All PlansCoverageMedium impact
Intraoperative Neurophysiologic Monitoring
Blue Cross & Blue Shield of Mississippi·MS · Neurosurgery, Orthopedics, ENT (Ear, Nose & Throat) +3 more·Medical Policy
We identified it
Jun 20, 2026
Summary
This is a comprehensive medical policy outlining when intraoperative neurophysiologic monitoring is considered medically necessary versus investigational. The policy establishes specific criteria for recurrent laryngeal nerve monitoring during high-risk thyroid/parathyroid surgeries and certain anterior cervical spine procedures, while considering visual-evoked potential monitoring investigational.
Action Required
Immediately: Review current intraoperative neurophysiologic monitoring claims to ensure they align with the medical necessity criteria outlined in this policy. Billing team should verify that recurrent laryngeal nerve monitoring is only billed for high-risk thyroid/parathyroid surgeries (total thyroidectomy, repeat surgeries, cancer cases, thyrotoxicosis, retrosternal/giant goiter, thyroiditis) or qualifying anterior cervical spine procedures. Flag visual-evoked potential monitoring claims as investigational and likely non-covered.