I did an anterior and posterior spine procedure on the same day. I used local bone graft (20936) and morselized allograft (20930) on the anterior and posterior procedures. Should I bill 20930, 20930-59, 20936, 20936-59 or 20930 x 2 units with 20936 x 2 units?
Our pain management doctor did a trial spinal cord neurostimulator electrode placement a month ago. Our neurosurgeon is now placing the permanent electrode, via laminectomy, along with the generator. Do we need to use modifier 58 on the neurosurgeon’s codes?
My doctor while doing a craniectomy for tumor removal, along with using the microscope and Brain lab navigation, is using the ultrasonic aspirator to remove tissue. Can I bill for this? I don’t see a CPT code.
When we reduce a kyphotic deformity as well as correcting stenosis and spondylosis on an anterior cervical discectomy, decompression and fusion, can we bill 22808 along with 22551?
What codes are used for a myelogram? Our schedulers have been told different things, the last being to just use 76000 and that it included the myelo and fluoro regardless of level.
We’ve been told by our outsourced coding company to use 61710 for catheter-based embolization of an AVM. Is that right?
We are hiring a neurosurgeon who also does neuroendovascular procedures. We’ve never had to code for neuroendovascular procedures before – HELP!
If I see a consult in the ER and during that visit I identify the need for surgery the same day, can I append a Modifier 57 to the E/M service and get paid?
What is an appropriate “source” for a consult? I asked at a recent workshop and the instructors did not have an answer.
If I see a new patient (9920x) for a spine problem, then they come back to me for carpal tunnel syndrome two months later, can I bill as a new patient visit (9920x) the second time or is it an established patient to me (9921x)?