tci E/M Coding Alert - 2014 Issue 4

Reader Question: Separating E/M From NCS Requires HEM

Question: Is it appropriate to bill an E/M in addition to a nerve conduction study (NCS, 95905) on the same date of service when the only assessment is in relation to the symptoms or diagnosis related to the NCS? Maine Subscriber Answer: You should not bill E/M service if only signs and symptoms are related to the NCS: 95905 (Motor and/or sensory nerve conduction…). According to a local coverage determination (LCD) from Part B Medicare contractor WPS, “An E&M service is included in the exam performed just prior to and during nerve conduction studies and/or electromyography...

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