SuperCoder Posted Tue 13th of March, 2012 16:39:05 PM
If a sensory nerve conduction study is done in the Right median nerve and digit II and IV are tested, do you bill one unit or two units? Your input is appreciated.
SuperCoder Answered Tue 13th of March, 2012 17:12:53 PM
For nerve conduction studies performed with preconfigured (nerve specific) electrodes:
95905: Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and
latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report
• Do not report 95905 in conjunction with 95900-95904, 95934-95936.
For 95905, report 1 unit for each limb studied.
For nerve conduction studies performed with standard electrodes:
95900: Nerve conduction, amplitude and latency/velocity study, each nerve; motor, without F-wave study
95903: Nerve conduction, amplitude and latency/velocity study, each nerve; motor, with F-wave study
95904: Nerve conduction, amplitude and latency/velocity study, each nerve; sensory
• Do not report 95900 in conjunction with 95903 for a motor nerve conduction study with F-wave study performed on a single nerve. CPT code 95903, motor nerve conduction study with F-wave study, includes the nerve conduction study without
F-wave study (95900) as an integral component when the diagnostic testing is performed on the same motor nerve.
• For 95900, 95903, and 95904, report only once when multiple sites on the same nerve are stimulated or recorded.
• Report 1 unit for each different motor or sensory nerve tested. Likewise, if NCS are performed on two different
branches of a given motor or sensory nerve, then the appropriate code from the 95900 – 95904 code series may be reported for each branch studied. Review Appendix J of the CPT codebook for the list of the individual nerves and/or nerve branches of motor, sensory and mixed nerves. Each line on the list of nerves refers to a different nerve which, when separately tested, may be reported as an individual unit of the appropriate CPT code.
SuperCoder Posted Wed 14th of March, 2012 20:21:31 PM
Thank you so much Amit Joshi.