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Neurology
Billing Services
Our neurology billing services are built around the real complexities of neurological care. Revix MD delivers professional medical billing across EEG and EMG coding, prior authorizations, and denial management so your team stays focused on patients.
By Specialty
Why Neurology Billing Is Harder Than Most
Neurology practices deal with some of the most demanding billing scenarios in medicine – driven by high-cost drugs, lengthy procedures and meticulous documentation requirements. Here is what’s likely costing your practice money right now.
Complex Procedure Coding
EEG, EMG/NCS, VNG and nerve conduction studies require precise CPT code selection. One wrong modifier and your claim is denied or underpaid – it is that straightforward.
Prior Authorization Bottlenecks
Botox for migraines, MS infusion therapy and high-cost biologics face constant prior auth hurdles that delay treatment and disrupt cash flow – especially under the new CMS-0057-F timelines effective in 2026.
Medical Necessity Documentation
Payers scrutinize neurology claims heavily. Inadequate documentation for epilepsy monitoring, sleep studies or lumbar punctures triggers automatic denials that take weeks to resolve.
High Denial Rates
Neurology claim denial rates average 15–20% industry-wide, resulting in significant revenue leakage that most in-house teams never fully recover without structured denial management services.
Infusion & Drug Billing
MS and migraine infusion billing demands correct J-code usage, proper time-unit calculation and concurrent modifier application. Getting any piece wrong means lost revenue.
Tele-Neurology Compliance
Telemedicine billing rules for neurology shift constantly. Incorrect place-of-service codes or missing modifier 95 for synchronous audio-video visits cost you reimbursement on every virtual encounter.
What We Do
Our Neurology Billing Services
We manage the entire neurology revenue cycle from the first patient visit to the final dollar collected. Our revenue cycle management services let your clinicians stay focused on patient care.
Eligibility Verification & Benefits
Neurology Prior Authorization
Neurology Coding Services
Claim Scrubbing & Submission
Denial Management & Appeals
Payment Posting & Collections
Clinical & Technical Accuracy
Neurology CPT Codes We Master Daily
EEG (Routine)
95816 · 95819 · 95957
Long-Term EEG / Video
95700–95726 (EMU)
EMG / NCS
95860–95887
Epilepsy
G40.x series (ICD-10)
Migraine
G43.x series (ICD-10)
Multiple Sclerosis
G35 (ICD-10)
Chemodenervation
64612 · 64615 · 64616
64642–64647 + J0585
MS Infusion J-Codes
J2350 · J2778 · J2792
Infusion Admin
96413 · 96415
Modifiers
25 · 59 · 76 · 95 (telehealth A/V) · 93 (audio-only)
Sleep Study
95806 · 95807 · 95808 · 95810 · 95811 · 95805 (MSLT) · 95782 / 95783 (Peds)
Lumbar Puncture / VNG
62270 / 92540 · 92541
Subspecialty Depth
Built for Every Neurology Subspecialty
Neurology is not one-size-fits-all and neither is our billing approach. Our CPT coding services are built around the distinct coding patterns, documentation requirements and payer behaviors that come with each subspecialty.
Headache Medicine
Botox-heavy billing, infusion clinic workflows, prior auth for CGRP antagonists and migraine ICD-10 precision.
Epilepsy & EMU
Long-term EEG monitoring (95700–95726), epilepsy monitoring unit (EMU) billing and surgical evaluation coding.
Movement Disorders
Full chemodenervation code family, DBS programming and cervical dystonia billing.
Neuromuscular
EMG/NCS-heavy practices, correct modifier application across nerve conduction studies and neuromuscular disease coding.
MS / Neuroimmunology
Infusion-intensive billing with accurate J-codes, time-unit calculation and PA management for high-cost DMTs.
Stroke & Vascular
Telestroke billing, tPA administration, and interventional neurology thrombectomy coding.
Sleep Medicine
Full polysomnography code family including pediatric sleep studies, MSLT and home sleep apnea testing.
Cognitive & Dementia
Evaluation and management coding, neuropsychological testing and MIPS quality measure reporting for eligible neurologists.
In-House vs. Outsourced
Why Outsource to Revix MD?
