Neurosurgery Coding Alert

You Be the Coder:

Halo Removal

Test your coding knowledge.  Determine how you would code this situation before looking at the box below for the answer.

Question: Is it appropriate to report 20665 for removal of a stereotactic halo?

Illinois Subscriber

 
 
Answer: The descriptor for 20665 specifies "removal of tongs or halo applied by another physician" [emphasis added]. Therefore, it is only appropriate to report 20665 if the same physician did not bill for placement of the halo using 20661 (application of halo, including removal; cranial) or 61793 (stereotactic radiosurgery [particle beam, gamma ray or linear accelerator], one or more sessions), which, according to the national Correct Coding Initiative, bundles 20661-20665. Members of the same group, i.e., physicians with the same provider identification number, are treated as the same physician according to the regulations.