Neurosurgery Coding Alert
Subcutaneous Reservoir
Question: What is the proper code to report removal of a subcutaneous reservoir? Virginia Subscriber Answer: Implantation of a subcutaneous reservoir is reported using 61215 (Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter) but does not include removal. And CPT does not designate a specific code for removal of a subcutaneous reservoir. Therefore, the best code choice is 64999 (Unlisted procedure, nervous system). Whenever submitting an unlisted-procedure code, be sure to include a copy of the operative report with the claim so the insurer can make an informed payment decision. Also, some payers may consider payment for the removal to be included in the placement (61215) when performed by the same physician.
Neurosurgery Coding Alert
- Harvest Proper Reimbursement When Reporting Graft Procedures
Reporting graft procedures can be complicated for several reasons. Coders must know how to distinguish [...] - Dont Underuse 99291-99292:
You May Be Losing Money
Many neurosurgeons provide critical care but don't report the services as such because the billing [...] - You Be the Coder:
Billing Supplies: Halo Screws
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Code Separately Reportable Services With Critical Care
According to CPT, critical care codes 99291 (Critical care, evaluation and management of the critically [...] - Reader Question:
Subcutaneous Reservoir
Question: What is the proper code to report removal of a subcutaneous reservoir? Virginia Subscriber [...] - Reader Question:
61510 and 61312
Question: When I report 61510 and 61312 together, my claims are denied. What am I [...] - Reader Question:
Stereotactic Brachytherapy
Question: How should I report stereotactic brachytherapy? Massachusetts Subscriber Answer: During stereotactic brachytherapy, a neurosurgeon [...]
