Category: Neurology Billing Services
Intraoperative Neuromonitoring Billing CPT 95940 95941
CPT 95940 reports in-room, one-on-one intraoperative monitoring per 15 minutes. CPT 95941 reports remote or multi-case monitoring per hour, but Medicare does not accept it and requires HCPCS G0453 instead. Both are add-on codes billed with baseline study codes. A 95% clean claim rate is a commonly cited practical target, not a mandate. Intraoperative neuromonitoring […]
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Neurology E/M Coding 99213 99214 Documentation Tips
For an established neurology patient, 99213 requires low medical decision making or at least 20 minutes of total time. 99214 requires moderate decision making or at least 30 minutes. Decision making is met when two of three elements reach the level billed: problems, data, and risk. Many practices aim for 95% or higher accuracy on […]
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Stroke Care Billing and Coding for Neurologists (2026)
Quick answer: Stroke care billing and coding for neurologists means matching each stroke encounter to the correct ICD-10-CM cerebrovascular code, the right E/M, critical care, or telehealth CPT code, and any required modifier. Accuracy depends on documenting stroke type, vessel, laterality, NIHSS score, and total time. A 95% clean claim rate is a commonly cited […]
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2027 CPT Code Changes Neurology Billing Guide
2027 CPT code changes neurology billing teams face begin January 1, 2027. Three areas touch neurology most: six new unattended sleep study codes, autonomic testing codes that CMS lists as new, and Medicare proposals that include a review of vagus nerve stimulator programming values. Only the AMA’s counts and effective date are final; the payment […]
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Botox Injection Billing for Neurology: CPT 64615 & J0585
Botox injection billing for neurology (CPT 64615, J0585) pairs one procedure line with one drug line. CPT 64615 is reported once per chronic migraine session, while J0585 is billed per unit, commonly 155 units [A]. Most payers expect prior authorization, matching documentation, and correct waste modifiers before they pay either line. Botox injection billing for […]
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EMG and Nerve Conduction Study Billing CPT 95907-95913
Short Answer: One NCS Code, Then Same-Day EMG Add-Ons EMG and nerve conduction study billing CPT 95907-95913 means reporting one NCS code, chosen by the total studies performed that day [A]. The tiers run from 95907 for one to two studies up to 95913 for thirteen or more. Same-day needle EMG is reported separately with […]
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Epilepsy & Seizure Management Billing: EEG Monitoring Codes
Epilepsy and seizure management billing (EEG monitoring codes) means choosing the right EEG code by study type, duration, video use, and who performed each component. Routine studies use 95812 through 95822. Long-term monitoring uses technical codes 95700 and 95705 through 95716, plus professional codes 95717 through 95726. Payers expect medical necessity, correct modifiers, and, for […]
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Migraine & Headache Treatment Billing & Prior Authorization
Migraine and headache treatment billing and prior authorization means matching each therapy to the right benefit, codes, and approval before care begins. Botox, infusions, and nerve blocks are usually billed by the practice under the medical benefit. Many oral and self-injected drugs run through the pharmacy benefit instead. Clean claims pair documented headache days and […]
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Economical Neurology Billing Outsourcing in Florida
Economical neurology billing outsourcing in Florida means paying a fair, transparent rate — commonly 4% to 10% of collections — for a partner whose collection rate and denial management more than offset the fee. The lowest percentage on paper is not always the cheapest option once denied claims, write-offs, and in-house overhead are counted. A […]
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Trusted Neurology Billing Company in North Carolina
A trusted neurology billing company in North Carolina is one whose trustworthiness can be verified, not just claimed: a named point of contact you can reach directly, claims and denial reports you receive on a set schedule without having to ask, a signed Business Associate Agreement and documented data-security practices, and response times tracked by […]
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