Nerve Conduction Testing: Can a family practitioner bill for CPT codes 95903 & 95904?
These codes represent nerve conduction studies (NCS). Generally, a provider can bill any code for services he or she is qualified to perform. That being said there has been increasing utilization of these highly specialized tests due to the availability of equipment that would allow in-office testing generating immediate results. These devices and tests do not conform to the current descriptors of existing CPT codes and should not be billed with 95900, 95903 or 95904. If performed and billed to Medicare, they should be billed with the non-specific CPT code 95999. Regardless of this facilitated testing, it remains that there is a local coverage policy for nerve conduction studies indicating the following: “Training in the performance of electrodiagnostic procedures, in isolation without awareness and ability to diagnose and manage neuromuscular diseases, is not always adequate for electrodiagnostic consultation. Recognition and experience in the management of disparate diseases that pro
