AMA CPT® Assistant - 2013 Issue 5 (May)
Intraoperative Neurophysiology Monitoring (95940 and 95941) (May 2013)
May 2013 pages 8-10 Intraoperative Neurophysiology Monitoring (95940 and 95941) Intraoperative neurophysiologic monitoring (IONM) is defined as the use of electrophysiological methods to monitor the functional integrity of certain neural structures (eg, nerves, spinal cord, and parts of the brain) during surgery. It is widely used in hospitals throughout the United States and can help prevent damage to structures and warn a surgeon of impending complications. Providers typically obtain baseline examinations to establish a pre-intervention reference. This can serve as a reference point to assess if operative interventions have resulted in significant changes to the potentials recorded. IONM services...
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Article Overview
This article explains a May 2013 CPT Assistant update on intraoperative neurophysiology monitoring. It is aimed at coders, clinicians, and compliance staff who need to understand the scope of the CPT guidance changes, the related monitoring context, and how the article frames reporting of the service in relation to surgical cases and baseline studies.
Why This Topic Matters
IONM reporting is time-sensitive and closely tied to CPT guidance, so updates can affect how monitoring services are documented and billed. This article helps readers recognize the revised code structure and the broader monitoring scenarios addressed by the guidance.
Article Sections
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May 2013 pages 8-10
Introduces the article topic and the CPT Assistant publication context for the guidance update.
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Guidelines
Summarizes the major guideline themes for intraoperative neurophysiology monitoring services and how the article frames their use.
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New Codes
Describes the code update discussed in the article and the related monitoring scenarios addressed by the new structure.
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CODING TIP
Presents practical advisory notes on related monitoring, timing, and reporting considerations.
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Clinical Example (95940) / Description of Procedure (95940)
Provides an example scenario and a procedure narrative illustrating the in-room monitoring context for one of the monitored service types.
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Clinical Example (95941) / Description of Procedure (95941)
Provides an example scenario and a procedure narrative illustrating the remote monitoring context for the other monitored service type.
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CODING TIP
Continues the article’s practical notes on mixed-location supervision and related reporting situations.
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CODING TIP
Provides an additional reporting note about what the monitoring report does not need to include.
What You Will Learn
- How the article characterizes intraoperative neurophysiology monitoring services
- What CPT guidance changes are discussed in relation to monitoring services
- Which general scenarios the article addresses for in-room and remote monitoring
- What types of supporting information and examples the article includes
- How the article frames timing and documentation considerations at a high level
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Compliance personnel
- Physicians and qualified health care professionals involved in surgical monitoring
- Practice administrators
Codes Discussed
Code Ranges Discussed
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