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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Article Overview
This brief Q&A article addresses a neurology and neuromuscular procedures coding question from CPT Assistant. It is aimed at coders and other reimbursement professionals who work with electrophysiology, intraoperative monitoring, and CPT code assignment. The article explains the general reporting context for neuromuscular testing during monitoring and discusses how the guidance relates to CPT coding in this setting.
Why This Topic Matters
It helps readers understand whether a neuromuscular testing service associated with intraoperative monitoring is separately reportable under CPT. That matters for accurate procedure coding, charge capture, and compliance in neurology and surgical monitoring workflows.
Article Sections
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February 2016 page 14b
Opening citation information for the Q&A item and its publication context.
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Medicine: Neurology and Neuromuscular Procedures
The main question-and-answer discussion covering neurology and neuromuscular procedure coding in an intraoperative monitoring setting.
What You Will Learn
- The article’s subject area and publication context.
- How the Q&A frames coding considerations for neuromuscular testing during intraoperative monitoring.
- The general scope of reporting guidance discussed for this neurology-related CPT topic.
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Who Should Read This
- Medical coders
- Coding auditors
- Billing and reimbursement staff
- Neurology practice staff
- Surgical monitoring professionals
Codes Discussed
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