March 30, 2017
I’m confused. Should I use 61548 vs 61580 & 61600 to bill an endoscopic transnasal approach to remove a pituitary tumor? Or is this an unlisted code (64999)?
Good question – there are actually 3 CPT codes that specifically address removal of a pituitary tumor none of which are the skull base surgery codes you asked about (61580 & 61600). They are listed in the table below:
|CPT Code||CPT Descriptor||Approach|
|61546||Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach
|61548||Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic
|Transnasal or transseptal using a microscope
|62165||Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach||Transnasal or trans-sphenoidal using an endoscope|
The codes, 61580 and 61600, are skull base codes which require an open approach and are not used to report transnasal procedures.
So there is a code for the procedure you describe and that is 62165. Remember to append modifier 62 (two surgeons) if the approach is performed by the otolaryngologist (both surgeons report 62165-62).
*This response is based on the best information available as of 03/30/17.