One neurology week can include EMG and nerve conduction studies, botulinum toxin injections for migraine or dystonia, and follow-up for Parkinson's disease or neuropathy. Each carries its own counting, dosing, and documentation rules. Most denials trace back to one of them.
Book a demoGeneral neurology, headache medicine, movement disorders, and neuromuscular medicine often share one clinic. These are the spots that drive rework.
Nerve conduction studies are counted per nerve and per study type, and the needle EMG code changes when nerve conduction runs the same day. Medicare contractors expect numeric data in the report and a referral history that shows why the test was needed.
Chronic migraine, cervical dystonia, and blepharospasm injections pair a procedure code with a drug billed per unit. Five Medicare contractors added dosing guidance and objective severity scale requirements for injections on or after February 22, 2026.
Patients with Parkinson's disease, epilepsy, MS, or neuropathy return for years. Visit levels rest on documented complexity or time, and deep brain stimulation programming is coded separately from the visit itself.
Neurology billing depends on records from the reading room, the injection room, and sometimes a specialty pharmacy.
Your neurologists document studies with numeric results, injection sites and doses, and visit complexity, and approve codes before submission.
If the fit is confirmed, Taiga would draft codes from those notes, scrub claims for study counts and unit math, check eligibility, and work each denial and appeal.
Botulinum toxin may be bought by the practice or shipped by a specialty pharmacy. That choice changes what goes on the claim, so agree who handles prior authorization and drug acquisition.
Bring de-identified EMG reports, injection notes, and a few denied claims. Keep patient details out of the booking form.
Say whether EMG, nerve conduction, and EEG run on practice equipment, at a hospital, or through an outside lab, and who reads them.
Explain buy-and-bill versus specialty pharmacy by payer, and how dose, wastage, and severity scales are documented.
List headache, movement disorder, neuromuscular, and general neurology clinics, with rough payer mix and the denials that repeat.
Worth a call if your practice bills its own professional claims and denials cluster around testing or injections. Taiga can run in parallel with your current billing during a switch, inside the EHR you have now.
This page focuses on office-based neurology. Inpatient consults, hospital EEG monitoring, and other facility-based reads need a separate look at who bills what before they move.
Neurology is not on Taiga's published specialty list. Walk through your testing, injection, and clinic mix and you will get a direct answer on fit.
Usually the evaluation right before testing is included. If a separate, identifiable visit happens, the record must support it and the visit is billed with modifier 25.
CMS contractor guidance lists narrative reports without numeric data, no referral history showing the need, and repeat testing without documented justification.
Five Medicare contractors began requiring objective severity scales at baseline and follow-up, along with dosing guidance, for injections on or after February 22, 2026. Check the policy for your contractor.
Bring your study volume, injection workflow, and clinic types. Taiga will tell you which parts it can take on.
System guides show possible billing handoffs, not proven specialty compatibility.