AHA Coding Clinic® for ICD-9 - 2007 Issue 4; Volume 3 New/Revised Codes
Intra-Operative Neurophysiologic Monitoring
Effective October 1, 2007, code 00.94, Intra-operative neurophysiologic monitoring, has been created to uniquely identify neurophysiologic testing performed during surgical procedures. Intra-operative neurophysiologic monitoring (IOM) involves using one or more neurophysiologic testing techniques in real time in the operating room to assess the integrity of neural structures. It includes cranial nerve, peripheral nerve and spinal cord testing performed intra-operatively. Commonly used modalities include: electroencephalogram, somatosensory evoked potentials, brainstem auditory evoked potentials, electromyogram, nerve conduction studies, motor evoked potentials and transcranial Doppler. IOM is frequently used in complex spinal surgeries to protect the spinal cord and nerve roots. It...
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Article Overview
This premium article covers intra-operative neurophysiologic monitoring and the circumstances in which it is performed during surgery. It is useful for coding professionals, clinical documentation staff, and facilities that need to understand the service category, related operative contexts, and the broader monitoring methods referenced in the source.
Why This Topic Matters
The article helps readers recognize when intra-operative neurophysiologic monitoring is being discussed in operative documentation and understand how the topic is framed in official coding language and related clinical settings.
Article Sections
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Overview
Introduces intra-operative neurophysiologic monitoring and explains the general purpose of the service during surgical procedures.
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Clinical uses and applications
Describes broad operative settings where the monitoring may be used, including neurologic, vascular, and tumor-related surgery, along with device-guidance applications.
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New code 00.94 Intra-operative neurophysiologic monitoring
Presents the newly referenced code and the associated inclusion and exclusion context provided in the source.
What You Will Learn
- The general purpose of intra-operative neurophysiologic monitoring.
- Common surgical contexts in which the monitoring may be discussed.
- How the article frames the related monitoring category and surrounding coding context.
- The broader types of techniques and applications referenced in the source.
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation specialists
- Health information management professionals
- Surgical billing staff
Codes Discussed
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