Intraoperative Nerve Monitoring and Thyroidectomy Procedures

April 12, 2012

Question:

Is the intraoperative neural integrity monitoring considered part of the total thyroidectomy (60240) or is there a separate code for it? I am looking at CPT code 95865 to report this procedure for our surgeon?

Answer:

Intraoperative nerve monitoring (IOM) is not separately reportable by the surgeon as it is considered an integral part of the procedure. IOM is reportable by a second physician who is not participating in the case such as a neurologist or physical medicine physician.