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Neurosurgery Coding Alert

READER QUESTIONS:

Shunt Check Qualifies for 62230

Published on Wed Feb 24, 2010

Question: The neurosurgeon plans to check a patient's cerebrospinal fluid shunt  to see if her hydrocephalus is under control before he removes the shunt. Would a revision code be appropriate? Montana Subscriber Answer: Yes, you're correct: report a revision if the surgeon doesn't actually remove the shunt during that encounter. File your claim with 62230 (Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system) and include notes explaining the situation. -- Technical and coding guidance for You Be the Coder and Reader Questions provided by Gregory Przybylski, MD, director of neurosurgery at the New Jersey Neuroscience Institute, JFK Medical Center in Edison.
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