EMGs and nerve conductions billable with facet injections

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium coding update explains recent Medicare/NCCI edit changes that affect when electrodiagnostic studies, facet injection-related services, moderate sedation, and IV hydration or infusion services may be reported together. It is aimed at coders, billers, and reimbursement staff who need to understand the scope of the edits, the organizations involved, the effective timing, and the general circumstances discussed in the article.

Why This Topic Matters

The article highlights edit revisions that can affect claim reporting, bundling relationships, and whether certain services may be processed together under Medicare rules. It is relevant for avoiding denials, understanding edit timing, and recognizing when separate reporting issues may arise.

Article Sections

  1. Edit changes for electrodiagnostic studies with facet and transforaminal injections

    Covers the NCCI/Medicare update affecting electrodiagnostic services in relation to spinal injection procedures. The section discusses the scope of the edit changes and their timing.

  2. Retroactive effective date and appeal context

    Summarizes the article’s discussion of retroactive application and Medicare claim appeal context. It also notes the administrative significance of the update.

  3. Moderate sedation and IV hydration/infusion bundling edits

    Describes additional NCCI bundling edits involving moderate sedation and IV fluid or drug administration services. The section places these edits in the broader pain-management coding context.

What You Will Learn

  • How a Medicare/NCCI update affects reporting relationships among electrodiagnostic studies and spinal injection services
  • What general circumstances are discussed for separate reporting of diagnostic testing and injection-related procedures
  • How the article frames retroactive edit changes and claim appeal considerations
  • What additional bundling edits are mentioned for moderate sedation and IV hydration or infusion services

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Practice administrators
  • Pain management coding specialists

Codes Discussed

Code Ranges Discussed

  • CPT: 95860–95861
  • CPT: 95867–95868
  • CPT: 95900–95904
  • CPT: 99143–99144
  • CPT: 99148–99149
  • CPT: 90772–90775

Modifiers Discussed


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