CPT^® 61154, Under Twist Drill, Burr Hole(s), or Trephine Procedures on the Skull, Meninges, and Brain

The Current Procedural Terminology (CPT^®) code 61154 as maintained by American Medical Association, is a medical procedural code under the range - Twist Drill, Burr Hole(s), or Trephine Procedures on the Skull, Meninges, and Brain.

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Summary

The provider drills a hole or holes into the skull to drain or evacuate a hematoma, a collection of blood on the outside or underneath the dura of the brain. The service is done to access a hematoma that can occur as a result of trauma or a medical procedure.

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I'm hoping someone can help me find a code for an endoscopic evacuation of a intracerebral hemorrhage followed by a EVD. I considered 61154 with 61260 but it doesn't seem appropriate since the hemorrh... [ Read More ]

Burr Hole or Craniotomy? burr hole craniotomy evacuation hematoma subdural

I have a case of a subdural hematoma that was evacuated via a procedure in which, "A burr hole was made and a long craniotomy was fashioned using the drill. The bone was removed..." I understand that... [ Read More ]

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I'm hoping for some guidance. We have 3 opinions as to how to bill this procedure(s). Pre-op Dx: bilateral acute subdural hematoma with brain compression, left parietotemporal skull base fractures wi... [ Read More ]

Cpt code 61154

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15 q. CANPC simulation and 1.p presented at Local Chapter El Paso seminar 10292016

CANPC Anesthesiology coding To determine the overall anesthesia code for the case, look up each CPT code in the ASA (American Society of Anesthesiologists) Crosswalk and note the corresponding anesthe... [ Read More ]

Using cpt 61154 more then once.

I have a neurosurgery where the operation was a redo of right front AND parietal bur holes for drainage of subdural hematoma. What was originally charged was 61154-78 and 61154-59-78, which was denied... [ Read More ]

Burr hole for drainage subdural hematoma

My Neurosurgeon went in and did a burr hole for a drainage of subdural hematoma and the code I have for this is 61154. The question is, he inserted a ventricular drain into the subdural space and tun... [ Read More ]

Coding Burr Holes

61154 is a unilateral procedure. If performed bilaterally, you would append modifier 50. The Neurosurgery Coding Companion describes it as a "mirror image"....[U]performed indentically on the opposi... [ Read More ]

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