Peter Posted Thu 29th of August, 2013 12:05:09 PM
MY DOCTOR WANTS TO BILL OUT BOTH A EMG AND A OFFICE VISIT ON THE SAME DAY. THE CPT CODES THAT WOULD BE USED WOULD BE, 99213-25, 95910. WE HAVE DOCTORS THAT REFER PATIENT TO RECEIVE AN EMG. THE DOCTOR KNOW WANTS TO TALK TO THE PATIENT BEFORE DOING AN EMG ON THEM. WE ADDED THE 25 MODIFER ON THE OFFICE VISIT THAT WAY THEY SEE THE OFFICE VISIT SEPERATE. WILL MEDICARE PAY FOR THIS?
SuperCoder Answered Mon 02nd of September, 2013 16:44:12 PM
Yes, an e/m can be billed along with an EMG/NCV as long as there is documentation to support it. You would also need to add the 25 modifier to this. I believe a tech can perform the test as long as the neurologist supervises and interpt. the data.If there is another problem discussed with the neurologist, other than the reason for the EMG, that would be considered a seperately identifiable service, and is a billable E/m. Or, if the patient came in for an office visit and during the course of the visit it was decided that an EMG would be needed, then I believe an office visit would be approriate (depending on documentation of course) along with the EMG. If only the EMG was performed, and that is the only reason they came in, then yes, only the EMG/NCV would be billed for.
This resource from AANEM I found to be very helpful regarding E/M and EMG/NCS: