Medical Policy Revision: Electromyography and Nerve Conduction Studies

Effective October 15, 2019, Horizon BCBSNJ will change the way we consider certain professional claims based on revisions to our medical policy Electromyography and Nerve Conduction Studies.

Access our Medical Policy Manual to review this medical policy content.

Based on the submitted diagnosis code(s), claims submitted for services provided on and after October 15, 2019 to patients enrolled in Horizon BCBSNJ commercial and Administrative Services Only (ASO) plans will be processed as follows.

• The services represented by CPT® codes 95912 or 95913 may be denied as experimental/investigational, non-covered services.

• Information may be requested to help us determine the medical appropriateness of the services represented by CPT codes 95912 or 95913. Following our review of medical record information, these codes may be denied as experimental/investigational, non-covered services.

Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been canceled or postponed, the changes will be applied to claims for dates of service on and after October 15, 2019.

CPT® is a registered mark of the American Medical Association.