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Thread: Chemodenervation 64615 used with EMG 95874

  1. #1
    Join Date
    Apr 2007
    Posts
    18

    Default Chemodenervation 64615 used with EMG 95874

    Does anyone bill these two codes and are you getting paid? My provider insists these services should be billed together.
    New Code 2013 64615 (Chemodenervation . . . . . eg, for chronic migraine) with add on code EMG 95874. CPT Manual states for 95874 use in conjunction with 64612-64614. I found a powerpoint from AMA Symposium (11/2012) stating 64615 was editorially revised to include image guidance. That seems to support the CPT Manual guidance listed with 95874.
    What makes this new code different from the 64612-64614 allowing EMG 95874?

  2. #2
    Join Date
    Apr 2007
    Posts
    1,463

    Default

    From AMA 2013 CPT Manual,

    (Use 95873, 95874 in conjunction with 64612-64614)

    http://www.ama-assn.org/ama/pub/phys...pt/errata.page

    I didn't see in the corrections that they published of the 2013 CPT manual that they recognized the instructional note was not updated to 64612-64615).

    There might be a way from the above link to bring this to their attention. But the carrier is going to have their software looking for a primary code since 95874 which might cause it to deny if billed with 64615.

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