AMA CPT® Assistant - 2017 Issue 7 (July)
Medicine: Neurology and Neuromuscular Procedures (Q&A) (July 2017)
July 2017 page 10b Medicine: Neurology and Neuromuscular Procedures Question: When reporting code 95887, may specific thoracic paraspinal muscles be reported separately when studied on the same side and/or on the same day as a complete or limited electromyography (EMG) (95885, 95886) performed in conjunction with nerve conduction study (NCS) on the same day? If the contralateral thoracic paraspinal muscles were also tested in conjunction with the EMG, how many units of code 95887 should be reported? Answer: If the thoracic paraspinal muscles are studied (unilaterally or bilaterally) on the same day that one or more limbs are studied...
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Article Overview
This article addresses billing and reporting questions in neurology and neuromuscular procedures, with emphasis on electrodiagnostic testing scenarios and CPT guidance discussed in a question-and-answer format. It is useful for coders, billers, and clinicians working with EMG and nerve conduction study-related reporting, as well as modifier use in specific testing situations.
Why This Topic Matters
Electrodiagnostic procedure reporting can depend on whether tests are performed together, how an encounter is counted, and whether modifier use applies. This article helps readers understand the scope of the guidance discussed in a CPT Assistant Q&A and determine whether the full piece is relevant to their documentation and coding workflow.
Article Sections
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Question and answer on thoracic paraspinal muscle testing with EMG and NCS
Discusses a reporting scenario involving neurology and neuromuscular electrodiagnostic testing, including how the article frames combined testing performed during the same encounter.
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Question and answer on repeated reporting of a blink reflex service
Covers a separate electrodiagnostic reporting question involving encounter-level reporting and whether a modifier may be relevant in a unilateral testing situation.
What You Will Learn
- The scope of CPT Assistant guidance on neurology and neuromuscular electrodiagnostic procedures
- How the article frames same-day reporting questions for EMG and nerve conduction study scenarios
- What kinds of billing situations are discussed for reflex testing and modifier use
- How a Q&A format article can clarify procedural reporting topics for electrodiagnostic services
Who Should Read This
- Medical coders
- Billing specialists
- Compliance staff
- Neurology practices
- Electrodiagnostic testing providers
Codes Discussed
Modifiers Discussed
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