HCPCS code G0453 — Cont intraop neuro monitor.
Status: Active.
Effective Jan 1, 2013.
Source: CMS HCPCS Level II.
G0453
ActiveCont intraop neuro monitor
Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure)
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2013
Code type:
alphanumeric
OPPS Status:
N
— Items / services packaged into APC rates
MUE — Medically Unlikely Edits
Maximum units of G0453 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 10 |
| Practitioner Services | 40 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits — Reverse Direction
G0453 cannot be billed together with the following column 1 codes without appropriate documentation.
| Column 1 Code | Modifier |
|---|---|
| G0276 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)