Eligibility & Verification
Coverage checks before every visit.
Specialty Billing
Neurology Medical Billing
Neurology billing spans diagnostic testing and complex evaluations. We code EEG, EMG, and nerve conduction studies accurately and manage the prior authorizations advanced imaging requires.
The Challenge
Neurology billing, solved
We understand the billing complexities unique to neurology and build them into every claim.
- EEG / EMG / nerve conduction coding
- Prolonged and complex E/M
- Prior auth for advanced imaging
What we focus on
- Neurodiagnostic test coding
- Prolonged service codes
- Imaging prior authorization
Coding Focus
Neurology code sets we work in
The CPT/HCPCS procedure families and ICD-10 diagnosis groups our certified coders handle for this specialty every day.
Common CPT / procedure codes
- 95812–95830Routine and extended electroencephalography recordings
- 95860–95872Needle electromyography of studied muscle groups
- 95907–95913Nerve conduction study bundles by count
- 99417–99418Prolonged evaluation and management time add-ons
ICD-10 diagnosis focus
- G40 epilepsy and recurrent seizures
- G43–G44 migraine and other headache syndromes
- G50–G59 nerve, root, and plexus disorders
- G20 / G35 Parkinson disease and multiple sclerosis
Code references are shown as general identifiers for illustration. Actual code selection always follows current payer rules and your provider's documentation.
Clean Claims
Modifiers, denials & billing rules we manage
How our team keeps neurology claims compliant — the modifiers that matter, the denials we prevent, and the guidelines we follow.
Key modifiers
- 26
Reports only the physician's interpretation of an EEG, EMG, or nerve study.
- TC
Bills the equipment and technician portion when the practice owns the testing setup.
- 59
Separates nerve or muscle studies performed on distinct limbs or nerves.
- 25
Supports a distinct office evaluation done the same day as a neurodiagnostic test.
Common denials & fixes
Nerve conduction units exceed payer limits.
Pre-check the maximum allowable studies and support each unit with a distinct clinical indication.
MRI denied for lack of prior authorization.
Obtain and record authorization numbers before advanced imaging is scheduled.
Prolonged service denied without time proof.
Record the total qualifying minutes and the reason extended time was medically necessary.
EEG denied for component billing errors.
Route professional and technical charges to the correct party based on where the study was performed.
Billing guidelines
- Confirm each nerve conduction and EMG unit against payer maximums before submitting multi-limb studies.
- Split diagnostic tests into professional and technical components based on who performs and who interprets them.
- Document total face-to-face and non-face-to-face time whenever prolonged service add-ons are reported.
- Secure imaging prior authorizations early to avoid downstream denials on MRI and advanced studies.
End-to-End
What we handle for Neurology
A complete revenue cycle service tailored to your specialty.
Specialty Coding
Certified, specialty-trained coders.
Charge Entry & Claims
Clean, accurate claim submission.
Payment Posting
ERA/EOB posting and reconciliation.
Denial & AR Management
Appeals and aggressive AR recovery.
Reporting & Analytics
Real-time KPIs and insights.
98%
Clean claim rate
30%
Average revenue lift
24/7
Operations coverage
HIPAA
Compliant processes
FAQ
Neurology billing — FAQs
Yes — our certified coders are trained on specialty-specific rules, code sets, and payer policies, and we assign coders with experience in your specialty.
We work in your current practice management system and EHR, so your workflows and reporting stay intact while we handle the billing.
Through accurate specialty coding, front-end eligibility checks, clean claim submission, and relentless denial and AR follow-up — typically lifting first-pass acceptance and net collections.
Always. We use strict access controls, encryption, signed BAAs, and audit trails to protect patient data.
More Specialties
Other specialties we bill for
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