Does 95829 require prior authorization?

No, 95829 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for 95829?

Medicare facility rate: $1973.33. Non-facility rate: $1973.33. Work RVU: 6.05.

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

6.05

Facility

$1973.33

Non-Facility

$1973.33

Intraoperative neurophysiological monitoring is consideredmedically necessarywhen ALL of the following are met:
The specific testing is used to monitor neural integrity during a spinal, neurologic, cranial, or vascular procedure that may compromise neurologic function;and
The specific testing is tailored to the clinical circumstances of the surgery. The following tests may be medically necessary when the neural pathway measured by the test is likely to be affected by the surgical procedure:Somatosensory-evoked potentials (SSEP);Brainstem auditory-evoked potentials (BAEPs);Electromyogram (EMG);Electroencephalogram (EEG);Electrocorticography (ECoG);Direct cortical stimulation;Nerve conduction velocity testing;Motor evoked potentials (MEP);and
Somatosensory-evoked potentials (SSEP);
Brainstem auditory-evoked potentials (BAEPs);
Electromyogram (EMG);

ANTHEM-CG-SURG-104 — CG-SURG-104 Intraoperative Neurophysiological Monitoring

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