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Neurology & Pain Management Coding Alert

You Be the Coder:

Billing Frequency for IOM?

Published on Fri Oct 22, 2010

Question: The neurologist that I bill for performs intraoperative monitoring (IOM). Is there a limit on the units of service that can I bill for the baseline diagnostic study codes? North Dakota Subscriber Answer: According to the CPT parenthetical note with +95920 (Intraoperative neurophysiology testing, per hour [List separately in addition to code for primary procedure]), you should use this add-on code once per hour even if the physician performs multiple electrophysiologic studies. You should report the baseline electrophysiologic study(s) once per operative session. Look Out: One exception would be if the neurologist is not performing all the requirements for complete needle extremity electromyography (EMG) studies, but rather only limited (EMG) studies. In this case, your neurologist could report one unit of 95870 (Needle electromyography; limited study of muscles in one extremity or non-limb [axial] muscles [unilateral or bilateral], other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters) for [...]
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