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Peter Posted 6 Year(s) ago

MEDICARE IS DENYING EMG CODES 95900 AND 95904, WITH A 59 MODIFER. MEDICARE STATES I AM MISSING ANOTHER MODIFER. WHAT OTHER MODIFER DO I NEED?

SuperCoder Posted 6 Year(s) ago

A sensory or mixed nerve conduction study, 95904, is often done on the same nerve with a motor nerve study, 95900 or 95903. Payers often do not understand the difference between these two and often deny paying for both. Submit documentation with the claim outlining the differences and various conclusions from the two nerve conduction studies, and show medical necessity.

Posted by Peter, 6 Year(s). There are 2 posts. The latest reply is from SuperCoder.

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