IOM Clinical Billing Codes

XXXXX - EMG, One Extremity - $157.21
95861 - EMG, Two Extremities - $220.84
XXXXX - EMG Three Extremities - $278.89
XXXXX - EMG Four Extremities - $314.52
XXXXX - EMG, cranial nerve supplied muscles, unilateral - $123.85
XXXXX - EMG, cranial nerve supplied muscles, bilateral - $171.06
XXXXX - EMG, One Extremity (limited study) - $122.89
95941 - Intraoperative Neurophysiology Monitoring - $37.62
95937 - Neuromuscular Junction Test (TO4) - $?
XXXXX - Somatosensory Evoked Potentials, Upper Extremity - $183.83
XXXXX - Somatosensory Evoked Potentials, Lower Extremity - $177.99
​95938 - Upper and Lower Extremities Somatosensory Evoked Potentials - $460.63
XXXXX - Motor Evoked Potentials, Upper Extremity - $276.12
XXXXX - Motor Evoked Potentials, Lower Extremity - $285.21
95939 - Motor Evoked Potentials Upper and Lower Extremities - $667.57
95955 - EEG during surgery - $ 282.51
95XXX - EEG No Bill - $0

XXXXX - Auditory Evoked Potentials - $180.18
XXXXX - Electrocorticogram during surgery - $2,555.1
XXXXX - Visual Evoked Potentials - $173.74
XXXXX - Orbicularis Oculi Blink Reflex - $98.43
XXXXX - Functional cortical/subcortical mapping - $383.33