AMA CPT® Assistant - 2002 Issue 1 (January)

Medicine (January 2002)

January 2002 page 11d Coding Consultation Medicine, 95864, 95999 (Q&A) Question We are performing both needle and surface electromyography (EMG). Can we report code 95864 for the needle EMG and 95864-52 for the surface EMG? Both procedures are separately interpreted and a report of each test is dictated. AMA Comment From a CPT coding perspective, surface electromyography should be reported using code 95999, Unlisted neurological or neuromuscular diagnostic procedure, since there is not a specific CPT code to describe this test. It would not be appropriate to report code 95864 with modifier -52, Reduced services, appended since this...

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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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