Neurosurgery Coding Alert
Reader Questions:
Report 49215 for Sacral Excision of Tumor
Published on Mon Jan 01, 2007
Question: Our physician performed a sacral tumor excision, which required him to remove the coccyx to reach the tumor. I am planning to report an unlisted-procedure code for this, but what "compare" code should I use for this procedure? We are considering comparing it to 27080 (Coccygectomy, primary) but aren't sure if that's correct. Delaware Subscriber Answer: The AMA designates a code for sacral tumor excisions -- you just wont find it in the musculoskeletal section of the CPT manual. You should report 49215 (Excision of presacral or sacrococcygeal tumor) if the physician removed a sacral tumor. You shouldn't report a separate code for the coccyx removal because that work is included in 49215.
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