Category: Neurosurgery

In-House MRI and “Counting” Data for New E/M Guidelines
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In-House MRI and “Counting” Data for New E/M Guidelines

February 18, 2021 Question: We have an MRI in house which has made me confused about how to count the data for the neurosurgeon’s E/M code.  Please help. Answer: Good question and let’s simplify things. The AMA specifically states there should be “no incentive”, related to E/M coding, to the physician for ordering tests. So...

New 2021 E/M Coding Guidelines
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New 2021 E/M Coding Guidelines

February 4, 2021 Question: In the new guidelines, how does Time affect billing for a teaching physician’s E/M service when the resident spends a great deal of time with the patient? Answer: Good question!  Only the time of teaching physician would “count” in the scenario you describe.  The new guidelines say that the time of...

Removal of CP Angle Meningioma
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Removal of CP Angle Meningioma

December 3, 2020 Question: What’s the best way to code a retrosigmoid approach and removal of a meningioma at the cerebellopontine angle? Should I use 61519 or 61520? Answer: CPT 61520 (Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor) is more accurate since it better describes the location of the...

Post-Op Anterior Cervical Wound Abscess
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Post-Op Anterior Cervical Wound Abscess

October 1, 2020 Question: How do I code for repair of wound dehiscence with deep abscess status post ACDF (anterior cervical discectomy, decompression and fusion)? I looked at 22010 but that’s for a posterior procedure. Answer: Take a look at 21501 (Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax) to...

New 2021 E/M Coding Guidelines
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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...

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