Billing and Coding: Intraoperative Neurophysiological Testing

Billing and coding for intraoperative neurophysiological testing follow the coverage and medical necessity criteria in LCD L34623. Extensive documentation is required in the patient medical record (legible, identified, provider-identified, monitoring time correlated to surgery, and supporting diagnosis and CPT/HCPCS codes). Monitoring performed by the operating surgeon is not billed separately because it is included in the surgery's global package.

"Intraoperative neurophysiological testing is billable only when coverage criteria and medical necessity in related LCD L34623 are met."

Sign up to see full coverage criteria, indications, and limitations.