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The CPT® Code 95905 refers to a specific type of nerve conduction study that assesses both motor and sensory nerve function using preconfigured electrode arrays. This procedure is essential for diagnosing and evaluating various nerve disorders, including conditions such as carpal tunnel syndrome, which is characterized by symptoms like numbness, tingling, and other abnormal sensations in the limbs. The use of automated systems in these studies allows for efficient testing of sensory and motor nerves, particularly in the wrist and foot regions, where the median, ulnar, peroneal, posterior tibial, and sural nerves are commonly evaluated. During the procedure, a preconfigured electrode array is affixed to the skin of the limb being tested, enabling the delivery of electrical pulses. The study measures the conduction time, which is the duration it takes for the muscle to contract in response to the electrical stimulus. Additionally, the amplitude, or strength of the nerve response, along with the speed of conduction, indicated by latency or velocity, is meticulously recorded. An F-wave study may also be included, which involves the assessment of small amplitude, long latency responses that occur when the motor nerve is maximally stimulated. This aspect of the study provides valuable insights into the functionality of the proximal segments of the nerve. Typically, multiple F-wave recordings are captured at each stimulus site, and the data can be processed on-site or transmitted to a remote computer for analysis. Ultimately, the physician interprets the results and compiles a comprehensive written report detailing the findings of the nerve conduction study.
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The procedure associated with CPT® Code 95905 is indicated for the evaluation of various nerve-related conditions and symptoms. The following are the explicitly provided indications for performing this nerve conduction study:
The procedure for CPT® Code 95905 involves several key steps that ensure accurate assessment of nerve function. The following outlines the procedural steps:
Post-procedure care for patients undergoing the nerve conduction study with CPT® Code 95905 typically involves minimal recovery time, as the procedure is non-invasive. Patients may resume normal activities immediately following the test. However, they may be advised to avoid strenuous activities for a short period, depending on the physician's recommendations. The physician will discuss the findings from the nerve conduction study with the patient during a follow-up appointment, where further management or treatment options may be considered based on the results.
| Short Descr | MOTOR &/ SENS NRVE CNDJ TEST | Medium Descr | MOTOR &/SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB | Long Descr | Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | STV-Packaged Codes | Type of Service (TOS) | 5 - Diagnostic Laboratory | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 2 | CCS Clinical Classification | 7 - Other diagnostic nervous system procedures |
| RT | Right side (used to identify procedures performed on the right side of the body) | LT | Left side (used to identify procedures performed on the left side of the body) | 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | AQ | Physician providing a service in an unlisted health professional shortage area (hpsa) | GA | Waiver of liability statement issued as required by payer policy, individual case | GW | Service not related to the hospice patient's terminal condition | GZ | Item or service expected to be denied as not reasonable and necessary | KX | Requirements specified in the medical policy have been met | PC | Wrong surgery or other invasive procedure on patient | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 2024-01-01 | Changed | Guideline changed. |
| 2013-01-01 | Changed | Short Descriptor changed. Guideline information changed. |
| 2011-01-01 | Changed | Short description changed. |
| 2010-01-01 | Added | - |
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