tci Part B Insider - 2006 Issue 10

NEUROLOGY: Don't Be Unnerved By Unbundled Claims

If you perform tests on the same nerve, report the more extensive codeWhen your neurologist performs a nerve conduction study (NCS), whether he uses F-waves can affect how you report the procedure. Here's why. Example: The neurologist conducts a nerve conduction study (NCS) without F-waves on the ulnar nerve (95900, Nerve conduction, amplitude and latency/velocity study, each nerve; motor, without F-wave study). Realizing he requires more data, he performs NCS on the same nerve a second time, but with F-waves (95903, ... motor, with F-wave study). Based on the neurologist's documentation of nerve conduction with and without F-wave, the coder...

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