tci Part B Insider - 2005 Issue 39

NEUROSURGERY: New Add-On Codes May Reduce Your EMG Guidance Reimbursement

Shop using 95870 for needle placementUntil now you've billed needle electromyography (EMG) code 95870 when your neurosurgeon uses EMG guidance to place the needle for chemodenervation, but soon you'll have more accurate codes to work with.In January, CPT will include two add-on codes to report needle guidance along with chemodenervation:• 95873 (Electrical stimulation for guidance in conjunction with chemodervation); and• 95874 (Needle electromyography for guidance in conjunction with chemodenervation).Most local coverage determinations had instructed you to use 95870, which is for a limited study, and 95870 was also the only code that wasn't bundled with chemodenervation codes...

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