EMG/NCV's

Need help in billing the new EMG codes. We are billing 95885 x1 (59 modifier) and 95886 x3 with 95903x3 and 95904 x4. With Medicare we must split our code 95886 on separate billing lines. I need to know how to bill the 95886 as I am getting denials. I have billed 95885 x1 (59), 95886 x1, 95886 x1 (59) and 95886 x1 (59), 95903 x3 and 95904 x4. I can get all paid except for the third 95886 (59). Is there an additional modifier to use? It denies for duplicate, but it is not (performed 3 extremity with 95886). Any help would be appreciated. Thank you.

re: EMG/NCV's

Report codes 95885 and 95886 once per extremity; both can be reported together up to a combined total of four units per patient when all four extremities are tested.
Limited EMGs are those that test less than five muscles.(95885).
The parenthetical language stating "(list separately in addition to the code for primary procedure)" is a prompt to remind physicians to also report a nerve conduction code with these EMG codes.

Depending on the number of extremities tested and the type of testing performed, you may bill up to a quantity of 4 for either 95885 or 95886. Remember:

* Use these codes in conjunction with NCS codes 95900-95904.
* Do not report these codes with 95905.
* Do not report these codes in conjunction with existing EMG codes 95860-95864, 95867-95870.

If you do not perform NCS the same day as EMG, you may report the existing EMG codes 95860-95864, 95867-95870.

re: EMG/NCV's

Have you added the make and model number of the machine used. and for the 95903/95904 you need a KX modifier.

re: EMG/NCV's

I'm getting the same denial for 95886. Im reporting it with the NCV codes but it still denies stating the qualifying service is not listed on the claim. Help!

re: EMG/NCV's

http://www.aan.com/go/practice/coding/faqs

http://www.trailblazerhealth.com/Publications/Newsletter%20-%20eBulletin/TrailBlazerBulletinMarch2012.pdf