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E/M code with EMG/NCS

Angela Posted Wed 20th of March, 2013 20:56:12 PM

Hi, I work for an Orthopedist group and we just added a Neurologist to our practice. Can I bill an E/M code for an patient referred from another physician for and EMG/NCS since the Dr has to sit with the patient to establish the extent/what nerves, symptoms, etc?

SuperCoder Answered Wed 20th of March, 2013 21:09:29 PM

No. You should not bill E/M service if only signs and symptoms are related to NCS. As per Guideline, it says "An E&M service is included in the exam performed just prior to and during nerve conduction studies and/or electromyography. If the E&M service is a separate and identifiable service, the medical record must document medical necessity and the CPT code must be bill with a modifier 25." To report separately E/M, physician should obtain a History, exam, and MDM.

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