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Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping involves a comprehensive evaluation of brain activity while the patient engages in specific mental tasks. This procedure allows for the observation of various brain structures and their functions in real-time, providing valuable insights into neurological health. During the imaging process, baseline images are captured while the patient is at rest or in a state of minimal stimulation. Following this, a series of images are obtained as the patient performs designated mental operations, which may include tasks related to body movement, speech, or sensory processing such as hearing, vision, or touch. The administration of these tests is conducted entirely by a physician or another qualified health care professional, such as a psychologist, who is responsible for determining the specific neurological functions to be assessed. Additionally, this professional reviews the test results and compiles a report, ensuring a thorough understanding of the patient's brain function and any potential abnormalities that may be present.
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Neurofunctional testing during noninvasive imaging functional brain mapping is indicated for various clinical scenarios where understanding brain function is essential. The following conditions may warrant this procedure:
The procedure for neurofunctional testing during noninvasive imaging functional brain mapping involves several key steps that ensure accurate assessment of brain activity.
Post-procedure care for neurofunctional testing typically involves a review of the findings with the patient. The physician or qualified health care professional will discuss the results of the imaging and any implications for the patient's health or treatment plan. Depending on the outcomes, further evaluations or interventions may be recommended. Patients are generally monitored for any immediate reactions to the testing, although the procedure is noninvasive and typically well-tolerated. Follow-up appointments may be scheduled to discuss the results in more detail and to plan any necessary next steps in the patient's care.
| Short Descr | FUNCTIONAL BRAIN MAPPING | Medium Descr | TEST SELECT & ADMN FUNCTL BRAIN MAP PHYS/QHP | Long Descr | Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping, with test administered entirely by a physician or other qualified health care professional (ie, psychologist), with review of test results and report | Status Code | Carriers Price the Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | Type of Service (TOS) | 4 - Diagnostic Radiology | Berenson-Eggers TOS (BETOS) | T2D - Other tests - other | MUE | 1 | CCS Clinical Classification | 7 - Other diagnostic nervous system procedures |
| 26 | Professional component: certain procedures are a combination of a physician or other qualified health care professional component and a technical component. when the physician or other qualified health care professional component is reported separately, the service may be identified by adding modifier 26 to the usual procedure number. | GC | This service has been performed in part by a resident under the direction of a teaching physician | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | GW | Service not related to the hospice patient's terminal condition | TC | Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician |
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| 2013-01-01 | Changed | Description Changed |
| 2007-01-01 | Added | First appearance in code book in 2007. |
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