Specialized billing for neurology practices — EMG/nerve conduction studies, EEG, Botox chemodenervation, infusions, and complex chronic-disease E/M by neurology billing experts. Serving practices nationwide across the United States.
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NCS by study count and needle EMG add-on codes billed with exact units and pairing — the most miscoded neurology service.
Routine, ambulatory, and video EEG with professional/technical component rules and interpretation requirements.
Migraine, dystonia, and spasticity Botox — procedure plus J-code drug and units, with prior authorization matched.
High-dollar J-code drug billing plus the infusion administration hierarchy and authorization for MS and immune therapies.
Defensible leveling of epilepsy, MS, Parkinson's, migraine, and neuropathy visits — genuinely high-complexity care.
We appeal EMG unit, medical-necessity, authorization, and bundling denials and fix the causes behind them.
Neurology sits at an unusual intersection: it carries some of the most complex cognitive E/M in medicine — epilepsy, multiple sclerosis, Parkinson's, refractory migraine, neuropathy — alongside precise, unit-driven diagnostic testing and expensive drug therapies. That combination makes it one of the harder specialties to bill accurately, because a practice has to be equally disciplined about EMG unit counts, EEG component rules, high-dollar infusion drugs, and defensible visit leveling. Neurology practices lose revenue in all four places at once when the billing isn't specialized.
Electrodiagnostic testing is neurology's signature — and its biggest coding trap. Nerve conduction studies are billed by the number of studies performed (95907–95913), and needle EMG is reported with specific add-on codes (95885–95887) that must pair correctly to the NCS. The unit counts have to match what was actually done, the NCS-to-EMG pairing has to be right, and the medical necessity has to be documented — because EMG/NCS is heavily audited and frequently denied for units or necessity (CO-151, CO-50). Distinct components sometimes need a modifier 59 / X{EPSU} to be paid separately. We bill electrodiagnostics to the exact study count, which is where a lot of neurology revenue is either captured or lost.
Neurology carries serious drug spend. Botox for chronic migraine, dystonia, and spasticity is billed as the chemodenervation procedure (64615 for migraine) plus the drug by its J-code and units (J0585), and it nearly always requires prior authorization — the procedure, drug units, and auth all have to match, with any waste captured via the JW modifier. IVIG, MS disease-modifying therapies, and other infusions add high-dollar J-code billing on top of the infusion administration hierarchy. Because these drugs are expensive, an auth-to-claim mismatch is a large denial (CO-197), and unit accuracy is money. We treat neurology drug billing with the same rigor as the testing.
Routine EEG (95816, 95819), ambulatory and video EEG, and long-term monitoring each carry professional/technical component rules and interpretation requirements that determine how — and how much — they pay. Billing the wrong component, or missing the interpretation requirement, quietly underpays a study the practice fully performed. We bill EEG to the correct components by setting, so the diagnostic work is captured completely.
Around the testing and drugs sits the reason patients see a neurologist: complex, ongoing disease management. Epilepsy, MS, Parkinson's, and refractory migraine visits are frequently high-complexity by any honest reading of the medical decision making, yet they're often under-leveled — a recurring, expensive habit across a full neurology panel. We level on documented complexity with support from our E/M code calculator, and we track the practice's denial rate across testing, drugs, and visits so the pattern in any one area surfaces before it costs a quarter of revenue.
Specialties that share neurology’s imaging, testing and chronic-pain overlap.
Headache, neuropathy and spine patients move between both practices, with overlapping procedural coding.
Stroke and neuromuscular rehabilitation depends on therapy plans of care that need matching documentation.
Cognitive and behavioural symptoms are co-managed, and testing codes overlap directly.
MRI and imaging underpin most neurological workups, with strict prior-authorization requirements.
We bill all of these in house. If your group spans several of them, multi-specialty billing keeps one team across every line — or see the full list of services.
Get a free billing audit and see how much your practice is losing to EMG miscoding and under-leveled visits.
Get Free Practice AuditFree resources: E/M Code Calculator | CO-151 — Units/Frequency | CO-197 — Authorization | Denial Rate Calculator