Optimize Your Neurology Coding Process – A Webill Health Special

In the world of specialty medicine, neurology stands out as one of the most complex when it comes to medical coding and billing. From time-based evaluation and management (E/M) visits to diagnostic procedures like EMGs and EEGs, coding errors can quickly lead to claim denials, payment delays, and compliance risks.

That’s why Webill Health has developed specialized tools, training, and services to help neurology practices streamline their coding processes, reduce errors, and accelerate revenue. In this special feature, we break down how to optimize your neurology coding process—with proven strategies that deliver results.

1. Focus on Time-Based E/M Accuracy

Neurology often involves long, oncology billing complex consultations. Since the 2021 E/M coding changes, providers can now code based on total time spent on the date of the encounter, making it easier to capture the full value of the visit.

Webill Strategy:

• Ensure providers document total time, including prep, counseling, and post-visit charting.

• Use prolonged services codes like 99417 (for commercial) or G2212 (for Medicare) when applicable.

• Create EHR prompts to guide providers in capturing accurate time and medical decision-making (MDM) details.

This approach boosts accuracy and reduces undercoding—one of the most common revenue leaks in neurology billing.

2. Avoid Denials with Proper Modifier Use

Modifiers clarify services and prevent inappropriate bundling. But in neurology, misuse is a leading cause of claim rejections.

Key Modifiers for Neurology:

• Modifier 25: Used when an E/M service is billed on the same day as a procedure, such as an EEG.

• Modifier 59: Used to indicate a distinct procedural service when billing EMGs and NCS together.

Webill Tip:

Only apply modifiers when documentation clearly supports a separate and distinct service. Use built-in edit checks in your billing system—or leverage Webill’s intelligent platform—to flag incorrect usage before claim submission.

3. Leverage Specific ICD-10 Codes

Neurological diagnoses are among the most detailed in the ICD-10 system. Unfortunately, many denials stem from using non-specific or unsupported diagnosis codes.

Optimization Tips:

• Avoid vague codes like G40.909 (unspecified epilepsy) when more detailed codes are appropriate.

• Link procedures to medically necessary diagnoses based on Local Coverage Determinations (LCDs) or commercial payer policies.

• Regularly audit claims for diagnosis accuracy and specificity.

Webill Health includes an ICD-10 validation engine that helps map diagnoses to payer-approved codes, minimizing denials.

4. Automate with Smart Software Tools

Manual coding is slow, error-prone, and unscalable. Webill’s health tech solutions bring AI-driven code validation, auto-suggestions, and claim scrubbing tools that check for:

• Missing modifiers

• Diagnosis-procedure mismatches

• Time and MDM consistency

• Payer-specific policy violations

This means cleaner claims, faster turnaround, and fewer rejections. Billing teams can focus on exception handling, not data entry.

5. Keep Up with Payer Policy Updates

Payers frequently change medical necessity guidelines for procedures such as EMGs, sleep studies, and EEGs.

Webill Strategy:

• Integrate LCD/NCD policies into your billing workflow.

• Set alerts for provider documentation requirements.

• Stay current with quarterly updates across Medicare and major commercial insurers.

This ensures your practice stays compliant and confident when billing high-value procedures.

Conclusion

With the right tools and strategies, optimizing neurology coding can result in higher revenue, fewer denials, and faster payments. At Webill Health, we understand the nuances of neurological services and have built our platform and services to support your success.

From specialty-trained coders to cutting-edge automation, Webill empowers practices to code smarter, bill faster, and collect more—without the stress.

Let Webill Health simplify your neurology billing process—so you can focus on delivering exceptional patient care.