tci Part B Insider - 2009 Issue 26

NEUROLOGY: Count Separate Nerves If Coding Neuromuscular Junction Tests

Counting nerves correctly leads to fewer repays. Even though your physician may --and often will -- repetitively stimulate a single nerve during neuromuscular junction (NMJ) testing, you've got to code based on separate and distinct nerves, not the number of stimulations performed on each nerve, experts say. For NMJ testing, report 95937 (Neuromuscular junction testing...). Repetitive stimulation studies identify and differentiate disorders of the NMJ, such as myasthenia gravis. The code description includes the term "each nerve," and that's where trouble begins. You should report 95937 as a single line item with the total number of separate...

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