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Neurology billing

Neurology Billing Services

EEG, EMG/NCS, Botox for migraine and complex E/M visits each bring their own payer rules. Specialist neurology billers keep diagnostics and treatments paid.

  • EEG and long-term monitoring coded by duration and setting
  • Nerve conduction and EMG units matched to studies performed
  • Chemodenervation (Botox) with drug units and authorizations

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96%
Clean-claim rate target
25%
Fewer denials on diagnostics
< 35
Days in A/R goal
Overview

Why neurology billing needs specialists

Neurology combines complex office visits with a wide range of diagnostic testing. Routine and long-term EEGs are coded by recording duration, whether video is included and who monitors the study; nerve conduction studies are billed per number of studies with needle EMG add-ons; and each test must link to a covered diagnosis.

Treatment services add more complexity. Chemodenervation for chronic migraine or spasticity requires the procedure code, the correct drug units and wastage, and prior authorization with documented headache frequency or functional limitations. Infusions for multiple sclerosis follow drug and infusion-hierarchy rules.

A neurology billing partner verifies authorizations before testing and treatment, codes diagnostics from technician and physician reports, separates professional and technical components when studies are read for hospitals, and appeals denials with the clinical detail payers require.

Why it's hard

Common neurology billing challenges

01

Long-term EEG coding

Codes depend on duration, video, technologist monitoring and who interprets the study.

02

NCS and EMG units

Nerve conduction codes count studies; units must match the nerves tested.

03

Botox authorizations

Payers require documented headache days, failed preventives and drug unit details.

04

Professional vs. technical split

Studies read for hospitals need -26/-TC modifiers to avoid duplicate denials.

05

MS infusion billing

High-cost infusions require prior authorization, J-codes and administration coding.

06

High-level E/M documentation

Complex neurologic visits must clearly support medical decision-making or time.

What's included

What a neurology billing partner should handle

  • Prior authorization for imaging, Botox and infusions
  • EEG and long-term video EEG coding
  • NCS/EMG coding with correct study counts
  • Chemodenervation drug and procedure billing
  • Professional and technical component billing
  • E/M level review and documentation feedback
  • Infusion center billing for MS therapies
  • Denial management and appeals
  • Patient statements and payment plans
  • Provider and diagnostic revenue reports
Coding focus

Key codes in neurology billing

Code(s)What it covers
95816 / 95819Routine EEG, awake and drowsy / awake and asleep.
95700–95726Long-term EEG setup, monitoring and professional interpretation by duration.
95907–95913Nerve conduction studies, billed by the number of studies performed.
95885 / 95886Needle EMG add-on codes performed with nerve conduction studies.
64615Chemodenervation for chronic migraine (with drug billed separately).
J0585Injection, onabotulinumtoxinA, per unit.
99204–99215New and established patient office visits for neurologic evaluation.

Code examples are for orientation only. Always code from the current CPT®, HCPCS and ICD-10-CM code sets and payer policies.

Medical necessity for testing

EEG and electrodiagnostic testing is closely reviewed. Document the clinical question, symptoms and prior findings, and make sure studies performed match those billed, including the number of nerves tested.

How it works

Find the right billing partner in four steps

1

Share your goals

Tell us your specialty, monthly claim volume, EHR and the problems you want fixed, denials, slow A/R or staffing gaps.

2

Get a free audit

We review a sample of your claims and aging report to show where revenue is leaking and what a specialist could recover.

3

Compare vetted companies

Shortlist billers with proven neurology experience, transparent pricing and verified client reviews.

4

Onboard with confidence

Sign a BAA, connect your EHR and clearinghouse, and track clean-claim rate, days in A/R and collections from month one.

Compare

Top-rated medical billing companies

Billing companies listed on BillerFirms, ranked by client reviews. Ask each one about their neurology experience.

