Neurology combines office visits with diagnostic testing and procedures, and many of them need authorization first.
Examples of frequently billed services, with billing notes from our coders.
| CPT code | Service | Billing note |
|---|---|---|
| 95816 | EEG, awake and drowsy | Check payer limits on repeat studies |
| 95861 | Needle EMG, two limbs | Code by number of limbs tested |
| 95910 | Nerve conduction studies, 7 to 8 tests | Code by total number of studies |
| 95810 | Attended sleep study with staging | Facility vs home study rules differ |
| 95811 | Sleep study with CPAP titration | Medical necessity documentation needed |
| 64615 | Botulinum injections for chronic migraine | Drug billed separately with units |
| 99214 | Established patient office visit, moderate | Add -25 if a test is done the same day |
Codes shown are common examples and descriptions are simplified in our own words. CPT® is a registered trademark of the American Medical Association. Always confirm against the current AMA CPT codebook, ICD-10-CM and each payer’s policy.
Modifiers tell the payer how and why a service was performed. Missing or wrong ones are a leading cause of denials.
Eligibility, benefits and prior authorization verified before the visit.
Code, modifier and documentation review before claims are submitted.
Denials corrected and appealed, aging claims worked until resolved.
Diagnostic testing, procedures and E/M claims coded correctly for each payer.
View billing detailsBiopsy, lesion removal and Mohs billing, with medical and cosmetic claims kept separate.
View billing detailsColonoscopy, endoscopy and screening claims coded for the right site and payer.
View billing detailsTalk to our team about your practice, hospital or lab. We will review your current billing and show you where revenue is slipping away.