CCO Admin asked:
I am new to CCO and am looking for information on billing Intraoperative Neuromonitoring; anyone have any knowledge of billing/coding for this? Thank you!
Answer:
[@[email protected]](4474517)vance
A provider **"other than the surgeon or anesthesia staff"** conducts neurophysiology tests; such as electroncephalography or EEG; electromyography or EMG; evoked potentials or nerve conduction study; to continuously monitor the patient during the same session as a separately reportable brain surgery. The provider performs this monitoring to make sure that patients nervous system functions properly during the surgical period. This add on code represents each 15 minutes of the service.
**Per AMA guidelines:**
Codes 95940; 95941 describe ongoing neurophysiologic monitoring; testing; and data interpretation distinct from performance of specific type(s) of baseline neurophysiologic study(s) performed during surgical procedures. When the service is performed by the surgeon or anesthesiologist; the professional services are
" included in the surgeons or anesthesiologists primary service code(s) for the procedure and are not reported separately." Do not report these codes for automated monitoring devices that do not require continuous attendance by a professional qualified to interpret the testing and monitoring.
Recording and testing are performed either personally or by a technologist who is physically present with the patient during the service. Supervision is performed either in the operating room or by real time connection outside the operating room. The monitoring professional must be solely dedicated to performing the intraoperative neurophysiologic monitoring and must be available to intervene at all times during the service as necessary; for the reported time period(s). For any given period of time spent providing these services; the service takes full attention and; therefore; other clinical activities beyond providing and interpreting of monitoring cannot be provided during the same period of time.
Throughout the monitoring; there must be provisions for continuous and immediate communication directly with the operating room team in the surgical suite. One or more simultaneous cases may be reported (95941). When monitoring more than one procedure; there must be the immediate ability to transfer patient monitoring to another monitoring professional during the surgical procedure should that individuals exclusive attention be required for another procedure. Report 95941 for all remote or non-one-on-one monitoring time connected to each case regardless of overlap with other cases.
Top modifiers for this would be 59 distinct procedural service or 58; staged or related procedure. 95940 is an add-on code so do not use modifier 51.
I am new to CCO and am looking for information on billing Intraoperative Neuromonitoring; anyone have any knowledge of billing/coding for this? Thank you!
Answer:
[@[email protected]](4474517)vance
A provider **"other than the surgeon or anesthesia staff"** conducts neurophysiology tests; such as electroncephalography or EEG; electromyography or EMG; evoked potentials or nerve conduction study; to continuously monitor the patient during the same session as a separately reportable brain surgery. The provider performs this monitoring to make sure that patients nervous system functions properly during the surgical period. This add on code represents each 15 minutes of the service.
**Per AMA guidelines:**
Codes 95940; 95941 describe ongoing neurophysiologic monitoring; testing; and data interpretation distinct from performance of specific type(s) of baseline neurophysiologic study(s) performed during surgical procedures. When the service is performed by the surgeon or anesthesiologist; the professional services are
" included in the surgeons or anesthesiologists primary service code(s) for the procedure and are not reported separately." Do not report these codes for automated monitoring devices that do not require continuous attendance by a professional qualified to interpret the testing and monitoring.
Recording and testing are performed either personally or by a technologist who is physically present with the patient during the service. Supervision is performed either in the operating room or by real time connection outside the operating room. The monitoring professional must be solely dedicated to performing the intraoperative neurophysiologic monitoring and must be available to intervene at all times during the service as necessary; for the reported time period(s). For any given period of time spent providing these services; the service takes full attention and; therefore; other clinical activities beyond providing and interpreting of monitoring cannot be provided during the same period of time.
Throughout the monitoring; there must be provisions for continuous and immediate communication directly with the operating room team in the surgical suite. One or more simultaneous cases may be reported (95941). When monitoring more than one procedure; there must be the immediate ability to transfer patient monitoring to another monitoring professional during the surgical procedure should that individuals exclusive attention be required for another procedure. Report 95941 for all remote or non-one-on-one monitoring time connected to each case regardless of overlap with other cases.
Top modifiers for this would be 59 distinct procedural service or 58; staged or related procedure. 95940 is an add-on code so do not use modifier 51.
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