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Board certification required for EMG payment

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Trailblazer Clarification on Updated Policy for EDX Services



6/26/2012



Effective May 1, Trailblazer, the Medicare Administrative Contractor (MAC) for Texas, Colorado, New Mexico, and Oklahoma, began requiring additional information before any claims with NCS codes 95900-95904 are paid. Due to multiple questions, they have provided the following clarifications to their policy for EDX services:

1. The performing/supervising physician must indicate board certification...

Board certification required for EMG payment

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