. 2013 Oct;19(10):791–793. doi: 10.1089/tmj.2013.0004

Table 1.

Center for Medicare and Medicaid Services Coding and Reimbursement Changes for Intraoperative Neurophysiological Monitoring, Including Work Relative Value Unit Rate, Allowed Telemonitoring, and Simultaneous Billing

	MEANING OF CPT CODE
	2012 CPT5	2013 AMA-RUC RECOMMENDATIONS¹¹		2013 CMS FINAL RULE¹²
	95920	95940	95941	95940	95941
Short descriptor	Intraoperative neurophysiology testing	IONM in operating room	IONM remote/>1 patient or per hour	IONM in operating room	IONM remote/>1 patient or per hour
Unit of service	1 h	15 min	1 h	15 min	1 h
Work RVU rate	2.11	0.5	2.0	0.6	^a
Remote telemonitoring	Yes	No	Yes	No	Yes
Simultaneous billing	Yes	No	Yes	No	^b

^{^a}

Relative value units (RVUs) only granted for co-billed HCPCS code G0453, RVU rate 0.5 per 15-min increments.

^{^b}

Current Procedure Terminology (CPT) 95941 language allows for more than 1 patient, but co-billing code G0453 requires “attention directed exclusively to one patient.”

AMA-RUC, American Medical Association Relative Value Scale Update Committee; CMS, Center for Medicare and Medicaid Services; IONM, intraoperative neurophysiological monitoring.