AMA CPT® Assistant - 2016 Issue 2 (February)

Medicine: Neurology and Neuromuscular Procedures (Q&A) (February 2016)

February 2016 page 14b Medicine: Neurology and Neuromuscular Procedures Question: Is it appropriate to report CPT code 95937, Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method, for train of four testing during intraoperative neural monitoring? Answer: A peripheral nerve stimulator, also known as a train-of-four monitor, is used to assess neuromuscular transmission when neuromuscular blocking agents are given to block musculoskeletal activity. By assessing the depth of neuromuscular blockade, peripheral nerve stimulation can ensure proper medication dosing and, thus, decrease the incidence of side effects. Train-of-four monitoring is bundled with the intraoperative neuromonitoring of electromyography...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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