Assistant Surgeon with Stereotatic Navigation Planning



My doctors want me to submit 61781 for both the primary and assistant on the operative note. The payor denied it and I’m wondering if there is something else I need to do to get it paid.


CPT 61781 (Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure)) is an add-on code for the surgeon’s pre-incision, pre-procedure as well as intraoperative work of stereotactic navigation for an intradural cranial procedure. This involves cognitive work and image manipulation at a computer workstation which occurs prior to surgery and the utilization of the navigation system during the procedure. This activity does not require an assistant, so it is appropriate that a payor would deny payment for an assistant surgeon on 61781.