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tci Outpatient Facility Coding Alert - 2016 Issue 5

Reader Question: Know the Dividing Lines for Abdominus Muscles

Question: I know that the rectus abdominis muscle doesn’t fall under either the upper of lower extremity. That has me confused when I’m trying to determine whether a case involves three extremities – upper, lower, and trunk. The documentation is: Spontaneous Electromyography (spEMG) – Lower Extremity/Trunk BilateralRectus Abdominis, Iliopsoas, Quadriceps – Vastus Lateralis, Tibialis Anterior, Biceps FemorisAll Recordings MonitorableSpontaneous Electromyography (spEMG) – Upper ExtremityBilateral Deltoid, Biceps Brachii, Triceps, Thenar, HypothenarAll Recordings Monitorable Would you use CPT® code 95863 in this situation? Thanks in advance for your help. Missouri Subscriber Answer: The rectus abdominis is an abdominal muscle...

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