tci Medicare Compliance & Reimbursement - 2007 Issue 9

NEUROLOGY: This Carrier Will Monitor NCS Billings For Problems

Don't bill nerve conduction studies unless you can document necessity.Watch out: If a manufacturer's rep tries to sell your office on new equipment that allows you to perform nerve conduction studies (NCS) in your office, be wary--you may not be able to get paid for the machine's use. There's been a sharp increase in billings for NCS codes 95900 and 95903-95904, according to CIGNA Medicare's most recent provider FAQ. CIGNA blames this spike on "the availability of equipment that would allow in-office testing generating immediate results." The problem: These in-office devices don't meet the current descriptors for...

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