Nerve conduction studies are a valuable clinical tool in the localization and diagnosis of many peripheral nerve conditions including carpal tunnel syndrome, diabetic polyneuropathy, peripheral nerve entrapments, plexus injuries, etc.
Starting in 2013, practices will need to use new CPT codes to report these diagnostic tests. Even though the new codes are based on the total number of tests performed, coders will still need to know what constitutes a single nerve conduction study in order to compliantly bill for their provider’s services. If the physician tests the median sensory nerve to the 1st, 2nd and 3rd digits, how many nerve conduction studies were performed? Likewise, what if the provider tested the radial motor nerve to the ECU and the EDC? Is that one or two nerve conduction studies? What if your physician documents that she performs both the orthodromic and antidromic testing? Should you count those as separate tests? What is H-reflex testing? Does that diagnostic testing remain separately billable in 2013?
What if your practice uses preconfigured electrodes to perform nerve conduction studies? Does coding for those diagnostic tests also change?
Does your provider ever perform these diagnostic tests in a facility rather than their office? How does that change your billing?
Most payers have some type of coverage policy with limitations as to number and/or type of nerve conduction study tests performed, and diagnoses that support medical necessity for these diagnostic studies. How will these change given the 2013 CPT codes for nerve conduction studies? What are your options for payer denials? Appendix J remains in the CPT codebook, but was also revised for 2013.
All this and more will be covered in this enlightening session presented by coding expert Marvel J. Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO. Join now,where our expert speaker will walk you through coding best practices that'll get your nerve conduction studies the reimbursement they deserve.
Here's what you will learn:
Who should attend? Specialties: Neurology, Physical Medicine and Rehabilitation (physiatry), Family practice, General practice, Internal medicine, Orthopedics, Neurosurgery
Job titles: Coders, billers, office managers, front and/or back office staff, providers
- Kim Garner-Huey
Marvel J Hammer, RN, BS, CPC, CCS-P, ACS-PM, CPCO is an accomplished professional with considerable years of experience both in the business and medical fields. She is a coding, billing and compliance consultant and owner of MJH Consulting based in Denver, Colorado.
She provides medical coding and billing education, assistance with payer audits and performs compliance reviews for her clients. Marvel enjoys teaching providers and their...
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