Coding Tips 5 Major Add-On Codes Can Ease Your Cranial Procedures Coding
Never ignore the add-on procedure in a craniotomy.
While reporting cranial tactics, you typically only require considering one essential component: the craniotomy. As cranial methods are often complex, you can very often want to record additional approaches and techniques. Read directly to recognize the upload-on codes you may usually file on your neurosurgery scientific billing .
Report Microdissection Only Once Per Session
While your surgeon makes use of the operating microscope, you record the microdissection code +69990 (Microsurgical techniques, requiring use of working microscope [List separately in addition to code for primary procedure]) plus the code of the primary craniotomy process.
You do now not bill a couple of devices of 69990 in an operative session. Irrespective of ways generally your doctor makes use of the working microscope in a specific session inside the OR, you report 69990 jst as soon as. Furthermore, report the microdissection code 69990 straightaway after the craniotomy code to enhance the probability of proper payment. Keep in thoughts that this code applies as soon as in line with operative session and not consistent with technique code.
You look for terms like Weck, Zeiss or Leica running microscope inside the operative observe to make certain the usage of an working microscope.
Caution: You should now not file the use of surgical loupes with CPT code 69990. The use of surgical loupes for magnification is not fantastically reportable.
Confirm together with your payer: You can take a look at with your payer in casw you are approved to record for the working microscope. Some payers may additionally have a list of strategies with which they will permit using 69990.
Example 1: In case you examine that your neurosurgeon used the running microscope to clip a small anterior communicating artery aneurysm now not sing temporary clipping, you file code 69990 simplest one time for the session together with the procedure code 61700 (Surgery of easy intracranial aneurysm, intracranial technique, carotid movement).
Example 2 : In case you examine that your neurosurgeon achieved a skull-based totally technique to get right of entry to an aneurysm, then achieved a clip ligation of the aneurysm, you record CPT codes 61583 (Craniofacial method to anterior cranial fossa, intradural, inclusive of unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa) for the get right of entry to and 61601 (Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, consisting of dural repair, with or without graft) for the clip obliteration. Additionally, you file CPT code 69990 in case your medical professional utilizes the operating microscope for microdissection to comfy the clips.
Seek Anatomical Region for Navigation in Cranial Procedures
Depending upon whether your medical professional accomplished the navigation intradurally or extradurally, you document CPT codes 61781 (Stereotactic computer-assisted [navigational] procedure; cranial, intradural [List separately in addition to code for primary procedure]) or 61782 (Stereotactic laptop-assisted [navigational] system; cranial, extradural [List separately in addition to code for primary procedure])).
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