Intraoperative Monitoring Medical Necessity

Intraoperative Neurophysiological …

https://www.ncbi.nlm.nih.gov/books/NBK563203/

Medical Necessity Guidelines: Intraoperative …

https://tuftshealthplan.com/documents/providers/guidelines/medical-necessity-guidelines/intraoperative-neurophysiological

Intraoperative neurophysiological monitoring (INM) refers to various methods to monitor the strength and structure of neural pathways during high-risk …

Medical Necessity Guidelines: Intraoperative …

https://tuftshealthplan.com/provider/provider-news/9-1-22/monitoring

September 01, 2022 Tufts Health Plan has developed Medical Necessity Guidelines for Intraoperative Neurophysiological Monitoring, which refers to various …

Intraoperative Monitoring - Cigna

https://static.cigna.com/assets/chcp/pdf/coveragePolicies/medical/mm_0509_coveragepositioncriteria_intraoperativemonitoring.pdf

Continuous Intraoperative Monitoring (CPT Codes: 95940, 95941; HCPCS Code G0453) Continuous intraoperative neurophysiologic monitoring (IOM) is considered medically …

Billing and Coding: Intraoperative Neurophysiological …

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56722&name=331*1&UpdatePeriod=859

The following ICD-10-CM codes support medical necessity and provide coverage for CPT/HCPCS codes 95940 and G0453: Note: ICD-10 code E07.9 is to be …

Model Coverage Policy - American Academy of …

https://www.aan.com/siteassets/home-page/tools-and-resources/practicing-neurologist--administrators/billing-and-coding/model-coverage-policies/18iommodelpolicy_tr.pdf

4. Monitoring Necessity Intraoperative monitoring is not medically necessary in situations where historical data and current practices reveal no potential for damage to …

Intraoperative Neurophysiologic Monitoring - Blue Cross NC

https://www.bluecrossnc.com/sites/default/files/document/attachment/services/public/pdfs/medicalpolicy/intraoperative_neurophysiologic_monitoring.pdf

Intraoperative neurophysiologic monitoring is considered not medically necessary when performed outside the 2009 American Clinical Neurophysiology Society recommended …

Intraoperative Neurophysiologic Monitoring - Moda …

https://www.modahealth.com/pdfs/med_criteria/IntraoperativeNeurophysiologicMonitoring.pdf

d. Intraoperative neurophysiologic monitoring is considered medically necessary and eligible for separate reimbursement for One or more of the following: i. Intraoperative …

Intraoperative Electromyographic Monitoring - Medical …

https://www.aetna.com/cpb/medical/data/600_699/0697.html

Aetna considers intra-operative EMG monitoring medically necessary for any of the following: Brachial plexus surgery Cross-facial nerve grafting Excision of branchial cleft …

Intraoperative Neuromonitoring Policy, Professional

https://www.uhcprovider.com/content/dam/provider/docs/public/policies/comm-reimbursement/COMM-Intraoperative-Neuromonitoring-Policy.pdf

Per the American Medical Association, Intraoperative Neuromonitoring (IONM) is the use of electrophysiological methods to monitor the functional integrity of certain neural …