decisionhealth Newsletters, Coder Pink Sheets - 2012 Issue 12 (December)
2013 Fee schedule: Nerve conduction studies – The more you do, the less you’ll earn
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Article Overview
This article reviews 2013 Medicare fee schedule changes for nerve conduction studies and related electrodiagnostic services. It is aimed at coding and billing professionals, practice managers, and clinicians who need to understand how the updated CPT/HCPCS structure affects reimbursement, claim review, and payment comparisons across common testing scenarios. The piece also references advocacy and guidance from professional organizations and provides a table of the new payment framework.
Why This Topic Matters
The article is relevant for anyone managing electrodiagnostic billing because it addresses a major shift in reimbursement and the operational impact on claim volume, documentation review, and payment expectations.
Article Sections
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Payment changes for nerve conduction studies
Introduces the 2013 fee schedule changes and the general reimbursement impact for nerve conduction study services. It also mentions the broader concern raised by specialty organizations and the effect on practice operations.
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2013 NCS codes: Medicare pay per study
Presents the fee schedule table for the updated nerve conduction study code framework and associated Medicare payment information. The section focuses on the overall payment structure and comparative amounts shown in the article.
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2 scenarios that show how new NCS fees impact payment
Shows two comparative payment scenarios illustrating how the updated schedule affects combined electrodiagnostic testing visits. The examples are presented as practice-facing reimbursement comparisons.
What You Will Learn
- How the 2013 Medicare fee schedule changed reimbursement for nerve conduction study services
- How the article frames the impact of the new coding structure on practice payment
- What kinds of comparative scenarios are used to illustrate the payment differences
- Which professional and regulatory organizations are mentioned in connection with the fee changes
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physiatrists
- Electrodiagnostic clinicians
- Revenue cycle teams
Codes Discussed
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