Facial Nerve Monitoring with Ear Procedures

June 22, 2017

Question:
Can I bill for facial nerve monitoring during a cochlear implant or mastoidectomy procedures?

Answer:
Facial nerve, and any cranial nerve, monitoring is included in the primary procedure code (e.g., cochlear implant, mastoidectomy) for the surgeon and should not be separately reported according to both CPT and Medicare. A completely different provider, other than the surgeon or assistant surgeon or co-surgeon or anesthesiologist, may provide and bill for the monitoring.

*This response is based on the best information available as of 06/22/17.

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