Neurology Medical Billing: Key Tips & Best Practices
Neurology Medical Billing: A Comprehensive Guide 2024
What is the Neurology Billing Process?
- Patient Information Collection: Gather comprehensive details about the patient, including insurance information and medical history.
- Procedure Documentation: Accurately document the neurological procedures performed, including patient symptoms and diagnostic findings.
- Coding: Assign the correct CPT and ICD-10 codes to the documented procedures and diagnoses.
- Claim Submission: Submit the coded claims to insurance companies or other payers.
- Follow-Up: Monitor the status of claims, address any issues or denials, and ensure timely follow-up for resolution.
- Payment Posting: Record payments and adjustments received from insurance companies and patients in the practice’s accounting system.
What Are Key Components of Neurology Medical Billing?
Neurological Procedures: Detailed knowledge of common procedures such as EEGs (Electroencephalograms), EMGs (Electromyography), and lumbar punctures, including how they are performed and documented.
CPT Codes: Familiarity with Current Procedural Terminology (CPT) codes specific to neurology, which are used to describe the services and procedures provided.
ICD-10 Codes: Understanding International Classification of Diseases (ICD-10) codes for accurate diagnosis coding, which is critical for proper claim processing and reimbursement.
Modifier Usage: Knowing when and how to use modifiers to provide additional information about the procedure or adjust the payment amount.
Insurance Policies: Awareness of different insurance companies’ policies and requirements, which can affect claim acceptance and payment
How to Maximize Your Reimbursement?
What Are Neurology CPT & ICD Codes?
CPT Codes for Neurology:
- Electromyography Procedures: 95860—95872
- Routine EEG Procedures: 95812—95836
- Nerve Conduction Tests: 95905—95913
ICD-10 Codes for Nervous System Diseases:
- Alzheimer’s Disease with Early Onset: G30.0
- Alzheimer’s Disease with Late Onset: G30.1
- Other Alzheimer’s Disease: G30.8
- Sleep Apnea, Unspecified: G47.30
- Primary Central Sleep Apnea: G47.31
- Obstructive Sleep Apnea (Adult): G47.33 (also applicable to pediatric)