Neurology A113 - Complex neuromuscular assessment

General Info

Billing Amount: $91.00

Description

A complex neuromuscular assessment is an assessment for the ongoing management of the following diseases of the neuromuscular system where the complexity of the condition requires the continuing management by a neurologist: a. generalized peripheral neuropathies; b. myopathies; c. diseases of the neuromuscular junction; or d. diseases of the motor neurone.

Notes:

1. A complex neuromuscular assessment must include the elements of a medical specific reassessment, or the amount payable will be adjusted to lesser assessment fee.
2. This service is not eligible for payment to a physician for the initial evaluation of the patient by that physician.
3. Complex neuromuscular assessments are limited to 6 per patient, per physician, per 12 month period. Services in excess of this limit will be adjusted to a lesser assessment fee.
4. E078 is not eligible for payment with A113.

1. A complex neuromuscular assessment is for the ongoing management of complex neuromuscular disorders, where the complexity of the condition requires the continuing management by a neurologist. It is not intended for the evaluation and/or management of uncomplicated neuromuscular disorders (e.g. carpal tunnel syndrome, Bell’s palsy, asymptomatic diabetic neuropathy).
2. A consultation or assessment service, as appropriate, may be claimed for the initial evaluation of a patient. A complex neuromuscular assessment is for the ongoing management of a patient with a complex neuromuscular disorder.

Related Specialties

Neurology Billing codes