Category: CC-Neurosurgery

Diagnosis Code Incompatibility
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Diagnosis Code Incompatibility

April 11, 2019 Question: We are being told by our billing service that “CPT 22551 as the procedure/diagnosis code combination is not compatible” when we use the diagnosis code of M50.11 for an ACDF at C3 -4.  This is the first time that we have ever had an issue with M50.11 for 22551.  Is there...

Skull Base Surgery
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Skull Base Surgery

March 28, 2019 Question: My neurosurgeon did a craniotomy with removal of a frontotemporal meningioma with stereotactic navigation and the microscope.  I coded as 61512, 61781, and 69990-59. However, my doctor disagrees and wants to code as 61583, 61512-51.  What do you think? Answer: First, 61583 – a skull base surgery approach code that requires...

Diagnosis Code for Post Op Visits
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Diagnosis Code for Post Op Visits

March 14, 2019 Question: What’s the best way to do the diagnosis coding for postop visits? I mean, does it really matter since we aren’t billing for a visit? Answer: The ICD-10-CM guidelines for postop/aftercare include the following: If the original diagnosis is trauma (eg, using an S diagnosis code) or a code that requires...

Re-Do Discectomy
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Re-Do Discectomy

January 17, 2019 Question: Hello Kim!  Could please help me verify the best code to use?  This op note states it is a re-do discectomy but this is the first time my neurosurgeon has done a procedure on this patient. My question is…since my doctor did not do the first procedure, would I bill this...

Removal of Lumbar Drain
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Removal of Lumbar Drain

December 13, 2018 Question: I received a call from one of our PAs regarding the removal of a lumbar drain (CPT 62272) originally placed for CSF drainage. Is the removal of a lumbar drain billable?  Answer: The removal of a lumbar drain is not separately reported. *This response is based on the best information available...

Cervico-cerebral Imaging Codes
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Cervico-cerebral Imaging Codes

November 15, 2018 Question: What’s not included in the diagnostic cervico-cerebral imaging codes and can be reported separately? Answer: The diagnostic cervicocerebral imaging codes do not include: Interventional procedures such as angioplasty or embolization, Endovascular stent placement Ultrasound guidance for vascular access, e.g., 76937 with 36221-36228 Selective arterial catheterization outside the carotid and vertebral arteries and...

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