KZA consultants discuss two frequently asked neurosurgery coding questions every month. Our coding experts are also available for hourly coding consultations and can provide a customized coding and documentation review for your practice.
What is the difference between 61210 and 61107? And when would I bill these codes?
CPT 61210 states: Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure).
CPT 61107 states: Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device.
The difference between the two codes is how the procedure was performed – via a hole made by a burr versus a hole made using a twist drill. Typically a twist drill is used when the procedure is performed at the bedside while a burr hole is oftentimes used when the procedure is performed in the operating room. However, you should carefully read the operative report as a ventricular catheter or ICP monitor may be placed via a twist drill hole performed in the operating room.
If you have questions or would like to speak to Kim or Teri about your practice, please contact Robin Delgatto at KZA (rdelgatto@karenzupko.com or 312.642.5616), and he will be happy to share with you KZA’s fees for this service.
