Neurology Medical Billing Services
Neurology billing combines complex E/M visits with diagnostic procedures like EEG and EMG, each carrying its own authorization and interpretation-billing rules. Flint RCM's neurology accounts are staffed by coders fluent in this mix.
Specialty-specific pitfalls we watch for.
- EEG/EMG professional-vs-technical component splitting errors
- Prior authorization requirements for advanced neuroimaging (MRI, MRA) not confirmed before ordering
- Time-based E/M coding for complex neurological cases under-documented relative to time spent
- Bundling edits between nerve conduction studies and same-day EMG
- Botulinum toxin injection billing (migraine, spasticity) without correct units-to-dose calculation
- EEG/EMG component splitting (professional -26 / technical -TC) reviewed before submission
- Neuroimaging authorization confirmed before the study is ordered
- Time-based E/M documentation reviewed against total time or MDM complexity
- Nerve conduction study and EMG bundling checked against NCCI edits
What makes Neurology coding different.
- CPT 95700–95726 (EEG) and 95907–95913 (nerve conduction studies) split by professional/technical component as applicable
- CPT 95860–95872 (EMG) coded to the exact number of muscles/limbs tested and documented
- CPT 64612/64615 (botulinum toxin injection) billed with unit counts matching the documented dose
What to confirm before the visit.
- Prior authorization confirmed before ordering advanced neuroimaging (MRI, MRA, CT) for non-emergent cases
- Medical necessity documentation confirmed for repeat EEG/EMG studies within a payer's frequency window
Component-splitting errors on EEG/EMG are a common denial source — AR follow-up verifies whether the professional, technical, or global component was billed correctly before resubmitting.
Our workflow for neurology billing.
Documentation Review
Clinical notes and study reports are reviewed to confirm the exact procedure and component performed.
Coding & Component Check
Professional/technical component splitting and unit counts are verified before coding.
Prior Auth Confirmation
Authorization for neuroimaging and specialized procedures is confirmed before scheduling.
AR Follow-Up
Component-splitting and bundling denials are worked with the study documentation.
What shapes neurology reimbursement.
Payers vary in how they require EEG/EMG components to be billed (global vs. split) — claims are prepared to each payer's specific requirement rather than a single default.
Neurology billing, answered.
Do you bill EEG and EMG as global or split services?
It depends on who owns the equipment and interprets the study — we apply -26/-TC splitting only where that arrangement applies.
How do you handle prior authorization for MRI orders?
Authorization is confirmed before the study is ordered, not after, to avoid a denied or unpaid imaging claim.
Explore more specialty billing pages.
Get a free neurology billing audit.
We'll review your current claims, denials, and AR to show exactly where neurology revenue is being missed.