Question: I coded my neurologist’s diagnostic testing recently that included nerve conduction studies, an EMG, plus H-reflex testing. The neurologist’s final diagnosis was S1 radiculopathy (723.4). I billed all of the appropriate codes, plus an E/M code with modifier 25 in the following sequence:99213-2595903-LT x 295903-RT x 295904-LT95904-RT95934-LT95934-RT95861.
The patient’s carrier (Medicare) denied a lot of the diagnostic studies. Why didn’t we get paid for the full services provided?
New Jersey Subscriber
Answer: When your neurologist [...]
