Neurology billing
Neurology billing services
We handle billing for neurology practices, from complex E/M visits to EEG, EMG and nerve conduction studies and Botox injections for chronic migraine. Claims go out within 24 hours of receiving charges, every denial is worked within 5 business days, and billing starts at 2.5% of collections.
- EMG and nerve conduction codes matched to the studies performed
- Botox for chronic migraine billed with units, wastage and prior auth
- Long-term EEG coded by setup, technical and professional parts
Why neurology billing is different
Neurology mixes long visits with technical testing
A neurology practice bills high-level E/M visits, diagnostic studies with their own counting rules and expensive drugs that need authorization. Each area has its own denial risks.
Nerve conduction counting
Nerve conduction codes (95907–95913) are chosen by the total number of studies, not by the number of nerves or limbs. Counting wrong leads to down-coding or overbilling.
EMG with NCS
When needle EMG is done at the same session as nerve conduction studies, add-on codes (95885–95887) are used instead of the standalone EMG codes (95860–95864). Mixing them is a frequent edit.
Long-term EEG structure
Extended and ambulatory EEG is billed in parts: setup, technical recording by duration and monitoring type, and professional interpretation by duration. Each part must match what was documented.
Botox and other drugs
Chemodenervation for chronic migraine (64615) is billed with the drug code (J0585) in units. Payers want prior authorization, a documented headache history and wastage reported with the JW or JZ modifier.
Complex E/M
Neurology visits are often long and high in medical decision making. Level 4 and 5 visits need documentation that supports them, and Medicare’s G2211 add-on has its own rules.
Prior authorization for imaging and infusions
MRI, specialty infusions for conditions like multiple sclerosis and newer migraine drugs often need authorization. Missing it usually means a denial that cannot be appealed.
Common codes
Neurology codes we review before every claim
| Code(s) | What it is | What we watch for |
|---|---|---|
| 99204–99205 / 99214–99215 | New and established patient office visits, higher levels | Level supported by medical decision making or total time |
| 95812–95819 | Routine EEG (by length and awake or asleep recording) | Recording time and state documented; not billed with long-term EEG |
| 95700–95726 | Long-term and ambulatory EEG: setup, technical and professional | Duration and monitoring type match the report; correct split of components |
| 95907–95913 | Nerve conduction studies by number of studies | Total study count matches the report |
| 95885–95887 | Needle EMG add-ons done with nerve conduction | Used instead of 95860–95864 when NCS is on the same day |
| 64615 + J0585 | Chemodenervation for chronic migraine plus onabotulinumtoxinA | Prior auth, units given and wasted, JW/JZ modifier |
| G2211 | Medicare add-on for ongoing care of a serious or complex condition | Payer acceptance and same-day procedure rules |
Codes and rules change. We check current CPT guidance and each payer’s policy before submission.
Common denials we prevent
The neurology denials we stop before they happen
Neurology denials cluster around testing and drugs. We check both before the claim goes out.
- Nerve conduction billed by nerve count instead of total study count
- Standalone EMG codes billed on the same day as nerve conduction studies
- Botox claims missing prior authorization, units, the NDC or the wastage modifier
- Long-term EEG billed without matching duration or with overlapping routine EEG
- High-level E/M visits down-coded because documentation did not support the level
- Imaging and infusion claims denied because authorization expired or did not match the service
- Diagnosis codes that do not meet the payer’s coverage policy for the test
What we handle
Everything between the visit and the payment
Our core focus is behavioral health. We bill neurology practices with the same team, the same process and the same promises.
- Insurance eligibility, benefits and prior authorization checks before visits and procedures
- Charge entry and coding review of E/M, EEG, EMG, NCS and drug codes
- Claim submission within 24 hours of receiving charges
- Payment posting and ERA reconciliation
- Denial correction, resubmission and appeals within 5 business days
- A/R follow-up on unpaid and underpaid claims
- Commercial, Medicare and Medicaid credentialing for every provider
- Patient statements and balance tracking (patient calls go to your office or an optional RevenueCTRL virtual assistant)
- Monthly reporting on collections, denials and A/R
Pricing
Clear pricing for neurology practices
Billing starts at 2.5% of collections, or a flat monthly fee. Credentialing starts at $80 per payer, and 5 commercial payers are credentialed free when you sign up for billing. No setup fee and no long-term contract.
Common questions
How do you bill EMG and nerve conduction on the same day?
We bill the nerve conduction code for the total number of studies and add the EMG add-on code (95885, 95886 or 95887) for the needle study. The standalone EMG codes are used only when no nerve conduction study is done that day.
Do you handle Botox billing for chronic migraine?
Yes. We bill the chemodenervation code with the drug code in units, report any wasted units with the right modifier and confirm prior authorization before the injection date. Payers often require proof of a chronic migraine diagnosis and earlier treatments, so we flag gaps early.
Can you bill ambulatory or video EEG?
Yes. Long-term EEG is billed in separate parts for setup, technical recording and professional interpretation. We match each code to the documented duration and monitoring type, and we split components when another facility does part of the work.
Do you bill the professional component for studies done at a hospital?
Yes. When the hospital owns the equipment, the neurologist usually bills only the interpretation with modifier 26 or the professional-only code. We check which entity bills what before submission.
How fast do you reply to questions?
A real person replies to calls and emails within 1 hour during business hours, Monday to Friday, 9am to 6pm Eastern.
Can you credential a new neurologist before we start billing?
Yes. Credentialing starts at $80 per payer, and 5 commercial payers are credentialed free with billing. Medicare and Medicaid enrollments are priced separately.
Guides from our team
Learn more before you decide
Top 10 Reasons for Medical Claim Denials (And How to Fix Them Fast)
The 10 most common reasons for medical claim denials, what each one costs your practice, and the exact fix for each. Plus a denial-prevention checklist.
Read the guide →Claim Denial Codes Explained: What CO-16, CO-50, CO-197, PR-1 and Others Mean and How to Fix Them
What common denial codes mean (CO-16, CO-18, CO-50, CO-97, CO-197, PR-1 and more) and how to fix each, for mental health and medical practices.
Read the guide →Medical Billing Services for Small Practices: Complete Guide to Maximizing Revenue
Explore medical billing services for small practices, from claim submission and payment posting to denial follow-up, with practical steps to improve revenue.
Read the guide →Find out what your claims are leaving on the table
Tell us about your practice. We will review 90 days of claims and show you what is recoverable, at no cost.
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