Medicare AdvantageCoverageMedium impact
MA07.051j, Intraoperative Neurophysiological Monitoring (INM)
Independence Blue Cross·Neurosurgery, Orthopedics, Cardiothoracic Surgery +2 more·Medical Policy
Effective date
Sep 22, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage policy MA07.051j for Intraoperative Neurophysiological Monitoring (INM) has been updated with changes to medical necessity criteria and medical coding requirements. This affects billing and documentation requirements for neurophysiological monitoring procedures performed during surgery.
Action Required
Before September 22, 2025: Billing team and providers must review updated medical necessity criteria and coding requirements for intraoperative neurophysiological monitoring procedures. Access the full policy at the source URL to identify specific documentation requirements and coding changes. Update billing workflows and provider templates to ensure compliance with new criteria to prevent claim denials.