EMG Coding Changes

By Joni Lovvorn • December 23rd, 2011

The American Academy of Neurology AAN published a guide to follow for the EMG coding changes that go into affect January 1, 2012. 

Beginning January 1, 2012, new coding changes will affect physicians who perform electromyography (EMG) on the same patient on the same date of service as nerve conduction study (NCS). The AAN has developed the following guidance to assist members with these changes.

When performing EMG and NCS on the same patient on the same date of service you will need to bill the EMG as an add-on code using one of the following new codes:

#+•95885 Needle electromyography, each extremity with or without related paraspinal areas, done with nerve conduction, amplitude and latency/velocity study; limited

(List separately in addition to code for primary procedure)

#+•95886 complete, five or more muscles studied, innervated by three nerves or four spinal levels (List separately in addition to code for primary procedure)
#+•95887 Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary procedure)
  (Use 95887 in conjunction with 95900–95904)

(Do not report 95887 in conjunction with 95867–95870 or 95905)

Use codes 95870 or 95885 when four or fewer muscles are tested in an extremity. Use codes 96860–95864 or code 95886 when five or more muscles are tested in an extremity.

Use EMG codes (95860–95864 and 95867–95870) when no nerve conduction studies (codes 95900–95904) are performed on that day. Use codes 95885, 95886 and 95887 for EMG services when nerve conduction studies (codes 95900–95904) are performed on the same day. Report either code 95885 or 95886 once per extremity. Codes 95885 and 95886 can be reported together up to a combined total of four units of service per patient when all four extremities are tested.

New code 95887 was written and valued to be used per site tested. Sites recognized are unilateral face, cervical and lumbar paraspinal muscles without needle EMG examination of corresponding limb muscles, thoracic paraspinal muscles, larynx, hemidiaphragm, thoracic, and abdominal muscles. For example, if EMG is done in bilateral face muscles, the physician should report two units of service of 95887.

For help with your EMG coding questions, register for the AAN’s Practice Management Webinar “CPT Coding for Neurodiagnostic Procedures Made Easy” on Tuesday, March 13. Learn more or email Luana Ciccarelli or call (651) 695-2779 for more information.

 

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