Reader Question: Counting Nerve Conduction Test Per Limb Will Result in Denials

Why This Topic Matters

Electrodiagnostic testing claims can be denied when services are billed in a way that does not align with payer processing rules. Understanding the general reporting and coverage considerations helps reduce claim rejections and improves compliance with Medicare contractor requirements and CPT conventions.

Article Sections

1. Question

   The reader presents a denied claim scenario involving diagnostic testing and asks why payment was reduced.

2. Answer

   The response discusses broad reporting considerations for electrodiagnostic testing, including nerve conduction studies, H-reflex reporting, bilateral claim presentation, and review of Medicare coverage guidance.