The American Academy of Neurology Professional Association (AANPA) Board of Directors recently approved a document designed to assist payers in the development of medical policies for intraoperative neurophysiologic monitoring and testing.
The Principles for Appropriate Coding of Intraoperative Neurophysiological Monitoring and Testing (IOM) lays out the best evidence for IOM, as well as listing the surgical indications for monitoring and the primary electrophysiological services. A set of recommendations is provided on the level of supervision of the service, the number of cases that can be monitored simultaneously, and the optimal training level of the technologist. In addition, coding guidance is presented.
The document was drafted by a work group consisting of members of the Payment Policy and Coding Subcommittees of the AANPA as a result of several separate inquiries requesting the AANPA’s advice concerning appropriate reporting and use of this code.