Coding of Nerve Conduction Studies in 2013
PRE-RECORDED AUDIO CONFERENCE
Date: Tuesday, January 29, 2013
Time: Request for replay on any day
Length: 60 minutes
Speaker:Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CPCO
Get Your Nerve Conduction Studies The Reimbursement They Deserve !!
Nerve conduction studies are a valuable clinical tool in the localization and diagnosis of many peripheral nerve conditions including carpal tunnel syndrome, diabetic polyneuropathy, peripheral nerve entrapments, plexus injuries, etc.
Starting in 2013, practices will need to use new CPT codes to report these diagnostic tests. Even though the new codes are based on the total number of tests performed, coders will still need to know what constitutes a single nerve conduction study in order to compliantly bill for their provider’s services. If the physician tests the median sensory nerve to the 1st, 2nd and 3rd digits, how many nerve conduction studies were performed? Likewise, what if the provider tested the radial motor nerve to the ECU and the EDC? Is that one or two nerve conduction studies? What if your physician documents that she performs both the orthodromic and antidromic testing? Should you count those as separate tests? What is H-reflex testing? Does that diagnostic testing remain separately billable in 2013?
What if your practice uses preconfigured electrodes to perform nerve conduction studies? Does coding for those diagnostic tests also change?
Does your provider ever perform these diagnostic tests in a facility rather than their office? How does that change your billing?
Most payers have some type of coverage policy with limitations as to number and/or type of nerve conduction study tests performed, and diagnoses that support medical necessity for these diagnostic studies. How will these change given the 2013 CPT codes for nerve conduction studies? What are your options for payer denials? Appendix J remains in the CPT codebook, but was also revised for 2013.
All this and more will be covered in this enlightening session presented by coding expertMarvel J. Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO. Join now, where our expert speaker will walk you through coding best practices that'll get your nerve conduction studies the reimbursement they deserve.
Here's what you will learn:
Clear up confusion over nerve conduction study acronyms and terminologies.
Learn different components of the nervous system anatomy.
Identify the distinctive diagnoses, conditions, signs and symptoms for accurate ICD-9 coding.
Learn the differences of the individual nerve conduction diagnostic tests and how to compliantly code them.
Review CMS supervision requirements for these diagnostic studies.
Discover how coding with necessary modifiers can avoid denials.
Get pointers on use of the CPT codes and Appendix J to appeal payer denials for these diagnostic tests.
Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CPCO, is an accomplished professional considerable years of experience both in the business and medical fields. As owner of MJH Consulting and a coding, billing and compliance consultant, she provides documentation, coding and account receivable auditing and compliance evaluations. Hammer enjoys teaching providers and their staff on correct coding and billing and presents nationally on these topics. Her field of specialties includes pain management, physical medicine & rehabilitation, neurology, and occupational medicine. Some of her pastime activities include wildlife photography and exploring our wonderful world.