Post Top Ad

Post Top Ad

Selasa, 11 Oktober 2016

Coding Tips 5 Major Add-On Codes Can Ease Your Cranial Procedures Coding

Coding Tips: 5 Major Add-On Codes Can Ease Your Cranial Procedures Coding

Never forget about the add-on procedure in a craniotomy.
While reporting cranial techniques, you typically most effective require thinking about one primary factor: the craniotomy. As cranial tactics are regularly complex, you may very often want to report extra strategies and strategies. Read directly to know the add-on codes you could typically file for your neurosurgery scientific billing .

Report Microdissection Only Once Per Session
While your health practitioner makes use of the operating microscope, you record the microdissection code +69990 (Microsurgical strategies, requiring use of operating microscope [List separately in addition to code for primary procedure]) plus the code of the primary craniotomy method.
You do now not invoice multiple gadgets of 69990 in an operative session. Irrespective of ways usually your medical professional uses the working microscope in a particular consultation within the OR, you document 69990 jst as soon as. Furthermore, document the microdissection code 69990 straightaway after the craniotomy code to decorate the chance of right payment. Keep in thoughts that this code applies once in step with operative session and not in keeping with manner code.
You look for phrases like Weck, Zeiss or Leica working microscope in the operative be aware to make sure the utilization of an working microscope.
Caution: You must no longer record the usage of surgical loupes with CPT code 69990. The use of surgical loupes for magnification isn't always noticeably reportable.
Confirm with your payer: You can check with your payer in casw you are authorised to document for the working microscope. Some payers may have a listing of techniques with which they may permit the use of 69990.
Example 1: In case you study that your neurosurgeon used the running microscope to clip a small anterior communicating artery aneurysm no longer sing transient clipping, you document code 69990 best one time for the session together with the manner code 61700 (Surgery of easy intracranial aneurysm, intracranial approach, carotid circulation).
Example 2 : In case you read that your neurosurgeon completed a cranium-based totally technique to get admission to an aneurysm, then performed a clip ligation of the aneurysm, you record CPT codes 61583 (Craniofacial technique to anterior cranial fossa, intradural, together with unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa) for the get entry to and 61601 (Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; intradural, which include dural repair, with or without graft) for the clip obliteration. Additionally, you record CPT code 69990 in case your healthcare professional makes use of the operating microscope for microdissection to comfortable the clips.
Seek Anatomical Region for Navigation in Cranial Procedures
Depending upon whether or not your general practitioner executed the navigation intradurally or extradurally, you record CPT codes 61781 (Stereotactic laptop-assisted [navigational] method; cranial, intradural [List separately in addition to code for primary procedure]) or 61782 (Stereotactic pc-assisted [navigational] manner; cranial, extradural [List separately in addition to code for primary procedure])).