Neurology Billing
EEG/EMG coding families, infusion and chemodenervation rules — neurology billing for diagnostics-heavy practices.
Neurology's revenue concentrates in diagnostics with intricate code families — EEG, EMG/nerve conduction, evoked potentials — plus infusion and injection therapies with drug (J-code) economics. Elite Bill Care's neurology billing handles that mix precisely.
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Neurology billing specifics
- EEG families — routine, prolonged and video-EEG codes (95700–95726 family for long-term monitoring) selected by duration, monitoring type and who interprets — with technical/professional splits by setting.
- EMG and nerve conduction — NCS code counts by study type with EMG add-ons (95885/95886/95887) applied under the combination rules payers audit closely.
- Chemodenervation — botulinum toxin procedures with guidance codes and J-code drug billing, where drug units and wastage rules decide real money.
- Infusion therapies — administration hierarchies (initial/subsequent, therapeutic vs. hydration) and drug units verified per claim.
- Sleep studies — where the practice provides them, 95806–95811 family rules and split-night logic.
How we run it
Diagnostic reports are matched to billed studies under coding support, authorizations for high-cost therapies are tracked through prior authorization, and drug-unit or study-count denials are appealed with the source reports. See the whole operation on our billing services page.
Frequently asked questions
Do you bill for hospital-based neurology too?
Yes — consults and inpatient diagnostics with correct POS and component modifiers, alongside office billing.
Our EMG claims keep reducing. Why?
Usually study-count or add-on combination rules differ by payer, or the report does not enumerate studies the way the claim does. We reconcile report-to-claim in our review and show you the pattern.