Neurosurgery Coding Alert
Reader Questions:
Look at Depth for Piriformis Muscle Mass Excision
Published on Wed Jun 02, 2010
Question: Vermont Subscriber Answer: If the excision went to the next tissue layer, report 27048 (Excision, tumor, soft tissue of pelvis and hip area, subfascial [e.g., intramuscular]; less than 5 cm) instead.
Other Articles in this issue of
Neurosurgery Coding Alert
- Kyphoplasty vs. Vertebroplasty Don't Miss Out on Ancillary Procedures With Kyphoplasty, Vertebroplasty
Report radiologic supervision and interpretation, but skip bone biopsies.When your neurosurgeon performs a vertebroplasty or [...] - ICD-9 2010 Update:
Improve Your Seizure and Cognitive Testing Coding With New ICD-9 Codes
But you should keep using 724.3 for spinal stenosis.You're likely holding your breath in anticipation [...] - Evaluation and Management:
Scope Out Potential Level 4 and 5 E/Ms By Knowing Crucial HPI Facts
Watch out for CPT/Medicare differences when counting HPI elements.If you're not accurately accounting for the [...] - News You Can Use:
Welcome a 2.2 Percent Medicare Pay Boost For the Rest of This Year -- Finally
But the news isn't all good -- first, you faced a week of lower payments, and [...] - You Be the Coder:
Verify 20693 or 20999 for Halo Vest Adjustment
Question: The neurosurgeon adjusted a misaligned halo vest under anesthesia. He later removed the painful [...] - Reader Questions:
Turn to 97605, 97606 for Postop Wound Vac
Question: Our provider completed a postoperative wound-vac change in the office. Can we bill for [...] - Reader Questions:
Reporting 97140 Multiple Times Is Possible
Question: The physician saw a patient for cervical and lumbar problems and provided manual manipulation [...] - Reader Questions:
Follow Signature Rules or Risk Payments
Question: One of our physicians likes to sign everything with just his initials, or sometimes [...] - Reader Questions:
Verify Exact Procedure for Thoracic Laminotomy
Question: The neurosurgeon completed bilateral laminotomy to T8-9 and T9-10 in the prone position. The [...] - Reader Questions:
Shunt Tap Billing During Global Is OK
Question: Can we bill a shunt tap for an inpatient within the global period for [...] - Reader Questions:
Look at Depth for Piriformis Muscle Mass Excision
Question: I have an operative note for "removal of painful mass (lipoma) left sciatic notch." [...]
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