Neurology combines high-complexity E/M, diagnostic studies, and infusion therapy. Each line has its own prior auth, bundling, and documentation rules. We handle all three in one workflow.
We see the same patterns across neurology groups. The leaks are specific, recurring, and fixable with coding discipline and payer-aware claim construction.
Not a complete list. A representative slice of the codes that drive revenue and denials for neurology practices.
| Code | Description | Profile |
|---|---|---|
| 95886 | Needle EMG, complete study | High volume |
| 95910 | NCS, 7-8 studies | Modifier-sensitive |
| 95812 | EEG, 41 to 60 minutes | Denial-prone |
| 95951 | Long-term EEG with video | High volume |
| 96365 | IV infusion, initial hour | Modifier-sensitive |
| 99483 | Cognitive assessment and care plan | Denial-prone |
| 95700 series | Long-term monitoring codes | High volume |
EMG and NCS unit selection audited for accuracy. Infusion hierarchy coded per AMA rules (one initial per IV access). Prior auth tracked for infusions, Botox, and advanced imaging. E/M leveling aligned to complexity of medical decision making.
Pattern we see. Infusion hierarchy errors (more than one initial), EEG interpretation denied without provider signature on record, and Botox medical necessity denied without documented failed conservative therapy.
How we fix it. Every denial is logged against its CARC/RARC code and routed to a coder who owns the appeal. We rebuild the claim with the documentation the payer is actually asking for, not a generic reconsideration letter. Recovery rate on appealable neurology denials averages above 60 percent.
A written 30-day diagnostic. Dollar figures against every finding. No obligation.