CPT^® 61304, Under Craniectomy or Craniotomy Procedures

The Current Procedural Terminology (CPT^®) code 61304 as maintained by American Medical Association, is a medical procedural code under the range - Craniectomy or Craniotomy Procedures.

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Summary

The provider inspects the front of the brain by accessing the skull above the tentorium. This procedure is generally done when other diagnostic testing is unable to determine the reason for a condition, the location of a lesion or tumor, and the extent of any damage.

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Surgery coding help

You're welcome! For 61140, no you cannot report that in addition to 61304 because they are doing one approach. They use the burr holes to turn a craniotomy flap and then the biopsies happen through t... [ Read More ]

Surgery coding help

Thank you Kim. I need a clarification regarding the code 61104. Have you mentioned about 61140? So the coding should be 61304 - 22,61781,61140 (it is okay to code in addition to 61304 or no) and provi... [ Read More ]

Surgery coding help

You're welcome :) - glad I could help! On this second case, this is an interesting procedure. After creating the burr holes, the physician mentions "turning a craniotomy flap" so I would actually rep... [ Read More ]

Use of microscope

Medicare rules don't allow billing for the operating microscope with this code. Commercial payers may have other rules, but all of the payers I've worked with generally follow these same guidelines. ... [ Read More ]

Burr hole skull biopsy

[QUOTE="gena379, post: 305259, member: 137507"]My doctor did a single burr hole for skull biopsy. He is billing for 61500 but I don't think that's right, he didn't excise the tumor and didn't do a cra... [ Read More ]

Burr hole skull biopsy

My doctor did a single burr hole for skull biopsy. He is billing for 61500 but I don't think that's right, he didn't excise the tumor and didn't do a craniectomy. I know AANS recommends 61304 for brai... [ Read More ]

Neurology add on

CMS: [B][U]F. Operating Microscope[/U][/B] 1. The Internet-Only Manuals (IOM), Medicare Claims Processing Manual, Publication 100-04, Chapter 12, Section 20.4.5 (Allowable Adjustments) limits the re... [ Read More ]

Fenestration of septum pellucidum without use of and endoscope

Hi, I believe I should use an unlisted code 64999. My physician did a rt. frontal craniotomy,exploration rt lateral ventricle,and fenestration of septum pellucidum. The patient had a previous surgery ... [ Read More ]

Assistant Surgeon Payable on Particular CPTs?

[QUOTE="RVOSKANI, post: 228787, member: 97244"]Hello! I am using the CMS Physician Fee Schedule Search on the CMS website to look up if an assistant surgeon is allowed for certain CPT codes. Any... [ Read More ]

Help - coding for Neurology

:( This is my first time coding for Neurology and I need some assistance. Here is the Op note: PROCEDURES PERFORMED: 1. Right craniotomy for elevation and repair of depressed comminuted open skull... [ Read More ]

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