From the Research
CPT code 95912 is used for nerve conduction studies (NCS) testing 9-10 nerve conduction studies and can be billed alongside complementary codes such as 95885,95886, and 95887 for needle electromyography (EMG) of different body regions. The medical necessity for these studies must be clearly documented, typically for conditions like neuropathy, radiculopathy, or entrapment syndromes 1, 2, 3, 4, 5. Some of the key points to consider when billing for these services include:
- The use of evaluation and management (E/M) codes such as 99202-99205 for new patients or 99212-99215 for established patients, which may be billed on the same day with modifier -25 if a separate, significant E/M service is provided.
- The importance of documenting medical necessity for the studies, which can help ensure that the services are reimbursed by payers.
- The existence of other codes (95907-95913) that can be used for different quantities of nerve conduction studies, ranging from 1-2 up to 13 or more studies. It's also worth noting that while the provided evidence discusses various topics related to neuromuscular electrical stimulation and nerve conduction studies, the most relevant information for billing purposes is the specific CPT codes and guidelines for their use 5.