ICD9 With EMG/NCS?

[Paddington]

1) After doing an EMG/NCS, on the billing sheet do you have to list an ICD 9 code? What if they had a normal study?

2) As a resident when I'm doing my ACGME procedure logs, do I need to list an ICD 9 with all EMG studies? Or is it enough just to put the CPT code "95999"?

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[RUOkie]

What is "the reason" for the study.

If the diagnosis is Carpal Tunnel Syndrome, it is 354.0 whether the study is normal or if it shows a Median Neuropathy at the wrist.

And do not use "paresthesias" or you will not get paid.

In other words, what is your pretest diagnosis?

 

[Paddington]

Excellent. What about logging them as a resident? Do I need to put down ICD 9 codes (going by the billing criteria) on the ACGME forms?

 

[PMR 4 MSK]

If the EMG is normal, you can usually code the diagnosis. I get paid for "paresthesias" as the dx all the time. "Pain in limb"is a common one also.

I would not think you would need the ICD-9 codes for your logs, but check with your program director.

 

[MSKalltheway]

There is actually a section on the ACGME case log reporting site that asks you to put in the CPT/ICD 9 codes. If you dont have them offhand, there is a search function that approximates it.

 

[deleted185747]

When I log my cases on the ACGME website I list the codes that I performed:

95900 = motor NCS
95904 = sensory/mixed
95860 = EMG, 1 limb with or without paraspinals
95861 = EMG 2 limbs