This info listed to assist Dr. W. with coding cases.
Intra Op Monitoring / Fluoro
Electromyography and Nerve Conduction Tests (95860-95904)
95860 Needle electromyography; one extremity with or without related paraspinal areas
95861 Needle electromyography; two extremities with or without related paraspinal areas
95863 Needle electromyography; three extremities with or without related paraspinal areas
95864 Needle electromyography; four extremities with or without related paraspinal areas
Intraoperative Neurophysiology (95920-95920)
95920 Intraoperative neurophysiology testing, per hour (List separately in addition to code for primary procedure)
Codes suggested for use with Neurovision/XLIF:
95920-26, 95937-26
(Use code 95920 in conjunction with study performed, 92585, 95822, 95860, 95861, 95867, 95868, 95900, 95904, 95925, 95926, 95927, 95930, 95933, 95934, 95936, 95937)
(Code 95920 describes ongoing electrophysiologic testing and monitoring performed during surgical procedures. Code 95920 is reported per hour of service, and includes only the ongoing electrophysiologic monitoring time distinct from performance of specific type(s) of baseline electrophysiologic study(ies) (95860, 95861, 95867, 95868, 95900, 95904, 95933, 95934, 95936, 95937) or interpretation of specific type(s) of baseline electrophysiologic study(ies) (92585, 95822, 95925, 95926, 95927, 95930). The time spent performing or interpreting the baseline electrophysiologic study(ies) should not be counted as intraoperative monitoring, but represents separately reportable procedures. Code 95920 should be used once per hour even if multiple electrophysiologic studies are performed. The baseline electrophysiologic study(ies) should be used once per operative session.)
Evoked Potentials and Reflex Tests (95925-95937)
95925 Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs
95926 Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs
(To report a unilateral study, use modifier ‘-52’)
Fluoro
76000 Fluoroscopy (separate procedure), up to one hour physician time, other than 71023 or 71034 (eg, cardiac fluoroscopy)
76003 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device)
76005 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural, transforaminal epidural, subarachnoid, paravertebral facet joint, paravertebral facet joint nerve or sacroiliac joint), including neurolytic agent destruction
76006 Manual application of stress performed by physician for joint radiography, including contralateral joint if indicated
