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Neurosurgery Coding Alert

CCI Edit 18.3:

Use Modifiers For Wound Repair Codes When Reporting With Central Tap Or Puncture

Published on Mon Oct 22, 2012

Watch for bundling and guard your payment.The new CCI edit 18.3 bundles the wound repair codes with those for subdural tap and ventricular puncture. Make a note of the codes below to ensure you never report the repair codes without a modifier when reporting them with the codes for subdural tap and ventricular puncture. 61000 -- Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial61001 -- Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps61020 -- Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection61026 -- Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment61050 -- Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure)61055 -- Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment (e.g., C1-C2)61070 [...]
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