The AMA, modifier 59, and a highlighter can win NCS appeals.
You can kiss your “without F-wave serve conduction study (NCS)” pay good-bye unless you use these strategies to show the payer the additional study is separately payable. Take a look at this scenario one of our readers sent us and put your nerve conduction coding skills to the test.
Solve the Scenario
A patient arrives for neuromuscular electrodiagnostic testing on his lower extremity. Your neurologist performs a study that includes a distal and proximal Peroneal nerve conduction recorded off the extensor digitorum brevis (EDB) muscle, along the foot. The late-response F-wave study is also performed. How should this be billed?
AUDIO TRAINING: Secrets for coding CNS tests, with Marvel Hammer.
Answer: Bill the NCS as 95903 (Nerve conduction, amplitude and latency/velocity study, each nerve; motor, with F-wave study). So far, so good....
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