Abstract
Documentation, coding, and billing (claims submission) are foundational to neurologic
practice in the United States, enabling accurate reimbursement, effective communication,
and data-driven advancements in patient care, research, and education. Neurologists
navigate complex regulatory frameworks and evolving payer guidelines, requiring meticulous
attention to diagnostic coding, evaluation and management (E/M) services, and procedure-specific
requirements. This chapter examines critical aspects of neurologic billing and coding,
including ICD-10-CM (International Classification of Diseases, Tenth Revision, Clinical
Modification) for diagnostic accuracy, updated E/M guidelines emphasizing medical
decision-making and time, and new telemedicine codes. It highlights the best practices
for procedure coding and the use of digital health technologies. The challenges posed
by prior authorization are explored, alongside potential solutions like artificial
intelligence-driven tools and policy reform. By prioritizing precision, compliance,
and technological adaptation, neurologists can enhance patient outcomes, support practice
sustainability, and contribute to the broader goals of equitable, efficient, and innovative
neurologic care.
Keywords
CPT coding - ICD-10 - neurology - prior authorization - telemedicine
