the first day but it does not have any diagnostic value because the test could not be completed, what about just billing the technical portion for 95860 on the first day. Then bill the professional and technical on the second encounter. I have seen where the patient can not tolerate the EMG needle so only NCD testing can be performed and that is all that is reported but I have not seen where the Needle Electromyelography was completed but the other testing was not completed.

Similar Threads

  1. Emg
    By msingh23 in forum Orthopaedics
    Replies: 5
    Last Post: 07-08-2015, 07:02 AM
  2. Emg
    By msingh23 in forum Orthopaedics
    Replies: 1
    Last Post: 12-11-2014, 02:56 PM
  3. Emg
    By msingh23 in forum Orthopaedics
    Replies: 0
    Last Post: 10-09-2014, 02:18 PM
  4. Emg
    By mroy in forum Orthopaedics
    Replies: 3
    Last Post: 03-17-2010, 12:24 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.