Heather Posted Wed 09th of May, 2012 19:00:49 PM
Can you please explain what axial muscles CPT is referring to in 95887? Can that be Lumbo Paraspinal muscles? Or Cervical Paraspinal Muscles?
Doc did 95886 for many muscles on the extremities however also documented Lumbo mid and cervical paraspinal
SuperCoder Answered Wed 09th of May, 2012 19:12:52 PM
Prepare Now for New EMG Testing Codes
If your physician ever performs electromyography (EMG) along with nerve conduction studies, you now have three add-on codes to report those EMG tests, as follows:
+95885 -- Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code for primary procedure)
+95886 -- ...complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levels (List separately in addition to code for primary procedure)
+95887 -- Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary procedure)
Reason for 'add-on' status: Keep in mind that these new codes should only be reported as add-on codes when nerve conduction studies (95900-95904) are also performed. If your physician performs an EMG but does not perform nerve conduction studies, then resort to the existing EMG-only codes (95860-95872).
New code 95887 was written and valued to be used per site tested. Sites recognized are unilateral face, cervical and lumbar paraspinal muscles without needle EMG examination of corresponding limb muscles, thoracic paraspinal muscles, laryns, hemidiaphragm, thoracic and abdomial muscles. For example, if EMG is done in bilateral face muscles, the physcian should report two units of service of 95887.
Report either code 95885 or 95886 once per extremity. Codes 95885 and 95886 can be reported together up to a combined total of four units of service per patient when all four extremities are tested.
Use codes 95870 or 95885 when four or fewer muscles are tested in an extremity. Use codes 96860-95864 or code 95886 when five or more muscles are tested in an extremity.