Category: Neurosurgery

Waiving Medicare Cost-share for Telehealth Visits
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Waiving Medicare Cost-share for Telehealth Visits

April 2, 2020 Question: I heard that Medicare patients don’t have to pay their deductible or coinsurance if they have a telemedicine visit. Is this true? Answer: Medicare is not waiving deductibles or co-insurance. However, they are allowing providers to do so at their discretion without penalty for telemedicine visits. This means the provider will...

Are Pre-Op Visits Billable?
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Are Pre-Op Visits Billable?

March 19, 2020 Question: For patients that are having surgery that day, I’ve been doing pre-op visits that morning (coming in earlier), and not doing a pre-op visit in clinic the week before surgery. Can I bill a follow up visit for the meeting/note (H&P) that occurs the morning of surgery? Answer: No—a routine pre-op...

Intraoperative ICG Dye Angiography
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Intraoperative ICG Dye Angiography

February 6, 2020 Question: Can we bill the 92242 for the indocyanine green video angiography we do with the pterional craniotomy clipping of an aneurysm? Can I bill for the injection using 15860? We do this to confirm patency of all branch vessels. Answer: No, this service is included in the craniotomy for aneurysm clipping...

Diagnosis Code for “End of Life” DBS Battery
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Diagnosis Code for “End of Life” DBS Battery

December 19, 2019 Question: What would be the appropriate diagnosis code (ICD-10-CM) for “end of life battery” when we have to change the generator in a deep brain stimulator patient. I have gotten mixed responses previously whether or not to bill “mechanical complication” vs “encounter for adjustment”. Or are both of these incorrect? Answer: We...

VP Shunt Reprogramming
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VP Shunt Reprogramming

December 5, 2019 Question: We had a patient show up in our office, after an MRI ordered by another physician, and wanted their shunt settings checked. We checked the shunt and reprogrammed the shunt to the appropriate settings. We’ve never seen this patient before. Would we bill both the consultation code and the shunt reprogramming...

Shunt Revision
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Shunt Revision

November 14, 2019 Question: I had to replace the ventricular catheter and the valve on a patient with a VP shunt.  What code should I use? Answer: Actually you get two codes!  CPT 62225 is used for the ventricular catheter replacement and 62230 for the valve replacement.  Both codes are appropriate in this scenario. *This...

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