Category: CC-Neurosurgery

Billing Additional Pre-op Visit
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Billing Additional Pre-op Visit

June 2, 2022 Question: Since we have to bring the patients back in for COVID testing and H&P for Joint Commission, can we bill for this visit even though it’s another pre-op visit? Answer: Yes, since the original surgery was canceled and is now under consideration for rescheduling due to the pandemic and needs to...

Inpatient E/M Coding
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Inpatient E/M Coding

May 19, 2022 Question: I did an inpatient consultation and coded 99253 (non-Medicare). I did not need to follow the patient so I signed off. They asked me to re-consult a week later.  What is the code for a re-consult? Answer: There are no specific E/M codes for an inpatient re-consultation.  You’ll use the subsequent...

ER Visit Coding
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ER Visit Coding

May 5, 2022 Question: What code do we charge for an ER visit when our physician was called to the ER by the ER doctor. The patient has Medicare. Answer: If the patient was not admitted by you to the hospital (e.g., they were admitted by another service or discharged), then you code it as...

Cerebellopontine Angle Surgery
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Cerebellopontine Angle Surgery

April 21, 2022 Question: I did a posterior fossa craniectomy for resection of a cerebellopontine angle tumor requiring the dura to be repaired with a synthetic graft and reconstruction of the cranial defect with a titanium mesh cranioplasty. I know I will use 61520 for the tumor removal. Can I use 62140 for the cranioplasty?...

PA Billing ED Consult
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PA Billing ED Consult

April 7, 2022 Question: Can a PA bill a consult if going to the ED at the request of the ED dr for a stroke? Assume this is a non-Medicare patient and the consult code gets paid. Answer: Yes, assuming that doing a consult in the ED is within the PA’s scope of practice in...

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