Q&A Nerve Conduction Studies

[Carmelita]

I find that the physicians are not using the new codes introduced in 2013 for nerve conduction studies. Instead they're multiplying the units & claims are being denied for medical necessity due to excessive units.

For example they code 95909 with 2 units instead of 95912

I'm a Medicare biller & of course Medicare denies on these grounds means a claim will need to be appealed.

Does anyone find this same scenario with other payers or is this just a Medicare issue? .