Train your staff to use 2013 NCS codes

Why This Topic Matters

Organizations that perform nerve conduction studies need to understand the 2013 reporting changes to reduce incorrect claims, avoid denials, and train staff consistently before the new code set takes effect.

Article Sections

1. Overview of the 2013 NCS code update

   Introduces the updated nerve conduction study reporting framework and the need for advance staff training. It also notes the relevance of the new year-based transition to claim processing.

2. New code set and study-count framework

   Summarizes the revised CPT nerve conduction study code family and the general approach used to match reported studies to the appropriate service level. It presents the broad concept of counting studies for reporting purposes.

3. Definition of an NCS and counting guidance

   Describes the broad categories of tests included in the nerve conduction study framework and discusses how study counts are determined when testing involves multiple sites or nerve branches. It also references supporting guidance from CPT Assistant and Appendix J.

4. Coding scenarios and payer considerations

   Presents example testing patterns to illustrate how study counting can affect reporting and highlights the role of Appendix J in avoiding denials. It also discusses the potential for payer review when study totals are high.