Category: Neurosurgery

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...

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

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