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Neurology & Sleep Medicine Billing: Accurate Claims for Neuro Practices
Billing Built Around Neurology Procedures and Sleep Studies
Billing Care Assistant handles medical billing for neurology practices and sleep centers: EEG, EMG and nerve conduction studies, Botox injections for migraine and spasticity, sleep studies and E/M visits. We code each claim correctly, check prior authorization before the service and follow up until it is paid, so your team can focus on patients. Not sure where your revenue is slipping? Start with a free medical billing audit.
Neurology Billing Expertise
Codes and rules we work with every day
Neurology claims are detailed and often denied for small reasons. Our coders work with routine and long-term EEG (95812–95822 and 95700–95726), nerve conduction studies (95907–95913) with needle EMG add-ons (95885–95887), chemodenervation for chronic migraine, cervical dystonia and spasticity (64615, 64616, 64642–64647) with the drug billed in units, and E/M visits with the right modifiers, such as 25 when a procedure is done the same day. We check medical necessity against payer policies and ICD-10 codes before the claim goes out.
Sleep Study Billing
In-lab and home sleep tests
We bill attended polysomnography and titration studies (95810, 95811), pediatric studies (95782, 95783), home sleep apnea tests (95800, 95806 and Medicare G0398–G0400) and multiple sleep latency testing (95805). Before the study we confirm the payer's coverage rules, such as whether a home test must come first, and that prior authorization is in place. We also make sure the technical and professional parts are billed correctly with modifiers TC and 26. For a code-by-code guide, see our sleep study CPT codes article.
Full Revenue Cycle Management
From eligibility to payment
We handle the whole cycle for neurology and sleep practices: insurance verification and prior authorization, charge entry and coding, clean claim submission, payment posting, denial management and A/R follow-up. Denied EEG, EMG and sleep study claims are corrected or appealed with the medical record, and every month you get a clear report on collections, denials and what is still open.
Dedicated Support for Your Practice
One team that knows your specialty
You get one point of contact and billers who know neurology and sleep medicine. We keep your providers' credentialing and payer enrollment up to date, and we answer your staff's billing questions quickly. We work with practices across Texas from our Sugar Land office and support neurology and sleep practices nationwide. Book a free consultation to see what we would change in your billing.
Common Neurology and Sleep Billing Problems We Fix
| Billing problem | Why it costs you | How we fix it |
|---|---|---|
| Sleep study type coded wrong | In-lab sleep studies, home sleep tests and MSLT each have different codes | We code 95810, 95811, home sleep test codes or 95805 from the study report |
| EEG length and setup | Routine, extended and long-term EEG codes depend on time and video | We code EEGs by recording length and type of monitoring |
| Nerve conduction and EMG counts | Nerve conduction codes depend on the number of studies, and needle EMG on how many limbs were tested | We count nerves and muscles from the report |
| Botox for chronic migraine | The procedure, drug units, wastage and diagnosis must all line up | We bill 64615 with J0585 units and JW or JZ |
| Missing prior authorization | MRI and in-lab sleep studies often need approval first | We get authorization before the test |
Neurology and Sleep Medicine Billing FAQs
Does a sleep study need prior authorization?
Many plans require authorization for both home and in-lab sleep studies, and some require a home test first unless the patient has conditions that make it unsuitable. We check each plan before the study. See our guide to sleep study CPT codes.
How is Botox for chronic migraine billed?
The injection is billed with 64615 and the drug with J0585 per unit. Medicare also requires JW for any discarded amount or JZ when none is wasted, and the diagnosis must be chronic migraine.
How are nerve conduction studies counted?
Codes 95907 to 95913 are chosen by the total number of nerve studies. Needle EMG is coded separately by how much testing was done, with add-on codes when it is done with nerve conduction studies.
Can the reading physician bill for a sleep study done at a hospital?
Yes. The physician bills the professional component with modifier 26, and the hospital bills the technical component. Imaging works the same way; see our guide to MRI CPT codes.
Not Sure Where Your Revenue Is Leaking?
Get a free, no-obligation medical billing audit. We review your claims, denials and A/R, then show you what to fix first.
