Wiki nerve monitor/ETT with vocal cord electrodes

[kbrasher12@icloud.com]

I am new to ENT coding and need to know if you can bill nerve monitor/ETT with vocal cord electrodes with right thyroidectomy. I think it is included in the thyroidectomy, but need to be sure.

Thanks!!!!

 

[JenniferB7]

The CPT guidelines under Intraoperative Neurophysiology (CPT codes 95940, 95941), state that when intraoperative nerve monitoring is "performed by the [primary] surgeon or anesthesiologist, it is included in the surgeon's or anesthesiologist's primary service codes and not separately reported."

If you have a second surgeon in the room who is not billing as an assistant/co-surgeon and only performing the nerve monitoring, then that surgeon can bill for the intraoperative nerve monitoring.

Hope that helps.

Jennifer M. Connell, BA, CPC, CENTC, CPCO