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Otolaryngology Coding Alert

READER QUESTIONS:

Medicare Nerve Monitoring Requires Separate NPI

Published on Thu Feb 19, 2009

Question: An article in Otolaryngology Coding Alert Vol. 10, No. 10, states that an audiologist can bill for monitoring of the eighth nerve using 92585 with +95920. No COrrect Coding Initiative (CCI) edit prevents billing needle electromyography (EEG) monitoring of a cranial nerve (69930) with a cochlear implant (95867).-During an implant, can the audiologist bill +95920 and 95867?-- Indiana Subscriber Answer: The problem is not whether 95867 (Needle electromyography; cranial nerve supplied muscle[s], unilateral) is bundled with the cochlear implant, but whether the intraoperative monitoring is included in the surgery. CCI includes intraoperative monitoring in the surgery when performed by the same surgeon. So, to bill the intraoperative monitoring (and hence the related study, such as the cranial nerve EEG), you have to have a different provider -- a separate national provider identifier (NPI) billing those items on a separate claim. Know payers- rules: Code 95867 is not on Medicare's allowed [...]
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