# Neurology Billing Services | Neurology Medical Billing & RCM | PRMS

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Neurology Billing

# Neurology Medical Billing Services

Neurology carries some of medicine’s most complex E/M and diagnostic coding: EEG, EMG/NCS, infusions, and prior-auth-heavy procedures. Our certified coders specialize in neurology so your studies and visits are paid accurately.

[Get a Free Neurology Billing Audit](https://prmsbs.com/contact)

We handle neurology billing end to end, eligibility and authorization, diagnostic and E/M coding, submission, and denial follow-up. Neurology’s mix of high-level cognitive visits and technically-coded studies means specialty expertise often decides whether you see full payment or repeated denials.

## Neurology billing we handle

- **EEG.** Routine, extended, and ambulatory studies with correct code selection.
- **EMG & nerve conduction studies (NCS).** Accurate unit and study-count reporting (95907 to 95913).
- **Evoked potentials & autonomic testing.** VEP, BAER, and SSEP studies, plus autonomic and tilt-table testing.
- **Long-term & video EEG.** Extended and video EEG monitoring with correct daily coding.
- **Lumbar puncture & nerve blocks.** LP and occipital or peripheral nerve blocks where performed.
- **Neurostimulator programming & IONM.** Deep brain and vagus nerve stimulator programming, and intraoperative neuromonitoring.
- **Prolonged & high-level E/M.** Complex visits coded to documentation.
- **Botox for chronic migraine.** Drug (J-code) plus administration, with prior auth.
- **Infusions & injections.** Neurology infusions with correct hierarchy and units.
- **Prior authorization.** Secured for advanced imaging, infusions, and Botox.

**Where neurology leaks.** EMG/NCS unit miscounts, Botox billed without the drug or without auth, and under-leveled cognitive E/M are the most common, and most recoverable, sources of lost neurology revenue.

## Why neurology practices lose revenue

The usual culprits: incorrect study counts on EMG/NCS, missing prior authorization on infusions and Botox, drug (J-code) omissions, and under-leveled complex E/M. General billers routinely miss these; neurology-trained coders catch them before the claim goes out.

## What you get with PRMS

### Study-accurate coding

EEG and EMG/NCS coded with correct counts and units to prevent denials.

### Auth-heavy handling

Prior authorization tracked for infusions, Botox, and advanced imaging.

### E/M optimization

Complex neurology visits leveled correctly to documentation.

## Neurology billing FAQs

**Do you code EMG and nerve conduction studies correctly?

Yes. NCS and EMG are among the most miscoded neurology services because of strict per-study and per-unit rules (95907 to 95913). We report the correct counts to match documentation and avoid both denials and compliance risk.

**Can you bill Botox for chronic migraine?

Yes. We bill the drug (J-code) plus the administration/chemodenervation code and secure prior authorization, which is required by nearly all payers and a frequent denial point when missed.

**Do you handle neurology infusions?

Yes. We apply the correct infusion hierarchy (initial, sequential, additional hours) and units, and obtain authorization where required.

**How quickly will we see improvement?

Most neurology practices see cleaner claims within the first billing cycle, with measurable denial and AR improvement over 60 to 90 days.

## Related services & specialties

Explore our full [billing, coding & denial management services](https://prmsbs.com/services) and [provider credentialing](https://prmsbs.com/medical-credentialing/), or see other specialties we bill including [pain management](https://prmsbs.com/specialties/pain-management-medical-billing/) and [more](https://prmsbs.com/specialties/).
