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Neurology header art
97%
Neurology

Accurate coding and billing for neurology services, from EEGs to complex neurodegenerative disease management.

Specialty highlight

97%

Built around payer rules, documentation requirements, and coding nuances.

Diagnostic Test Coding Accuracy

97%

Clean Claim Rate

95%

Overview

Billing in Neurology

A practical view of what makes this specialty unique.

Neurology billing requires a deep understanding of complex diagnostic tests, cognitive assessments, and long-term disease management. From EEGs and EMGs to the management of conditions like Parkinson's and Multiple Sclerosis, precision in coding is vital. Our neurology billing service ensures that every aspect of patient care, from initial consultation to ongoing treatment and specialized testing, is captured accurately to maximize your practice's revenue and maintain compliance.

Specialized coding for EEG, EMG/NCV, and evoked potential studies.

Standardized into our workflow to reduce rework and protect revenue.

Expertise in billing for neurology-specific E&M services and cognitive assessments.

Standardized into our workflow to reduce rework and protect revenue.

Management of infusion and injection therapy billing.

Standardized into our workflow to reduce rework and protect revenue.

Coding for sleep medicine and related neurological disorders.

Standardized into our workflow to reduce rework and protect revenue.

Challenges

What slows reimbursement

The common friction points that trigger delays, denials, and rework.

Key challenges
  • Accurately coding for a wide range of neurological diagnostic tests (EEG, EMG/NCV, evoked potentials).
  • Billing for cognitive function assessments and dementia screening.
  • Managing the complexities of infusion therapy for conditions like MS or migraines.
  • Ensuring proper coding for deep brain stimulation and other movement disorder procedures.
  • Navigating payer policies for headache management and Botox injections for chronic migraine.
Our solutions
  • Certified neurology coders with specialized knowledge of neurological procedures and diagnoses.
  • Precise coding for all diagnostic studies, including EEG, EMG/NCV, and sleep studies.
  • Expertise in billing for cognitive assessments, dementia care, and neurological rehabilitation.
  • Proactive management of prior authorizations and medical necessity for expensive infusion therapies.
  • Detailed support for billing for Botox and other injectables for neurological conditions.
  • Robust denial management for complex neurology claims.
Features

Operational features that keep claims clean

Repeatable checks, payer alignment, and tight charge capture.

Specialized coding for EEG, EMG/NCV, and evoked potential studies.

Included to improve first-pass acceptance and reduce downstream edits.

Expertise in billing for neurology-specific E&M services and cognitive assessments.

Included to improve first-pass acceptance and reduce downstream edits.

Management of infusion and injection therapy billing.

Included to improve first-pass acceptance and reduce downstream edits.

Coding for sleep medicine and related neurological disorders.

Included to improve first-pass acceptance and reduce downstream edits.

Compliance with LCDs for diagnostic testing and treatments.

Included to improve first-pass acceptance and reduce downstream edits.

Coding

Coding complexities we watch closely

Modifier usage, documentation rules, and specialty-specific payer edits.

Complexity checklist
  • EMG/NCV coding based on the number of nerves and studies performed.
  • EEG coding distinguishing between routine, prolonged, and video-monitored studies.
  • Billing for neuropsychological and cognitive function testing.
  • Correct coding for intrathecal pump management and refills.
Denial triggers

Missing medical necessity for diagnostic testing.

Lack of prior authorization for infusions or Botox.

Incorrect coding for the number of studies in EMG/NCV.

Unbundling of comprehensive neuropsychological testing.

Insufficient documentation to support cognitive function testing.

Codes

Common codes (examples)

Reference-only examples to illustrate the typical coding landscape.

CPT

99214 (Office Visit), 95886 (EMG/NCV), 95819 (EEG), 96132 (Neuropsychological Testing), 64615 (Botox Injection)

ICD-10

G40.909 (Epilepsy), G35 (Multiple Sclerosis), G20 (Parkinson's), M43.6 (Torticollis), G43.909 (Migraine)

FAQ

Frequently Asked Questions

Got questions? We've got answers

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