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  1. Default Medicare
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    why medicare does not pay 95900?

  2. #2
    What is it being denied for? If not considered medically necessary, check out the Local Coverage Determination for your Medicare contractor.

  3. #3
    Sioux Falls South Dakota
    Aso, what other services were billed on the claim? For example, they will deny 95900 if you also billed a 95903; you would then need to check the report to determine if those studies were different nerves, and could use a 59 modifier if so. Also, as the previous responder noted, check your local carrier/MAC for an LCD. One carrier, WPS, has in their LCD that an NCS performed without EMG is screening and therefore not covered.

    Hope this helps,

  4. Default
    Thank you so much. Only Medicare and Medicaid Denied this 95900. And when I added 59 to it, Medicare paid.Waiting for Medicaid response.

  5. #5
    North Carolina
    What was your denial? Review your local LCD to see if you have met medical necessity.
    Rebecca CPC, CPMA, CEMC

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