Treatments like chemodenervation for migraine involve drugs, authorizations and unit tracking.
Why specialized neurology billing matters
Neurology billing requires matching test codes to documented studies and keeping authorization paperwork on track.
Our neurology medical billing services
- Neurology E/M billing
- EEG and long-term monitoring claims
- EMG and nerve conduction billing
- Chemodenervation and drug billing
- Neurology authorization and denial management
Every engagement includes our full prior authorization support workflow, adapted to neurology rules.
Neurology coding and claims management
Examples of the codes and rules our team works with every day:
95816 / 95819
Routine EEG awake and drowsy, and awake and asleep.
95907–95913
Nerve conduction studies by number of studies.
95885 / 95886
Needle EMG add-on codes reported with nerve conduction studies.
64615 + J0585
Chemodenervation for chronic migraine plus onabotulinumtoxinA units including documented wastage.
Codes are examples, not coding advice. We apply current CPT®, ICD-10-CM, HCPCS and payer policy to each claim.
Common neurology billing challenges and claim denials
Study counting
NCS codes depend on the number of studies, not nerves examined casually.
Authorizations
Botox and some studies need prior authorization.
Drug units and wastage
JW/JZ modifiers apply to single-dose vial usage.
Medical necessity
Diagnosis codes must support testing.
How our RCM services help neurology practices
Our neurology revenue cycle management coordinates authorizations, drug units and testing documentation.
Insurance eligibility and benefits verification
We verify specialist and diagnostic testing coverage. Learn about verification.
Payment posting and accounts receivable
We post drug and procedure lines and reconcile against expected rates. Unpaid claims are followed up through our A/R management process.
Denial management and appeals
We appeal testing and drug denials with reports and authorization records. See our denial management services.
Credentialing and enrollment
We credential neurologists and neurophysiology providers. Insurance credentialing is $150 per payer.
Why neurology providers choose Cyber Sense
- Transparent pricing: 4% of monthly insurance collections, no hidden fees or minimums
- We work inside your existing EHR / PM system
- Billers who understand neurology payer rules
- Monthly reports on collections, denials and A/R
- No patient-level data collected through marketing forms; access to your systems is role-based
Our neurology medical billing workflow
- 1Practice review and onboarding
- 2Eligibility and authorization checks
- 3Coding review and charge entry
- 4Claim scrubbing and submission
- 5Payment posting and reconciliation
- 6Denial work and A/R follow-up
- 7Monthly reporting and review call
Neurology medical billing FAQs
Do you bill EMG and NCS?
Yes, with study counts matching your reports.
Do you handle Botox authorizations?
Yes, including renewals.
Do you report drug wastage?
Yes, using JW/JZ modifiers as required.
Do you bill EEG monitoring?
Yes, routine and long-term.
What does it cost?
4% of monthly insurance collections.
Neurology billing articles
- Neurology E/M: Choosing Medical Decision Making or TimeLearn how neurology practices can support office E/M selection through medical decision making or documented time, with practical claim review checks.
- EEG Study Documentation That Supports the ClaimBuild an EEG documentation workflow that connects the clinical order, recording details, interpretation, and billed service without duplicating components.
- EMG and Nerve Conduction Reporting: From Findings to ClaimReview EMG and nerve conduction reporting with a practical approach to study counts, clinical findings, component ownership, and payer-specific rules.
- A Claim Workflow for Prolonged and Ambulatory EEGOrganize prolonged and ambulatory EEG claims around actual recording time, monitoring, interpretation, authorization, and clear technical ownership.
- Botulinum Toxin Billing: Reconcile the Drug and ProcedureReconcile botulinum toxin products, administered doses, discarded amounts, procedure documentation, and authorization before releasing neurology claims.
- Neurology Prior Authorization: Build a Service-Specific WorkflowCreate a neurology prior authorization workflow that verifies the plan, service, setting, clinical evidence, approved scope, and changes before treatment.
- Neurologic Diagnosis Specificity Without Unsupported AssumptionsImprove neurologic diagnosis specificity with documented laterality, disease features, symptom context, and nonleading queries that support accurate claims.
- Neurology Diagnostic Testing: Professional and Technical ClaimsClarify professional and technical component claims for neurology testing by checking service eligibility, ownership, interpretation, and duplicate billing.
- Neurology Denial Appeals: Build an Evidence-Matched ResponseBuild neurology denial appeals around the actual denial reason, service-date policy, signed clinical evidence, claim details, and submission requirements.
- Neurology Billing Outsourcing: Design the Handoff Before Go-LivePlan a neurology billing outsourcing handoff with clear ownership of records, authorizations, testing claims, drug reconciliation, denials, and exceptions.
- Sleep Testing Billing in Neurology: Polysomnography, Home Testing, and MSLTHow neurology and sleep practices bill in-lab polysomnography, home sleep apnea testing and MSLT, split professional and technical work, and meet payer rules.
- Repeat Diagnostic Testing in Neurology: Modifiers 76 and 77 and Medical NecessityWhen neurology practices can bill repeat EEGs, nerve studies and other tests on the same day or within short intervals, and how modifiers 76 and 77 apply.