CPT^® 61796, Under Stereotactic Radiosurgery (Cranial) Procedures on the Skull, Meninges, and Brain

The Current Procedural Terminology (CPT^®) code 61796 as maintained by American Medical Association, is a medical procedural code under the range - Stereotactic Radiosurgery (Cranial) Procedures on the Skull, Meninges, and Brain.

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Summary

In this procedure, the provider uses externally generated ionized radiation to destroy a single, simple cranial lesion in the target area in the brain. The targeted lesion is simple, which typically means the lesion’s maximum dimension is less than 3.5 cm.

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Planning for Stereotactic Radiation for NeuroSurgeon

Hi all, Any info on Neurosurgery coding for the [B]planning[/B] of the Stereotactic Radiation procedures performed in conjunction with the Radiation Oncologist. CPT codes for the NeuroSurgeon are 6179... [ Read More ]

GAMMA KNIFE CODING for Facilities

I have a facility who is performing Gamma Knife procedures for malignant brain neoplasms. Per AMA/CPT ASTRO, Radiation Oncologist and Neuro Surgeon have separate CPT codes that are mutually exclusive.... [ Read More ]

61800 vs 61781- 61782

[b]Stereotactic Navigation vs Stereotactic Radiosurgery[/b] 61800 is to be used in conjunction with codes 61796 and 61798 when a headframe is attached for stereotactic radiosurgery (eg delivery of ra... [ Read More ]

Stereotactic Radiosurgery

Hello all, I'm having a bit of trouble with the billing of these codes (61796-61799). They say 61796 & 61798 cannot be billed "more than once per [B]course of treatment[/B]." (or more than 4 times f... [ Read More ]

SRS 61796 & Modifier

Patient has multiple lesions, let's say a total of 4. Each lesion is treated once on different days. So they've had a total of 4 courses of treatment. We're billing Medicare 61796x1 for each date of s... [ Read More ]

SRS 61796 & Modifier

RE: Stereotactic Radiosurgery

According to the AANS "Do not report more than one primary SRS code (61796 or 61798) per course of treatment. Always report the complex lesion code(s) first as these codes have higher value than the ... [ Read More ]

RE: Stereotactic Radiosurgery

[b]RE: Stereotactic Radiosurgery[/b] My provider (neurosurgeon) is billing for 2 simple cranial lesions. Each lesion is treated on a different day. Is it correct to bill 61796 and 61797 or would I b... [ Read More ]

Radiation treatment planning

[b]Some Info[/b] Hey Kristy, I found your post while I was reviewing this very same issue! I don't know if you are still looking for the answer to this, but I'll go ahead and share what I was able ... [ Read More ]

Radiation Treatment Planning

Have you received any feed back on this question? My Neurosurgeon just did the same thing. But the Oncology office coder is trying to tell me the we would bill 61796. I don't agree since my doctor ... [ Read More ]

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