Neurology billing for practices and groups: office visits and prolonged care, EEG, EMG and nerve conduction studies, Botox for chronic migraine and spasticity, and infused therapies for multiple sclerosis, worked inside the software you already use by a US-based team.
Neurology billing services turn every visit, study and infusion into a paid claim. Each test is coded to what was performed and how many studies were done, drugs are billed by the dose given, authorizations are in place before the injection or infusion, and every payment, denial and patient balance is followed until it is resolved.
$99M
in improper Medicare payments to neurology in CMS’s 2025 review, a 7.8% improper payment rate
54.4%
of those neurology errors were incorrect coding, and another 43.6% were missing or insufficient documentation
Neurology bills by the count. A nerve conduction study is coded by the total number of studies performed, needle EMG done on the same day moves to add-on codes, and an EEG is coded by how long it ran and whether video was recorded. Add Botox billed by the unit and infusions for multiple sclerosis that need authorization, and one patient’s workup can produce several claims that each have to match the note.
What was counted decides the claim. That is why we check the number of studies, the muscles tested, the recording time and the dose on every neurology claim before it goes out, not after it is downcoded or denied.
Most neurology practices bill office visits, diagnostic studies and injections or infusions in the same week, often for the same patient. Each one pays differently and fails in its own way. Here is where each breaks, and what we do about it.
Pays forNew and follow-up visits for headache, seizures, stroke, neuropathy and movement disorders, including long visits that qualify for prolonged time.
Where it breaks
What we do
Pays forEEGs, long-term video EEG monitoring, nerve conduction studies and needle EMG, billed globally or split into professional and technical parts.
Where it breaks
What we do
Pays forBotox for chronic migraine and spasticity, and infused treatments for multiple sclerosis and other conditions, billed with the drug, the units and the administration.
Where it breaks
What we do
Nerve conduction studies are not billed per nerve. CPT codes 95907 through 95913 describe the total number of studies done at the session, from one or two up to thirteen or more, and each motor study (with or without an F-wave), each sensory study and each H-reflex counts as one. The practice bills one code for the whole set.
When needle EMG is done on the same day, it is billed with an add-on code instead of the standalone EMG codes: 95885 for a limited study of an extremity, 95886 for a complete study of an extremity, and 95887 for muscles outside the extremities, such as the paraspinal muscles. Many Medicare contractors also expect the number of studies to fit the diagnosis, and a report that does not list each nerve and muscle tested is a common reason for downcoding.
What we do: before a neurodiagnostic claim goes out, we count the studies and muscles in the report, check that EMG done the same day is on the add-on code, and compare the total with what the payer expects for the diagnosis. If they do not match, we ask the provider the same day rather than send a claim that will be downcoded.
These are the codes behind most neurology claims, and what payers look for on each one. Commercial plans add their own authorization and bundling rules, and we check each one.
| Code | What it covers | What payers look for |
|---|---|---|
| 99202 to 99215 | Office visits (E/M) | The level matches the decision making or time documented; modifier 25 with a same-day procedure only when the visit is separate. |
| G221299417 | Prolonged office visit time | G2212 for Medicare and 99417 for plans that accept it, only once the total time passes the threshold. |
| 95907 to 95913 | Nerve conduction studies | One code for the total number of studies, with each nerve and study type in the report. |
| 958859588695887 | Needle EMG with nerve conduction studies | Add-on codes when EMG is done the same day as nerve conduction studies; 95860 to 95864 only when EMG is done alone. |
| 9581695819 | Routine EEG, awake, or awake and asleep | The recording time and state documented; 26 or TC when the study and the reading are split. |
| 95700 to 95726 | Long-term EEG monitoring | Setup, technical time by duration and with or without video, and the physician's review by length of recording. |
| 64615J0585 | Botox for chronic migraine | One unit of J0585 per unit given, JZ or JW on the vial, and authorization from most plans. |
| 64642 to 64647 | Botox for spasticity | Coded by limb or trunk and the number of muscles injected, with the drug billed per unit. |
| 96365J2350 | Infusions for multiple sclerosis, such as ocrelizumab | Authorization, units from the dose given (J2350 is billed per mg), the NDC where required, and the infusion time. |
| 95940G0453 | Intraoperative neuromonitoring | 95940 for monitoring in the operating room and G0453 for remote monitoring billed to Medicare, by time. |
An office visit that is significant and separate from a same-day injection or study. Modifier 25 explained
The reading and report of an EEG or nerve study done on someone else's equipment, such as a hospital's.
