Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

intraoperative monitoring

Marina Posted Thu 02nd of February, 2012 21:26:58 PM

superbill received:
95961 X 12
95925 x 12
95926 x 12
95920 x 12
As per my understanding, only 95920 is billed per hour. Baseline intraoperative procedures can be reported only once.
What code should we use for electrodes(37 were used during operation ).

SuperCoder Answered Fri 03rd of February, 2012 23:05:30 PM

CPT 95961 ( Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or depth electrodes, to provoke seizures or identify vital brain structures; initial hour of physician attendance) code should be used for the first hour of attendence.
*
For any subsequent attendence CPT 95962 (each additional hour of physician attendance) should be used.
*
Also CPT codes 95961- 95962 (functional cortical mapping) are not eligible for the 95920 (intraoperative neurophysiology testing per hour) hourly add on code.
*
*
Only one unit of 95925 can be used regardless of the number of nerves or dermatomes (skin sites) that are stimulated in each upper limb (on one or both sides). Similarly, only one unit of 95926 can be used regardless of the number of nerves or dermatomes (skin sites) that are stimulated in each lower limb (on one or both sides). Note that the codes are defined as bilateral codes. Modifier 52 must be used for unilateral studies

Related Topics