Zomed facial nerve monitor

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Question: The otolaryngologist resects a facial neuroma. Nerve monitoring is performed during the surgery to avoid facial nerve damage. How should we bill for this service? Minnesota Subscriber Answer: Facial nerves may be monitored intraoperatively to enhance the preservation of facial nerves during some extensive surgery, such as acoustic neuroma resection and cochlear implantation. CPT intraoperative neurophysiology testing, per hour [list separately in addition to code for primary procedure] may be used to report facial nerve monitoring. All of these codes describe the "setup" of a study; is added to report time spent monitoring the patient.
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Accessories and Instruments for the NIM® Nerve Monitoring Systems From Medtronic

This gets reflected in our diagnosing process and the subsequent ENT treatments we deliver. For making this feasible, we always take due care when we perform our surgical procedures. While attending surgeries, we take the needed effective precautions and perform them with the maximum possible precision. To facilitate this we make it a point to update our knowledge on all relevant medical topics, and insist on introducing all the newer methods of medicinal practices. For this, we give sufficient training to our staff on the latest happenings in the global medical field. We also make certain to install all the sophisticated therapeutic instruments and machineries, as and when they become practically viable and functional.
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US7749218B2 - Method of straddling an intraosseous nerve - Google Patents

Transcranial motor evoked potential MEP for the facial nerve facial MEP has been recognized as a good method for quantitative monitoring of facial nerve function in skull base surgery. From to , intraoperative facial MEP monitoring with the peg-screw electrode and threshold-level method was successfully achieved in 26 of 29 patients who underwent surgery for the posterior fossa extra-axial tumor. The relationship between the change in the facial MEP threshold level and the postoperative function of the facial nerve was analyzed in 23 patients who had no facial palsy preoperatively. There were no complications associated with facial MEP monitoring. Nine patients who had stable facial MEP threshold had no facial palsy.
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Aetna considers intra-operative electromyographic EMG monitoring of the facial nerve medically necessary for members undergoing any of the following intra-cranial neuro-otological surgeries:. Aetna considers the combined use of intra-operative EMG monitoring of facial nerve and intra-operative monitoring of somato-sensory evoked potentials not medically necessary. Aetna considers intra-operative EMG monitoring of the facial nerve during parotid gland surgery, tympanoplasty without mastoidotomy or mastoidectomy, or maxillo-facial surgery experimental and investigational because its value for these indications has not been established.
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