See all companies
5.0 5 reviews

Who We Are We are Prime Medical Billing Solutions, LLC, a results-driven medical billing and revenue cycle partner headquartered in Atlanta, Georgia. Since about 2015, we have operated with the belief that true value lies in partnering, rather than merely contracting, with providers to ensure personalized attention and peak revenue performance. Founded by seasoned billing professionals with 20+ years of combined expert experience, our home office in Atlanta supports both individual practices and larger provider groups. Our team is passionate about maximizing reimbursements and simplifying the billing journey step by step. What Services We Offer We provide a comprehensive suite of services designed to optimize every phase of the revenue cycle: Claims processing & billing management, including electronic, UB‑04, and HCFA‑1500 formats Accounts receivable and collections, focusing on paid-to...

Atlanta, Georgia
Founded 2015
Claims ProcessingDenial ManagementCredentialing (Payer & License)
No reviews yet

GreenSense Billing is a trusted leader in medical billing and revenue cycle management, providing comprehensive solutions tailored to the unique needs of healthcare providers across the United States. Our mission is to streamline administrative complexities, optimize reimbursements, and enhance financial performance, allowing medical professionals to focus on delivering exceptional patient care. Our Services • We offer end-to-end medical billing and revenue management solutions, including: •  Medical Billing & Coding - Accurate claims processing to maximize reimbursements and minimize denials. •  Revenue Cycle Management (RCM) - A holistic approach to managing claims, payments, and collections. •  Provider Credentialing - Seamless enrollment with insurance networks to ensure timely reimbursements. •  Financial Solutions - Data-driven insights and financial reporting to optimize practice...

Las Vegas, Nevada
Founded 2003
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Let’s face it, medical billing shouldn’t be the most challenging part of running a practice. At Medical Lean Management, we take the chaos out of revenue cycle management so you can get back to what matters: delivering excellent patient care. Based in Corona, California, we’re not just another faceless billing company, we’re your partners in efficiency, here to simplify the financial side of healthcare. Why Us? Because We Get It. Paperwork piles up. Claims get denied. Regulations keep changing. It’s enough to make anyone’s head spin. That’s where we step in. We don’t just process claims, we optimize your entire revenue cycle, cutting through the red tape to get you paid faster and with fewer headaches. Our goal? To make your billing so smooth, you’ll wonder how you ever managed without us. Here’s How We Help: ✔ Fewer Denials, More Revenue - Our precision-driven approach slashes claim den...

Corona, California
Founded 1994
Claims ProcessingDenial ManagementRevenue Cycle Management
No reviews yet

Overview & Mission Access Revenue Hawaii, founded in 2022 in Holualoa, Hawai‘i, is a specialized medical billing and revenue cycle management (RCM) company with a primary focus on behavioral and mental health providers. Drawing deeply from social work roots, the leadership team recognized the administrative friction mental health professionals face, credentialing delays, complex payer regulations, EMR documentation requirements, and chose to build a firm that helps clinicians focus fully on patient care. Their mission centers on removing financial and operational barriers so therapists, counselors, and behavioral health groups can thrive financially while delivering quality care to Hawai‘i’s communities. Origin Story & Local Presence The company was born out of a clear insight: behavioral health providers in Hawai‘i suffer unique administrative challenges. From intricate Medicaid billing...

Chandler, Arizona
Founded 2007
Claims ProcessingDenial ManagementRevenue Cycle Management
Pricing

How much does neurology billing cost?

Most billing companies charge a percentage of what they actually collect, so their incentive matches yours. Complex specialties sit at the higher end of the range because of prior authorizations, modifiers and appeal work.

Percentage of collections
4% - 8%

Most common. You pay only on money collected.

Per claim
$4 - $10

Predictable for high-volume, low-complexity claims.

Hourly / FTE
$12 - $35/hr

Dedicated billers working inside your systems.

Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.

FAQ

Neurology billing FAQs

With 95907–95913 based on the total number of nerve conduction studies performed, plus needle EMG add-on codes when done in the same session.

Almost always. Payers usually require a chronic migraine diagnosis, documented headache frequency and failed preventive medications.

Using codes 95700–95726 that separate setup, technologist monitoring and physician interpretation by duration and whether video is included.

Yes, with the professional component modifier -26 when the hospital bills the technical component.

Common causes include missing authorizations, unsupported diagnoses, incorrect study counts and wrong professional/technical modifiers.

Typically 4% to 8% of collections.

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