How To Use CPT Code 95937

CPT 95937 describes the procedure for neuromuscular junction testing, specifically repetitive stimulation and paired stimuli, for each nerve using any one method. This article will cover the official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 95937?

CPT 95937 can be used to describe the procedure of neuromuscular junction testing, which involves repetitive stimulation and paired stimuli for each nerve using any one method. This code is used when a provider performs this testing to diagnose a patient with a known or suspected disorder of the neuromuscular junction. The goal of this testing is to identify and differentiate disorders of the neuromuscular junction by measuring and recording nerve functions such as amplitude and conduction.

2. Official Description

The official description of CPT code 95937 is: ‘Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any one method.’

3. Procedure

1. The provider performs repetitive stimulation of a nerve supplying a muscle to diagnose a patient with a known or suspected disorder of the neuromuscular junction.
2. The provider may also use the method of paired stimuli, which involves using two stimuli at different intervals to stimulate the nerve.
3. The provider uses sensor electrodes to measure and record the nerve functions, such as amplitude and conduction.
4. One unit of CPT code 95937 should be reported for each nerve the provider tests using any one method.

4. Qualifying circumstances

Neuromuscular junction testing with CPT 95937 is performed when a patient has a known or suspected disorder of the neuromuscular junction. The provider uses this code to assess and diagnose the patient’s condition. The testing is typically done by a healthcare professional with expertise in neurology or neuromuscular disorders.

5. When to use CPT code 95937

CPT code 95937 should be used when a provider performs neuromuscular junction testing using repetitive stimulation and paired stimuli for each nerve using any one method. This code is appropriate when the testing is done to diagnose a patient with a known or suspected disorder of the neuromuscular junction.

6. Documentation requirements

To support a claim for CPT 95937, the provider must document the following information:

• Patient’s diagnosis or suspected disorder of the neuromuscular junction
• Specific method used for repetitive stimulation and paired stimuli
• Date and duration of the testing
• Nerves tested and the results of the testing
• Signature of the provider performing the testing

7. Billing guidelines

When billing for CPT 95937, ensure that the provider performs neuromuscular junction testing using repetitive stimulation and paired stimuli for each nerve using any one method. Append modifier 26 to the code if reporting only the professional component, and append modifier TC if reporting only the technical component. Do not append a professional or technical modifier if reporting a global service in which one provider renders both components. It is important to follow the specific guidelines provided by the payer when reporting CPT code 95937.

8. Historical information

CPT 95937 was added to the Current Procedural Terminology system on January 1, 1990. The code was later changed on January 1, 2010 to its current description of neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any one method.

9. Examples

1. A neurologist performing neuromuscular junction testing using repetitive stimulation and paired stimuli to diagnose a patient with myasthenia gravis.
2. A physiatrist conducting neuromuscular junction testing on a patient with Lambert-Eaton syndrome to assess the function of their neuromuscular junction.
3. An electromyographer performing repetitive stimulation and paired stimuli on a patient’s ulnar nerve to evaluate for a suspected neuromuscular junction disorder.
4. A neurophysiologist using repetitive stimulation and paired stimuli to assess the function of a patient’s neuromuscular junction in order to diagnose a suspected disorder.
5. A neurology resident performing neuromuscular junction testing on a patient with suspected botulism to confirm the diagnosis.
6. A neurologist using repetitive stimulation and paired stimuli to evaluate the function of a patient’s neuromuscular junction in order to determine the cause of their muscle weakness.
7. An electromyographer performing neuromuscular junction testing on a patient with suspected myasthenia gravis to confirm the diagnosis.
8. A neurophysiologist conducting repetitive stimulation and paired stimuli on a patient’s facial nerve to assess for a neuromuscular junction disorder.
9. A physiatrist performing neuromuscular junction testing on a patient with suspected Lambert-Eaton syndrome to aid in the diagnosis.
10. A neurology resident using repetitive stimulation and paired stimuli to evaluate the function of a patient’s neuromuscular junction in order to determine the appropriate treatment plan.