Neurology · Nationwide
Billing for neurology practices
Diagnostic testing, chemodenervation and infusions sit alongside complex office visits. Each has its own units, limits and documentation rules. We keep them straight.
Where neurology practices lose money
Diagnostic testing rules
EMG and nerve conduction codes depend on the studies performed, and payers cap units. EEG codes depend on setting and duration. We check both before claims go out.
Botox and infusion drugs
High-cost drugs need authorization, correct units and wastage modifiers. One mistake can cost more than the visit.
Visit complexity
Neurology visits are often high-complexity. We check that the documentation supports the level billed.
Authorizations
Advanced imaging, infusions and some testing need approval first. We track approvals and expiration dates.
What we handle
- EMG and nerve conduction studies
- Routine and long-term EEG
- Chemodenervation for migraine and spasticity
- Infusion and injectable drug billing
- Office and consult visit level review
- Telehealth place-of-service and modifiers
Also included
AI front desk
Every call answered, new patients captured and benefits checked before the first visit. Delivered with CuraVoice.
How it worksFAQ
Neurology billing questions
How are EMG and nerve conduction studies billed?
Nerve conduction codes are based on the number of studies performed, and needle EMG done in the same session is usually reported with an add-on code. Medicare limits how many units can be billed per day, so documentation has to support the number billed.
How is Botox for chronic migraine billed?
Bill the injection procedure and the drug in units. For Medicare, single-dose vials need the JW modifier for any discarded amount, or JZ when none is discarded. Most payers require prior authorization.
How is long-term EEG monitoring billed?
Long-term EEG is billed in parts: technical setup, the recording itself by duration and whether video is used, and the physician's review and report. Each part has its own code.
Can neurology telehealth visits be billed?
Yes, with the place-of-service code and modifier each payer expects. Telehealth rules have changed several times since 2020, so they need to be checked regularly.
See your numbers first
Free revenue audit for neurology practices. Written report, no obligation.