Neurosurgery Coding Alert
Code Per Lesion for Gamma Knife
Question: If the surgeon treats multiple lesions (in this particular case, two different lesions) during gamma knife surgery, may we report multiple units of 61793? Montana Subscriber Answer: Yes. When the neurosurgeon performs stereotactic radiosurgery/gamma knife surgery, you will report one unit of 61793 (Stereotactic radiosurgery [particle beam, gamma ray or linear accelerator], one or more sessions) for each lesion the surgeon targets. You may report 61793 for either cranial or spinal radiosurgery. In your case, you will report 61793 for treatment of the first lesion and a second unit of 61793 with modifier 59 (Distinct procedural service) appended to show that the surgeon treated lesions at different locations. Learn more: For complete information on reporting multiple units of 61793, see "If You-re Treating 61793 as a Once-and-Done Code, You-re Missing Out," Neurosurgery Coding Alert, Vol. 9, No. 5, pages 33-35.
Neurosurgery Coding Alert
- Part 1:
One-Step-at-a-Time Ensures Successful Spinal Stimulation Claims
Consider programming part of implantation Implanting spinal neurostimulators involves several distinct steps, each of which [...] - What Qualifies as 'More Extensive?' Find Out Now
If same condition prompts initial and follow-up procedures, 58 applies The AMA revised CPT language [...] - Use Caution When Device Maker Offers to Appeal for You
Keep control of your own claims, experts advise Device manufacturers may sometimes offer to appeal [...] - You Be the Coder:
Which Code for Flap Placement?
Question: Which code is appropriate if the surgeon places a bone flap in a subcutaneous [...] - Reader Questions:
TruFUSE Describes Posterior Fusion
Question: How would we bill for a lumbar TruFUSE technique facet fusion? Is this 22612/22614, [...] - Reader Questions:
Avoid Cat. I Code for Autologous Plasma Grafts
Question: Is there a CPT code for autologous platelet rich plasma grafts that our surgeons [...] - Reader Questions:
Separate Session = Billable Control of Bleeding
Question: I understand that you should include control of bleeding during a surgical procedure as [...] - Reader Questions:
1 Code Represents 3+ Injections
Question: When a physician injects more than three muscles on each side of the upper [...] - Reader Questions:
Report Fluoro Codes With Caution
Question: Under what circumstances may our surgeon code for fluoroscopic guidance? Illinois Subscriber Answer: In [...] - Reader Questions:
Code Per Lesion for Gamma Knife
Question: If the surgeon treats multiple lesions (in this particular case, two different lesions) during [...] - Reader Questions:
22 Might Be Best for Multiple Aneurysms
Question: How should I code if the surgeon clips multiple aneurysms during the same craniotomy? [...] - Reader Questions:
Collect for 22214, Not 0171T
Question: If the surgeon performs a lumbar spine osteotomy (22214) and places an X-STOP device [...]
