December 2008 page 10
Medicine: Neurology, 95874 (Q&A)
Question: Two separate extremities required electromyographic
(EMG) guidance for Botox® injections. May code 95874
(EMG guidance with Botox®) be reported bilaterally or
with units?
Julie Fries, Minneapolis, MN
Answer: No, code 95874, Needle electromyography
for guidance in conjunction with chemodenervation
(List separately in addition to code for primary procedure),
should be reported once per chemodenervation
(ie, BotoxR injection) procedure session (eg,
code 64614, 95874).
The same reporting is applicable to add-on code 95873,
Electrical stimulation for guidance in conjunction with
chemodenervation (List separately in addition to code for
primary procedure)...
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articles:
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article addresses a coding question in neurology related to reporting guidance services used with chemodenervation procedures. It explains the topic at a high level for coders, billers, and other healthcare professionals who work with injection-based neurology services and CPT guidance. The discussion centers on reporting frequency, procedure-session context, and modifier usage within a CPT framework.
Why This Topic Matters
It helps readers understand whether guidance services and related chemodenervation codes are reported once or multiple times in a session, which is important for accurate CPT-based billing and compliance.
Article Sections
December 2008 page 10
A brief Q&A discussing neurology coding guidance for chemodenervation-related services and related CPT reporting context.
What You Will Learn
How a neurology coding Q&A frames reporting guidance for chemodenervation services
The general CPT context for guidance services used with Botox-related procedures
How modifier and add-on code reporting issues are addressed at a high level in the article
What types of reporting questions are discussed for procedure-session billing
Who Should Read This
Medical coders
Billing staff
Compliance professionals
Neurology practice administrators
Physician documentation teams
Codes Discussed
CPT: 95874
CPT: 95873
CPT: 64614
CPT: 64612
Code Ranges Discussed
CPT: 64612-64614
Modifiers Discussed
CPT: 50
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