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Intraoperative Neurophysiologic Monitoring (Sensory-Evoked Potentials, Motor-Evoked Potentials, EEG Monitoring)

Section: Diagnostic Medical
Effective Date: November 01, 2019
Revised Date: October 15, 2019


Intraoperative neurophysiologic monitoring (IONM) describes a variety of procedures that have been used to monitor the integrity of neural pathways during high-risk neurosurgical, orthopedic, and vascular surgeries.


IONM,includes somatosensory-evoked potentials, motor-evoked potentials using transcranial electrical stimulation, brainstem auditory-evoked potentials, electromyography (EMG) of cranial nerves, electroencephalogram (EEG), and electrocorticography (ECoG), may be considered medically necessary for ANY of the following procedures:

  • Surgery of the aortic arch, its branch vessels, or thoracic aorta, including carotid artery surgery, when there is risk of cerebral or spinal cord ischemia; or
  • Resection of epileptogenic brain tissue or tumor; or
  • Resection of brain tissue close to the primary motor cortex and requiring brain mapping; or
  • Protection of cranial nerves during:
    • Resection of tumors involving the cranial nerves; or
    • Cavernous sinus tumors; or
    • Microvascular decompression of cranial nerves; or
    • Skull base surgery in the vicinity of the cranial nerves and surgeries of the foramen magnum; or
    • Oval or round window graft; or
  • Endolymphatic shunt for Meniere’s disease; or
  • Vestibular section for vertigo; or
  • Correction of scoliosis or deformity of spinal cord involving traction of the cord; or
  • Protection of spinal cord where work is performed in proximity to cord as in the placement or removal of old hardware or where there have been numerous interventions; or
  • Spinal instrumentation requiring pedicle screws or distraction; or
  • Decompressive procedures on the spinal cord or cauda equina carried out for myelopathy or claudication where function of spinal cord or spinal nerves is at risk; or
  • Spinal cord tumors and spinal fractures (with the risk of cord compression); or
  • Neuromas of peripheral nerves of brachial plexus, when there is risk to major sensory or motor nerves; or
  • Surgery or embolization for intracranial arteriovenous malformations (AVMs); or
  • Embolization of bronchial artery AVMs or tumors; or
  • Surgery for arteriovenous malformation of spinal cord; or
  • Cerebral vascular aneurysms; or
  • Surgery for intractable movement disorders; or
  • Arteriography, during which there is a test occlusion of the carotid artery; or
  • Circulatory arrest with hypothermia [does not include surgeries performed under circulatory bypass (e.g., coronary artery bypass grafting (CABG), ventricular aneurysms); or
  • Distal aortic procedures, where there is risk of ischemia to spinal cord; or
  • Leg lengthening procedures, where there is traction on sciatic nerve or other nerve trunks; or
  • Basal ganglia movement disorders; or
  • Surgery as a result of traumatic injury to spinal cord/brain; or
  • Deep brain stimulation; or
  • Certain thyroid surgeries when there is;
    • Total removal of a complete lobe of the thyroid; or
    • Removal of the entire gland; or
    • Re-entry (re-operation) to a prior surgical field where scar tissue obscures the visual path of the recurrent laryngeal nerve.

Intraoperative neurophysiologic monitoring for any other procedure not listed above is considered not medically necessary.

Procedure Codes

92585 92586 95829 95860 95861 95863 95864
95867 95868 95907 95908 95910 95911 95912
95913 95925 95926 95927 95928 95929 95937
95938 95939 95940 95941 95955 G0453

Neurophysiological studies

Neurophysiological studies may be reimbursed individually whether performed independently or in conjunction with each other. However, if a provider reports any neurophysiological studies in addition to comprehensive evoked response audiometry, the charges should be combined and processed under code 92585. Modifier 59 may be reported with a non-E/M service, to identify it as distinct or independent from other non-E/M services performed on the same day. When modifier 59 is reported, the patient's records must support its use in accordance with CPT guidelines.


IONM should be reported under procedure code 95940, 95941, G0453 regardless of the specific monitoring performed (e.g., brainstem auditory evoked response, somatosensory evoked potentials, etc.). If any of the testing codes for neurophysiological monitoring are reported in conjunction with 95940, 95941, G0453 the services should be combined and processed under 95940, 95941, G0453. Modifier 59 may be reported with a non-E/M service, to identify it as distinct or independent from other non-E/M services performed on the same day. When modifier 59 is reported, the patient's records must support its use in accordance with CPT guidelines.

Reimbursement is limited to either 95940 (continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (list separately in addition to code for primary procedure) or 95941 (continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby) or for monitoring of more than one case while in the operating room, per hour (List separately in addition to code for primary procedure)) per date of service.

Procedure Codes

92585 95940 95941 G0453

Intraoperative monitoring of visual-evoked potentials is considered experimental/investigational and therefore non-covered, due to a lack of scientific peer reviewed literature.

Intraoperative EMG and nerve conduction velocity monitoring during surgery on the peripheral nerves is considered not medically necessary.

Intraoperative monitoring of motor-evoked potentials using transcranial magnetic stimulation is considered experimental/investigational due to a lack of scientific peer reviewed literature and therefore non-covered.

Procedure Codes

0464T 95930 

Diagnosis Codes

Covered diagnosis codes for procedure codes 92586, 95829, 95860, 95861, 95863,95864, 95907, 95908, 95910, 95911, 95912, 95913, 95926, 95927, 95928, 95929, 95940, 95941, 95955, and G0453


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S12.500S S12.501A S12.501B S12.501S S12.530A S12.530B S12.530S
S12.531A S12.531B S12.531S S12.54XA S12.54XB S12.54XS S12.550A
S12.550B S12.550S S12.551A S12.551B S12.551S S12.590A S12.590B
S12.590S S12.591A S12.591B S12.591S S12.600A S12.600B S12.600S
S12.601A S12.601B S12.601S S12.630A S12.630B S12.630S S12.631A
S12.631B S12.631S S12.64XA S12.64XB S12.64XS S12.650A S12.650B
S12.650S S12.651A S12.651B S12.651S S12.690A S12.690B S12.690S
S12.691A S12.691B S12.691S S12.9XXA S12.9XXD S12.9XXS S14.101A
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