AMA CPT® Assistant - 2008 Issue 8 (August)

Medicine/Neurology and Neuromuscular Procedures (August 2008)

August 2008 page 12 Medicine: Neurology and Neuromuscular Procedures, 95867, 95868 (Q&A) Question: Do CPT codes 95860-95864 include the trapezius muscle, or is the trapezius reported separately under CPT code 95867 or 95868? Answer: Codes 95867, Needle electromyography; cranial nerve supplied muscle(s), unilateral, and 95868, Needle electromyography; cranial nerve supplied muscle(s), bilateral, are appropriate codes for the trapezius muscle (spinal accessory muscle, innervated by cranial nerve XI). Codes 95860-95864 (needle electromyography for extremities) would be appropriate to report if the procedure is performed on at least five muscles in tested limbs. Because the trapezius muscle is technically a...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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