Category: Neurosurgery

Removal of sEEG Electrodes
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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
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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...

Provider Remote Working from Home
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Provider Remote Working from Home

April 16, 2020 Question: If the provider is working remotely from home (temporarily), what would the place of service (POS) be? Answer: If billing telehealth visits (with real-time audio and video) then the POS would be the place of service where the provider would have normally seen the patient (office, or hospital-based clinic, etc.) for...

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...

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