July 27, 2017
Can we bill neuronavigation when billing for a transsphenoidal resection of a pituitary tumor?
Yes. The transsphenoidal code, 61548 says “Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic” so that means the stereotactic navigation is not included in the code. Therefore, you may separately report the add-on code +61781 (Stereotactic computer-assisted (navigational) procedure; cranial, intradural). However, use of the microscope is included in 61548 so +69990 should not be separately reported.
CPT +61781 may also be reported with the other two pituitary tumor removal codes, 61546 and 62165, when appropriately documented.
*This response is based on the best information available as of 07/27/17.