Physical Therapists: Rules For Nerve Conduction And Needle Electromyographic (EMG) Codes

by  Find-A-Code
February 1st, 2018

According to Noridian L35081, nerve conduction code 95905 does not have levels of supervision 21, 22, 6a, 66, 77 or 7a assigned to it and is therefore not allowed by Physical Therapists. 

Nerve conduction codes 95907-95913 had their Physician Supervision of Diagnostic Tests Indicators adjusted to 7A effective 01/01/2013 (CR 8169). Therefore, if authorized by state law, Physical Therapists (PTs) with ABPTS certification are allowed to perform the test. In addition, the PT with ABPTS certification may supervise another PT, but only the PT with ABPTS certification may bill.

Needle electromyographic (EMG) codes 95860-95872 and 95885-95887 have the Physician Supervision of Diagnostic Tests indicator of 6A or 66. Therefore, if authorized by state law, Physical Therapists that are certified by the ABPTS are allowed to perform the test without supervision. In addition, the PT with ABPTS certification may supervise another PT, but only the PT with ABPTS certification may bill.

Note: Please refer to your Local Coverage. Ref Article A54095 for additional information regarding supervision levels.

References:

Physical Therapists: Rules For Nerve Conduction And Needle Electromyographic (EMG) Codes. (2018, February 1). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/physical-therapists-rules-for-nerve-conduction-and-needle-electromyographic-emg-codes-32819.html

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Physical Therapy Resources

  • Reimbursement Guide (Deskbook)
  • ICD-10-CM Specialty Specific Code Book
  • Provider Documentation Guides
  • ICD-10-CM Comprehensive Code Books
  • and more...


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