Neurosurgery Coding Alert

Question: I understand that code 61795 is being replaced by 61781, 61782, and 61783 in CPT 2011, effective Jan. 1. Is this correct?

Answer: Yes. Code 61795 (Stereotactic computer-assisted volumetric [navigational] procedure, intracranial, extracranial, or spinal [List separately in addition to code for primary procedure]) has been deleted for 2011 and will be replaced by the following

three codes, which specify anatomic regions:

• 61781 -- Stereotactic computer-assisted (navigational) procedure; cranial, intradural (List separately in addition to code for primary procedure)
• 61782 -- Stereotactic computer-assisted (navigational) procedure; cranial, extradural (List separately in addition to code for primary procedure)
• 61783 -- Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure)

All three codes are add-on codes, so you would list these with the primary procedure.

Coding example: If the neurosurgeon performs resection of a frontal tumor, you would report 61510 (Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma) for the excision, 61781 for the stereotactic navigation and 69990 (Microsurgical techniques, requiring use of operating microscope