We would bill it the following way:
CPT 95920-26 (X3 units) = 3 hours monitoring (intraoperative neurophysiology) depending on op note documentation clearing stating that monitoring was continuous for 3 hours during the procedure.
You need to bill 95920 (add on code) when you bill 95865, indicating it is "intraoperative" nerve monitoring, otherwise it appears very inconsistent with the thyroidectomy and diagnosis code.
The Academy of Otolaryngology website has some coding guidance with regards to intraoperative nerve monitoring.
BTW, Medicare will not pay for intraoperative nerve monitoring, but there is a number of private payors that will.
Hope this helps,
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