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2025 CPT code 95912

Nerve conduction studies; 11-12 studies

Refer to the current CPT manual and payer-specific guidelines for the most up-to-date coding conventions. A single conduction study is defined as a sensory conduction test, a motor conduction test (with or without F-wave), or an H-reflex test. Each is counted only once, even with multiple stimulation or recording sites on the same nerve.

Modifiers such as 26 (professional component) and TC (technical component) may apply depending on the billing entity and the services rendered. Modifier 59 (distinct procedural service) could be used if separate procedures are performed and are considered distinct by billing guidelines. Always check with payer guidelines.

Medical necessity is established when clinical findings, such as symptoms of peripheral neuropathy, weakness, numbness, and pain, suggest a possible nerve conduction abnormality that requires electrodiagnostic testing for appropriate management.

The physician or qualified healthcare professional is responsible for placing electrodes, applying electrical stimulation, recording and analyzing the waveforms, and generating a comprehensive report interpreting the results. This includes determining the conduction velocity, latency, and amplitude of the nerve signals, and comparing these measurements to established norms to identify any abnormalities.The physician must also correlate the electrodiagnostic findings with the patient's clinical presentation.

IMPORTANT:95907-95913 are used for nerve conduction studies depending on the number of studies performed (1-2, 3-4, 5-6, 7-8, 9-10, 11-12, 13+).Code 95905 is used for nerve conduction studies performed with preconfigured electrodes.

In simple words: This test checks how well your nerves send electrical signals.The doctor uses small stickers with electrodes (like tiny sensors) placed on your skin over the nerves. A mild electrical impulse is sent through the nerve, and the speed of the signal is measured. This helps find any nerve damage. The doctor does this 11 to 12 times, checking different nerves.

This procedure involves performing 11 to 12 nerve conduction studies.A nerve conduction study (NCS) measures the speed of electrical impulse transmission along a peripheral nerve.The test uses electrodes placed on the skin over the nerve; one electrode stimulates the nerve with a mild electrical impulse, and another records the resulting electrical activity. This process is repeated for each nerve. The recorded waveforms are analyzed to assess nerve function, identifying the location and extent of any damage.The NCS can include sensory, motor, F-wave, and H-reflex studies, each providing specific information about nerve conduction.The number of studies performed dictates the appropriate CPT code.In this case, 11-12 distinct studies were conducted.

Example 1: A patient presents with weakness and numbness in their right arm.The physician orders NCS to assess for carpal tunnel syndrome or other peripheral neuropathies.The NCS includes studies of the median, ulnar, radial nerves, and possibly additional nerves depending on the clinical picture (totaling 11-12 studies)., A patient post-surgery complains of persistent lower extremity weakness and pain.NCS is ordered to assess nerve damage resulting from the procedure.Multiple nerves in the leg are evaluated, with studies including motor and sensory evaluations (11-12 studies)., A patient with a history of diabetes presents with progressive foot numbness and paresthesia. NCS is performed to assess the severity and location of diabetic peripheral neuropathy.Studies are performed on multiple nerves in the lower extremities and possibly upper extremities (11-12 studies).

Detailed patient history including symptoms, onset, and progression;description of the technique used for electrode placement and stimulation;detailed measurements of latency, amplitude, and conduction velocity for each nerve;comparisons to normative data;interpretation and diagnosis by the physician;signed and dated report.

** Accurate coding requires meticulous documentation of the number and type of nerve conduction studies performed.Ensure consistent application of CPT guidelines to ensure proper reimbursement.Consider using a clinical decision support tool to assist with code selection and documentation.

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