The equipment and technician time, when another physician reads the study.
Required by Medicare on single-dose drugs such as Botox when the whole vial was used.
The unused part of a single-dose vial, billed on its own line.
A study shorter or more limited than the code describes, so the payer knows why.
Sources: Medicare NCCI Policy Manual, chapter XI (medicine); Medicare Claims Processing Manual, chapter 12 (physician services) and chapter 17 (drugs and biologicals); CMS JW and JZ Modifier FAQs. CPT is a registered trademark of the American Medical Association; the descriptions above are summaries. Reviewed October 2026.
It is not for every practice. If you are a hospital-employed group whose billing the hospital handles, you do not need us. And if your in-house team keeps denials low and receivables current, keep them, and consider a periodic billing audit instead.
We look at your clean-claim rate, your denials by payer and reason, nerve conduction and EMG coding, Botox and infusion authorizations, and your aging receivables, and tell you what we find, whether or not you go further with us.
We get access to your practice management system and clearinghouse, load each payer's authorization and bundling rules and your fee schedules, list open authorizations and scheduled injections, and agree how escalations work. Most practices are live within one to two weeks.
Visits, studies and injections are coded and claims submitted within 24 hours. Rejections are corrected the same day, remittances posted as they arrive, study counts, drug units and authorizations checked, and denials worked to their cause, all inside your system.
A report you can read in ten minutes: what was billed and collected by payer, site and service line, what was denied and why, authorizations pending, and what is aging.
You do not change systems to work with Summit Billing Solutions. We work in the practice management and EHR systems below, and through the clearinghouse you already use. If your EHR is not shown, ask; the list grows as we onboard practices.
2%
Average claim rejection rate
24 hrs
Claims submitted within
28
Average days in A/R
Not only have they helped us streamline our operations, but their expertise has also maximized our revenue cycle, allowing us to focus more on patient care. The level of communication is outstanding; we always feel informed and supported.
Their organization and communication skills are impressive, allowing for effective and efficient collaboration.
Most billing companies charge a percentage of what they collect; some charge a flat monthly fee or a per-claim rate. For a neurology practice, a percentage usually fits best: the company is paid when you are paid, so the incentive sits where it belongs.
Summit Billing Solutions charges between 3% and 9% of monthly collections. What moves the number for a neurology practice is the mix of office, testing and infusion work, how many studies you read, authorization volume, and how clean the receivables are when we take them on, which is why we quote your exact rate after the free account review, not before.
3% to 9%
of monthly collections
We bill for more than 40 specialties, for practices in all 50 states, from Salem, New Hampshire. Each one has its own codes, modifiers and payer rules.
Chiropractic billing
Family practice billing
Pediatric billing
Urgent care billing
Ophthalmology billing
Mental health billing
Psychiatry billing
Cardiology billing
Gastroenterology billing
Urology billing
Dermatology billing
Pain management billing
Pulmonology billing
Podiatry billing
Oncology billing
Orthopedic billing
OB/GYN billing
Radiology billing
Telemedicine billing
All 40+ specialties
A free account review looks at your clean-claim rate, your denials by payer and reason, study coding and add-on codes, drug units and authorizations, and your aging receivables, and tells you what we would change. No cost, no obligation, and no pressure to continue. What the review covers, step by step, is on the free account review page.
50A Northwestern Drive, Salem, NH 03079
603-207-3172
(866) 906-3116
info@summitbillingsolutions.com
Mon - Fri @ 9am - 5pm
Billing can easily become stressful and overwhelming, but with their team, the entire process feels organized, manageable, and under control.