AMA CPT® Assistant - 2012 Issue 4 (April)
Medicine: Neurology and Neuromuscular Procedures (Q&A) (April 2012)
April 2012 page 17c Medicine: Neurology and Neuromuscular Procedures Question: The CPT 2012 codebook includes two new codes used in spinal cord intraoperative monitoring: code 95938 for use when performing both upper and lower SEP, and code 95939 for use when performing MEP for both upper and lower limbs (somatosensory and motor evoked potential [SEP and MEP]). Neither new code, however, is listed explicitly as an add-on code for code 95920. How then do I report four limb SEP and four limb MEP when performed as the base services for IOM with code 95920? Code 95920 clearly indicates to...
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Article Overview
This article explains a pair of April 2012 neurology and neuromuscular coding questions centered on CPT intraoperative monitoring reporting. It discusses how the new four-limb evoked potential codes relate to intraoperative neurophysiology testing and addresses how the CPT 2012 codebook presents the relevant code set guidance. The piece is aimed at medical coders, billing staff, and clinical documentation teams working with neurology, spine surgery, and intraoperative monitoring services.
Why This Topic Matters
It helps readers understand which CPT 2012 neurology monitoring codes are being discussed and how the article frames their use in intraoperative neurophysiology testing scenarios.
Article Sections
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Question 1 and Answer
A coding question about reporting newly added CPT neurology monitoring codes in connection with intraoperative neurophysiology testing. The response addresses the code set guidance discussed in the article.
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Question 2 and Answer
A second coding question involving four-limb evoked potential monitoring during spine surgery and how the CPT 2012 guidance is presented in this context. The section focuses on the reporting scenario and the associated monitoring service.
What You Will Learn
- How the article frames CPT 2012 neurology and neuromuscular procedure questions
- How intraoperative neurophysiology testing is discussed in relation to new four-limb monitoring codes
- How the article presents codebook guidance for neurology monitoring scenarios
- What kinds of spine-surgery monitoring questions are addressed in the Q&A
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Clinical documentation specialists
- Neurology and neuromuscular practice staff
Codes Discussed
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