tci Part B Insider - 2013 Issue 10

Surgery: Intraoperative Neurophysiology Monitoring: Bill New Codes 95940-95941 Correctly

Beware: This terminology prevents you from billing IONM plus surgery. If your physicians have billed 95920 with 95927 to non-Medicare payers, then you shouldn’t assume you can report one of the new intraoperative neurophysiology monitoring (IONM) codes in addition to the surgery. You could be setting your claim up for a denial. Background: Physicians have billed 95920 and 95927 (Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or head) in the past. However, CPT® 2013 deletes 95920 — and replaces that code with +95940...

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