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NCS and EMG

Luz Posted Wed 12th of October, 2016 14:50:51 PM
I need some coding guidance on the following scenario. NCS and Needle EMG was performed and it was billed,95911-(9-studies), (NCS not shown on scenario),95885,95886,and 95887-(2 units),shouldn't 95887 be billed as 3 units. The EMG is as follow: Needle EMG Examination Bill was coded as follow: Muscle 95885-Tibialis anterior-R,Gastrocnemius-R, Vastus Lateralis-R 95886-1st dorsal interosseous-R,Extensor digitorum communis-R, Biceps brachii-R, Flexor carpi radialis-R, Triceps brachii R 95887- T5 paraspinal R,T10 paraspinal R,Tongue R Should the 95887 be billed as 2 units or 3 units Thank you in advanced.
SuperCoder Answered Thu 13th of October, 2016 08:07:59 AM

Our expert team is looking into this query. We will get back with a solution soon. Thank you for your patience.

SuperCoder Answered Thu 13th of October, 2016 08:07:59 AM
Our expert team is looking into this query. We will get back with a solution soon. Thank you for your patience.
SuperCoder Answered Fri 14th of October, 2016 04:04:32 AM

To bill this code we need to understand the difference between the limited study and complete study. We also need to understand when and how to apply units to these codes.

Limited study: If less than 5 muscles tested.

Complete study: If 5 or more muscles tested.

Units: Four extremities means 4 units.

E.g:

Complete bilateral upper EMG: 95886 x 2
Complete EMG of the upper left extremity, and limited EMG of upper right extremity: 95885, 95886
Complete EMG of all four extremities: 95886 x4

It's important to note that these codes also include the related paraspinal areas, when performed. 95887 is for EMGs performed on non-extremity muscle(s) when a nerve conduction test is also done.

However, 95887 is a non-extremity code, so single unit will be billed for this code.

Thank you.

SuperCoder Answered Fri 14th of October, 2016 04:04:34 AM
Our expert team is looking into this query. We will get back with a solution soon. Thank you for your patience.

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