Tonyj
True Blue
Neurosurgeon performed a CSF leak repair post-op to ENT septoplasty, ethmoidectomy, dilation of frontal and maxially sinus with endoscopic balloon
As per Karen Zupko’s information she states 64999 for NS and 31299 for ENT due to the endoscopic procedure.
But, would we use 61618/61619 due to “a return to the operating room subsequent to the initial procedure, for repair of a CSF leak?”
Would 64999 be inclusive of the 61618/61619?
ENT:
Right endoscopic approach to skull base -- 62 modifier, closure of cerebrospinal fluid leak and repair of skull base defect with right middle turbinate mucosal graft and intradural Duragen, Left endoscopic approach to skull base, Left frontal sinusotomy, left middle turbinate overlay mucosal graft, Bilateral Ethmoidectomy, Maxillary Antrostomy, Sphenoid Sinusotomy, stereotactic frameless computer-assisted surgical navigation.
NS:
TRANSNASAL TRANSETHMOIDAL MICROENDOSCOPIC APPROACH TO ANTERIOR CRANIAL FOSSA FOR MENINGOENCEPHALOCELE AND REPAIR OF CRANIAL DEFECT AND CSF LEAK61618 – 62 -50 Bilateral ALLODERM GRAFT CPT 15335 FRAMELESS VOLUMETRIC STEREOTAXIC PROCEDURE (61781)
As per Karen Zupko’s information she states 64999 for NS and 31299 for ENT due to the endoscopic procedure.
But, would we use 61618/61619 due to “a return to the operating room subsequent to the initial procedure, for repair of a CSF leak?”
Would 64999 be inclusive of the 61618/61619?
ENT:
Right endoscopic approach to skull base -- 62 modifier, closure of cerebrospinal fluid leak and repair of skull base defect with right middle turbinate mucosal graft and intradural Duragen, Left endoscopic approach to skull base, Left frontal sinusotomy, left middle turbinate overlay mucosal graft, Bilateral Ethmoidectomy, Maxillary Antrostomy, Sphenoid Sinusotomy, stereotactic frameless computer-assisted surgical navigation.
NS:
TRANSNASAL TRANSETHMOIDAL MICROENDOSCOPIC APPROACH TO ANTERIOR CRANIAL FOSSA FOR MENINGOENCEPHALOCELE AND REPAIR OF CRANIAL DEFECT AND CSF LEAK61618 – 62 -50 Bilateral ALLODERM GRAFT CPT 15335 FRAMELESS VOLUMETRIC STEREOTAXIC PROCEDURE (61781)