Category: <span>Neurosurgery</span>

New 2021 E/M Coding Guidelines
Post

New 2021 E/M Coding Guidelines

September 17, 2020 Question: I just signed up for your 2021 E/M webinar – I’m so excited!   Will these changes apply to inpatient codes too? Answer: Great – I look forward seeing you!  At this time, the changes are only for new patient and established patient codes – office services. Learn more from Kim Pollock...

Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?
Post

Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?

September 3, 2020 Question: I work with a neurosurgeon and we don’t see many Medicare patients. The neurosurgeon believes the revised 2021 E/M guidelines will not impact our office practice because of our low Medicare volume. Is this correct? Answer: This is not correct!  The revised documentation requirements are from CPT – the coding rule....

Spine Fracture Repair and Decompression
Post

Spine Fracture Repair and Decompression

August 6, 2020 Question: How do I code for repair of a C6-7 fracture/dislocation where I did a laminectomy for decompression to repair the fracture as well as an arthrodesis? Answer: You’ll use CPT 22326 (Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical) for the...

Removal of a Hemorrhagic Tumor
Post

Removal of a Hemorrhagic Tumor

July 23, 2020 Question: I did a craniotomy for removal of a tumor but it had a hemorrhagic component to it so I also removed the hematoma. Can I code for both the tumor removal and removal of intracerebral hematoma? Answer: No – the hematoma removal is considered “incidental” to the tumor removal. Therefore, you’d...

Removal of sEEG Electrodes
Post

Removal of sEEG Electrodes

July 9, 2020 Question: I placed subdural stereo-EEG electrodes for epilepsy monitoring. What is the code for removal of these electrodes? I’ve been billing 61880 for removal of each electrode up to 10 or 13 units depending on how many electrodes I remove. My new coder said she’s not sure we are using the correct...

Bilateral Posterolateral Fusion
Post

Bilateral Posterolateral Fusion

June 11, 2020 Question: I did a posterior lumbar fusion bilaterally. Can I bill 22612 with modifier 50 for bilateral procedures? I looked at CPT and it doesn’t say that I can’t bill modifier 50 on any of the fusion codes. Answer: Interesting question! This brings up the point that the CPT book can’t possibly...

  • 1
  • 2
  • 6
Sign up for KZAlertsSign up for KZAlerts

Coding Coaches