Neurosurgery just takes longer, right? Much of that depends on the paperwork they want prior to approval of testing, such as what would be done with an EEG or EMG, and how it would be medically necessary, not assumed. http://doctormgt.com There's a lot of space in which something could be ticked when coding for complicated conditions such as epilepsy, which is added to time-based coding. Neurology medical billing requires individuals who grasp exactly what the payers want and incorporate it into the claim right away, rather than attempting to clarify what they want after a denial materializes.