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EMG/NCS and 99201

Sidney Posted Mon 08th of April, 2013 17:53:18 PM

Can you bill a new patient exam, 99201, with an EMG, 95886, and NCS?

SuperCoder Answered Tue 09th of April, 2013 14:14:35 PM

Use EMG codes (95860-95864 and 95867-95870) when no nerve conduction studies (95907-95913) are performed on that day. Use 95885, 95886, and 95887 for EMG services when nerve conduction studies (95907-95913) are performed in conjunction with EMG on the same day.

There is no bundling of these codes with E/M office visit codes, like 99201, so can be billed together. Please do not bill E/M mandatorily with EMG/NCS services though. When billing 99201, bill it with modifier 25.

Your documentation must reflect that the components of an E/M were performed if you are billing CMS for the service. An EMG does not necessarily include the comprehensive review of systems and history required to bill the E/M codes.

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