How To Use CPT Code 95910

CPT 95910 is a diagnostic test code for nerve conduction studies involving 7-8 studies. This article will cover the description, procedure, qualifying circumstances, when to use, documentation requirements, billing guidelines, historical information, similar codes, and examples of CPT 95910.

1. What is CPT 95910?

CPT 95910 is a diagnostic test code used for nerve conduction studies involving 7-8 studies. Nerve conduction studies are performed to evaluate the function, particularly the electrical conduction ability, of the motor and sensory nerves in the human body. This test helps determine the site of nerve damage and destruction.

2. 95910 CPT code description

The official description of CPT code 95910 is: “Nerve conduction studies; 7-8 studies.”

3. Procedure

1. The patient is appropriately prepared for the procedure.
2. Two electrodes are placed on the nerve to be tested.
3. One electrode stimulates the nerve with a mild electrical impulse, while the other electrode records the resulting electrical activity of the nerve.
4. The provider repeats this procedure for each of the 7-8 nerves being tested.
5. The electrical activity is recorded as a waveform on a computer and analyzed by the provider.
6. Nerve conduction studies include different types of studies, such as motor nerve conduction study, sensory nerve conduction study, F waves, and H reflex.
7. Each type of nerve conduction study is counted only once when multiple sites on the same nerve are stimulated or recorded.

4. Qualifying circumstances

Patients who are experiencing symptoms or have a medical condition that suggests nerve damage or dysfunction may be eligible to receive CPT 95910 services. These symptoms or conditions may include, but are not limited to, neuropathy, radiculopathy, carpal tunnel syndrome, and other peripheral nerve disorders.

5. When to use CPT code 95910

It is appropriate to bill CPT 95910 when the provider performs 7-8 nerve conduction studies on a patient to diagnose or evaluate a suspected nerve disorder or damage. The code should be used only when the specific number of studies falls within the 7-8 range.

6. Documentation requirements

To support a claim for CPT 95910, the following information should be documented:

• Patient’s medical history and presenting symptoms or conditions.
• Physical examination findings related to the suspected nerve disorder or damage.
• Details of the nerve conduction studies performed, including the nerves tested, the type of study, and the results.
• Provider’s interpretation and analysis of the test results, including any identified nerve damage or dysfunction.
• Any additional diagnostic tests or treatments recommended based on the findings of the nerve conduction studies.

7. Billing guidelines

When billing for CPT 95910, follow these guidelines:

• Report nerve conduction study codes based on the number of studies performed.
• If reporting only the professional component, append modifier 26 to the code.
• If reporting only the technical component, append modifier TC to the code, unless the hospital provided the technical component. In that case, do not append modifier TC.
• Do not append a professional or technical modifier when reporting a global service in which one provider renders both the professional and technical components.

8. Historical information

CPT 95910 was added to the Current Procedural Terminology system on January 1, 2013. There have been no updates since its addition.

9. Similar codes to CPT 95910

Five similar codes to CPT 95910 and how they differentiate are:

• CPT 95907: Nerve conduction studies with 1-2 studies.
• CPT 95908: Nerve conduction studies with 3-4 studies.
• CPT 95909: Nerve conduction studies with 5-6 studies.
• CPT 95911: Nerve conduction studies with 9-10 studies.
• CPT 95912: Nerve conduction studies with 11-12 studies.

These codes differ from CPT 95910 based on the number of nerve conduction studies performed during the diagnostic test.

10. Examples

Here are 10 detailed examples of CPT code 95910 procedures:

1. A patient with suspected carpal tunnel syndrome undergoes 7 nerve conduction studies to evaluate the median and ulnar nerves in both upper extremities.
2. A patient with diabetic neuropathy undergoes 8 nerve conduction studies to assess the function of sensory nerves in the lower extremities.
3. A patient with a history of lumbar radiculopathy undergoes 7 nerve conduction studies to evaluate the function of motor nerves in the lower extremities.
4. A patient with suspected Guillain-Barré syndrome undergoes 8 nerve conduction studies to assess the function of motor and sensory nerves in the upper and lower extremities.
5. A patient with a history of cervical radiculopathy undergoes 7 nerve conduction studies to evaluate the function of motor nerves in the upper extremities.
6. A patient with suspected peripheral neuropathy undergoes 8 nerve conduction studies to assess the function of sensory nerves in the upper and lower extremities.
7. A patient with a history of sciatica undergoes 7 nerve conduction studies to evaluate the function of motor nerves in the lower extremities.
8. A patient with suspected Charcot-Marie-Tooth disease undergoes 8 nerve conduction studies to assess the function of motor and sensory nerves in the upper and lower extremities.
9. A patient with a history of thoracic outlet syndrome undergoes 7 nerve conduction studies to evaluate the function of motor nerves in the upper extremities.
10. A patient with suspected polyneuropathy undergoes 8 nerve conduction studies to assess the function of motor and sensory nerves in the upper and lower extremities.