Intraoperative Neuromonitoring Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans

Overview

This policy addresses the reimbursement of Intraoperative Neuromonitoring (IONM) services.

Policy Codes

Find your specific codes below.

This policy contains more codes than can be displayed on one screen. Find your specific code below.

Enter your code here As you input 2 or more characters, a clear button becomes available, and codes will dynamically display below. The number of returned codes will decrease as you enter more characters.

  • 92585
  • 95822
  • 95860
  • 95861
  • 95863
  • 95864
  • 95865
  • 95866
  • 95867
  • 95868
  • 95869
  • 95870
  • 95907
  • 95908
  • 95909
  • 95910
  • 95911
  • 95912
  • 95913
  • 95925
  • 95926
  • 95927
  • 95928
  • 95929
  • 95930
  • 95933
  • 95937
  • 95938
  • 95939
  • 95940
  • 95941
  • G0453
* COMM-Intraoperative-Neuromonitoring-Policy.pdf
Click to Download: Intraoperative Neuromonitoring Policy, Professional - Reimbursement Policy - UnitedHealthcare Commercial Plans

Questions and Answers

Q: Will IONM services be reimbursed when reported with POS 15 (mobile unit)?

A: No. Services furnished in a mobile unit are often provided to serve an entity for which another POS code exists.

When this is the case, the POS for that entity should be reported. UnitedHealthcare will only allow reimbursement for IONM services when reported with POS 19, 21, 22 and 24.

Q: Why isn’t IONM code 95941 addressed in this policy?

A: Consistent with CMS guidance, status “I” codes are not reimbursable. Code 95941 is considered invalid for reimbursement purposes. For more information please review other reimbursement policies, including but not limited to the Replacement Codes Policy.