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INTRA OPERATIVE MONITORING

Barbara Posted Wed 14th of October, 2015 11:28:30 AM

I AM NEW TO A PRACTICE AND NOTICE THEY ARE BILLING
42414 95865 95940, I WAS UNDER THE IMPRESSION THAT THESE SHOULD NOT BE BILLED BY THE DR..

SuperCoder Answered Thu 15th of October, 2015 00:57:29 AM

CPT 42414 is an invalid code. But here we are assuming it as procedure on larynx. If this is the case, you are right. The surgery performing physician cannot bill for 95865 and 95940. But if these services provided by some other physician, than he/she can bill for them.

Please find below the NCCI statement related to your question. "Intraoperative neurophysiology testing (HCPCS/CPT codes 95940, 95941/G0453) should not be reported by the physician performing an operative or anesthesia procedure since it is included in the global package. However, when performed by a different physician during the procedure, it is separately reportable by the second physician. The physician performing an operative procedure should not report other 90000 neurophysiology testing codes for intraoperative neurophysiology testing (e.g., 92585, 95822, 95860-95870, 95907-95913, 95925, 95926, 95927, 95928, 95929, 95930-95937, 95938, 95939) since they are also included in the global package."

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