CommercialAdministrativeMedium impact
07.03.14s, Intraoperative Neurophysiological Monitoring (INM)
Independence Blue Cross·Neurosurgery, General Surgery, Cardiothoracic Surgery +1 more·Medical Policy
Effective date
Sep 22, 2025
We identified it
Jun 19, 2026
Summary
Policy 07.03.14s updates medical necessity criteria and coding requirements for Intraoperative Neurophysiological Monitoring (INM) procedures. The billing team must implement new coverage rules and ensure proper code usage effective September 22, 2025.
Action Required
By September 22, 2025: Billing team must review and implement the updated medical necessity criteria for INM procedures in policy 07.03.14s. Verify correct CPT/HCPCS coding for INM services and update billing system rules to reflect new coverage guidelines. Coordinate with providers and surgical schedulers to ensure pre-operative documentation meets the new medical necessity standards. Claims submitted without meeting updated criteria will be denied. Access full policy at: https://medpolicy.ibx.com/ibc/Commercial/Pages/Site-Activity-View.aspx?FilterField1=MPSiteActivityLogMonth&FilterValue1=09&FilterField2=MPSiteActivityLogYear&FilterValue2=2025#commercial-07-03-14s