AAPC - Back to school
Results 1 to 5 of 5

Thread: EMG testing 95870

  1. #1

    Default EMG testing 95870

    AAPC: Back to School
    We billed a 95870 with 2 units for a Medicare patient and it was denied as missing/incomplete/invalid days or units of service.

    The documentation states:

    EMG evaluation of selected left upper extremity muscles, normal.
    EMG evaluation of selected right upper extremity muscles, normal.

    After further review, less than 3 muscles were tested in the left & right upper extremities.

    Are we billing it correctly? It went in w/95870 with 2 units. OR should we be billing it on 2 separate lines, with mod 59 appended to the 2nd 95870?

    Can someone help us....please?

    Thank you!

  2. #2


    I had the same problem - it goes out like this:


  3. #3


    Thanks for your input I really appreciate it. However in our case, I think the GP mod wouldn't apply. Our Physiatrist performed it in her office and the testing was done on the RT & LT....I know mod 76 is for a repeat procedure performed by same physician, in this case because 2 anatomical sites, maybe mod 59 would be a better code choice?

  4. #4


    Nope - I tried the mod 59 first & it didn't work for Medicare. I bill for PT - done in office.
    The GP mod should be on all PT codes when they go out.

  5. #5


    Ok Thanks!

Similar Threads

  1. Replies: 3
    Last Post: 04-06-2015, 10:32 PM
  2. Validity testing separately billable with drug testing codes?
    By lch in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 03-19-2015, 05:18 PM
  3. Needle EMG with nerve conduction testing
    By Lehtonen in forum Billing/Reimbursement
    Replies: 4
    Last Post: 08-03-2012, 06:55 AM
  4. Medicare EMG 95870 x 2
    By tdml97@yahoo.com in forum Medicare Regulations
    Replies: 1
    Last Post: 05-19-2011, 12:44 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.