Many neurology practices underestimate the true cost of managing billing in-house – not just in dollars, but in provider time, staff turnover and missed revenue.
Factor
In-House Team
Revix MD
Cost Structure
Salary, benefits, training, software
Performance-based fees
Neurology Expertise
Knowledge gaps in neuro CPT
Dedicated neurology-trained team
Coverage
Vacation/turnover disrupts flow
No downtime or staffing gaps
Denial Appeals
Limited capacity
Aggressive appeals with clinical support
Payer Contracts
No proactive analysis
Fee schedule benchmarking & renegotiation
Reporting
Limited A/R visibility
Real-time dashboards & insights
Seamless Integration
Works With Your EHR, No Disruption
Switching billing partners should not mean switching systems. Revix MD integrates directly with the EHR and practice management platforms your team already uses every day.
EpicCerner (Oracle Health)AthenahealthAthenahealthModMedDrChronoKareo / TebraNextGenPractice Fusion
Not seeing your platform? We integrate with virtually any EHR via HL7/FHIR APIs and direct EDI connections. Contact us and we will confirm compatibility within one business day.
Why Revix MD
Why Leading Neurology Practices Choose Us
We are not a generalist billing company that happens to serve neurology clients. We are a purpose-built neurology billing partner and the difference shows up in your collections every month.
Neurology-Only Focus
Our entire team is trained on neurology billing and coding. This is not a sideline for us – it is everything we do.
HIPAA-Compliant by Design
End-to-end encrypted workflows, BAA agreements and annual audits ensure your patient data is always protected. We take compliance seriously – not just at onboarding, but every day.
Transparent Reporting
Real-time dashboards show your collection rate, A/R aging, denial trends and payer performance. No surprises, no guesswork.
Solo & Group Ready
Whether you are a solo neurologist or a 20-provider group practice, our scalable model grows with you without adding overhead.
Onboarding Under 2 Weeks
Our structured onboarding process ensures zero revenue disruption. Most practices are fully operational with Revix MD within 10 business days.
Dedicated Account Manager
You will have a single point of contact who knows your practice, your payer mix and your physicians – not a rotating support ticket queue.
Start Recovering the Revenue Your Neurology Practice Deserves
Book your free neurology billing assessment today. In 30 minutes, our specialists will identify exactly where your practice is losing revenue and show you what a 97%+ clean claim rate looks like in practice.
Frequently Asked Questions
What types of neurology practices does Revix MD serve?
We serve solo neurologists, group neurology practices, academic neurology departments, hospital-based neurology clinics, headache clinics, epilepsy centers, stroke programs and tele-neurology providers across multiple U.S. states.
How do you handle prior authorizations for Botox and MS therapies?
Our dedicated prior authorization team manages the entire workflow from initial request submission to peer-to-peer reviews and appeals. We maintain payer-specific requirement libraries so your authorizations are submitted correctly the first time, reducing delays for your patients. We are also fully aligned with the 2026 CMS-0057-F requirements, including the 7-day standard and 72-hour expedited decision windows that directly affect neurology PA volumes.
Can you work with our existing EHR without us switching systems?
Absolutely. We integrate with Epic, Cerner, Athenahealth, eClinicalWorks, ModMed, Kareo/Tebra and many other platforms via direct interface or HL7/FHIR connection. You keep your existing workflows – we plug in seamlessly.
How do you improve first-pass claim acceptance for neurology practices?
Our neurology billing workflows are designed to support high first-pass claim acceptance, helping practices receive faster reimbursements, reduce accounts receivable (A/R) days, and improve overall revenue cycle performance.
Do you offer billing support for tele-neurology visits?
Yes. We stay current with CMS telemedicine billing guidelines, proper place-of-service codes (02 vs. 10) and correct modifier usage – modifier 95 for synchronous audio-video visits and modifier 93 for audio-only encounters – ensuring every virtual visit is billed accurately and compliantly.
How quickly can Revix MD take over our billing?
Most practices complete onboarding within 10 business days. We conduct a full billing audit during onboarding to identify any existing revenue leakage, so you start recovering revenue from day one – not just from the date we take over.
Last Updated
9 October 2026