New reimbursement policy: Intraoperative Neuromonitoring — Professional

Beginning with dates of service on or after November 1, 2024, Anthem will implement a new reimbursement policy titled Intraoperative Neuromonitoring — Professional based on guidelines from the American Academy of Neurology. This reimbursement policy will allow reimbursement for intraoperative neuromonitoring (IONM) when billed by a professional provider with a place of service 19, 21, 22, or 24.

When reporting IONM, providers are required to bill on a CMS-1500 form and use the appropriate place of service. Services must be performed in a hospital setting using the place of service where the member is located even if the monitoring physician is in an office. The following place of service codes are appropriate for use by the monitoring physician:

• Off campus-outpatient hospital (19)
• Inpatient hospital (21)
• On campus-outpatient hospital (22)
• Ambulatory surgical center (24)

For specific policy details, visit reimbursement policy page at anthem.com.