Amani Posted Mon 19th of August, 2013 12:23:06 PM
Need guidelines regarding 95907-95913. the provider is billing 95907, 95908,95909,95910,95911 on the same date of service for the same patient. Is this consider unbundling?
SuperCoder Answered Mon 19th of August, 2013 20:05:48 PM
NCCI bundling edits were created to prevent incorrect billing of these diagnostic tests. The nerve conduction study codes, 95907-95913, are bundled into the "stand alone" extremity needle EMG codes, 95860-95864. NCCI does not allow a modifier to be used to bypass these bundling edits.
Resubmit a corrected claim with the nerve conduction study code and the correct add-on code for the needle EMG testing. For example if both extremity EMG testing meet the criteria for a complete extremity study:
95908 (1 unit)
95886 (2 units)
The CPT section guidelines include information on the differentiation between a limited and complete extremity EMG test.