AMA CPT® Assistant - 2010 Issue 12 (December)

Medicine: Neurology (Q & A) (December 2010)

December 2010 page 15c Medicine: Neurology Question: In the following example, may the related paraspinal muscles be counted as one of the five muscle requirements to report codes 95860-95864: needle EMG testing on four upper extremity muscles (abductor digiti minimi, abductor pollicis brevis, pronator teres, and triceps) plus the C6 paraspinal muscles? Is this procedure considered a complete extremity needle EMG study (code 95860) because only four extremity muscles were tested? Marvel J. Hammer RN CPC CCS-P PCS ACS-PM CHCO, Denver, CO Answer: Yes, code 95860, Needle electromyography; 1 extremity with or without related paraspinal areas, may be reported...

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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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