How To Use CPT Code 95907

CPT 95907 describes the procedure for nerve conduction studies, which are diagnostic tests used to measure the speed of conduction of an electrical impulse through a peripheral nerve. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 95907?

CPT 95907 can be used to describe the procedure for nerve conduction studies. These studies are performed by a healthcare provider to determine the site of nerve damage and destruction that impairs function. The provider conducts one or two nerve conduction studies by placing electrodes on the nerve to be tested. One electrode stimulates the nerve with a mild electrical impulse, while the other electrode records the resulting electrical activity of the nerve. The provider repeats this procedure for each nerve being tested and analyzes the recorded waveform on a computer.

2. Official Description

The official description of CPT code 95907 is: ‘Nerve conduction studies; 1-2 studies.’

3. Procedure

1. The healthcare provider prepares the patient for the nerve conduction study.
2. The provider places two electrodes on the nerve to be tested.
3. One electrode stimulates the nerve with a mild electrical impulse.
4. The other electrode records the resulting electrical activity of the nerve.
5. The provider repeats this procedure for each nerve being tested.
6. The recorded electrical activity is analyzed by the provider using a computer.

4. Qualifying circumstances

CPT 95907 is used for one or two nerve conduction studies. It is important to count each type of nerve conduction study only once when multiple sites on the same nerve are stimulated or recorded. The code should be used when the provider performs 1 to 2 nerve conduction studies and should not be used for more than 2 studies. The provider must appropriately prepare the patient for the procedure and ensure accurate placement of the electrodes.

5. When to use CPT code 95907

CPT code 95907 should be used when a healthcare provider performs one or two nerve conduction studies. It is appropriate for cases where the provider needs to determine the site of nerve damage and destruction that impairs function. If the provider performs more than 2 nerve conduction studies, a different code should be used.

6. Documentation requirements

To support a claim for CPT 95907, the healthcare provider must document the following information:

• Patient’s diagnosis and the need for nerve conduction studies
• Number of studies performed (1 or 2)
• Date and time of the procedure
• Specific nerves tested
• Results of the nerve conduction studies
• Signature of the healthcare provider performing the procedure

7. Billing guidelines

When billing for CPT 95907, ensure that the provider performs one or two nerve conduction studies. If reporting only the professional component, append modifier 26 to the code. If reporting only the technical component, append modifier TC to the code. Do not append a professional or technical modifier when reporting a global service where one provider renders both components. It is important to follow the specific guidelines of the payer when submitting claims for CPT 95907.

8. Historical information

CPT 95907 was added to the Current Procedural Terminology system on January 1, 2013. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider performs a nerve conduction study on a patient’s median nerve to determine the site of nerve damage causing carpal tunnel syndrome.
2. A neurologist conducts a nerve conduction study on a patient’s ulnar nerve to assess for nerve damage related to cubital tunnel syndrome.
3. A physiatrist performs a nerve conduction study on a patient’s peroneal nerve to evaluate for nerve damage causing foot drop.
4. An orthopedic surgeon conducts a nerve conduction study on a patient’s sciatic nerve to assess for nerve damage related to a herniated disc.
5. A neurologist performs a nerve conduction study on a patient’s radial nerve to determine the site of nerve damage causing radial neuropathy.
6. A physical therapist conducts a nerve conduction study on a patient’s tibial nerve to evaluate for nerve damage related to peripheral neuropathy.
7. An electrophysiologist performs a nerve conduction study on a patient’s facial nerve to assess for nerve damage causing facial paralysis.
8. A neurologist conducts a nerve conduction study on a patient’s sural nerve to determine the site of nerve damage causing sensory loss in the lower leg.
9. An orthopedic surgeon performs a nerve conduction study on a patient’s brachial plexus to assess for nerve damage related to a shoulder injury.
10. A physiatrist conducts a nerve conduction study on a patient’s femoral nerve to evaluate for nerve damage causing weakness in the thigh muscles.