TMPPM 2008 > Texas Medicaid Services > Physician > Procedures and Services

   
 

36.4.9.10 Electromyography (EMG)

EMG is reimbursed by the Texas Medicaid Program using the following procedure codes:

Procedure Codes

5/I/T-95860

5/I/T-95861

5/I/T-95863

5/I/T-95864

5/I/T-95867

5/I/T-95868

5/I/T-95869

5/I/T-95872

5/I/T-95875

Separate charges for more than one extremity EMG is combined and coded as the appropriate multiple extremity EMG code. A maximum of four EMGs may be paid on the same day to the same provider. More than four EMGs are denied with explanation of benefit (EOB) 00103, "Services exceed allowed benefit limitations."

EMG used for the treatment of pathological muscle abnormalities or other disorders of the musculoskeletal system are considered a PT procedure and are paid according to the PT guidelines.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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