1. User id : 35944 Posted 9 months ago #
   

   Our surgeon performed a revision of venous access of ventriculoatrial shunt and then he was the co-surgeon for revision of the valve and ventricular shunt. Would the cpt code be 49426 for the main procedure? If so, what would I charge for his part for which he is the co-surgeon?

2. SuperCoder Posted 9 months ago #
   

   We are in the process for answering this. Please bear till the time. Thanks

3. SuperCoder Posted 9 months ago #
   

   Ventriculo-peritoneal / ventriculo-atrial shunt is for removing the excess CSF from brain ventricles and to move them to peritoneal space, atrial area or any other body cavity to reduce the extra pressure from brain. The creation of CSF shunt system is coded with 62220 / 62223. Using 62223 is more frequent while coding.the code for revision is 62230. Since the Px in question says that it’s for revision only and not for creation, 62230 is correct.

   The MPFS in SC suggests that this code is approved for modifier 62. The modifier indicator applicable here is 1 which says – “Co-surgeons could be paid, but supporting documentation is required to establish the medical necessity of two surgeons for the procedure.”

   This CPT Assistant article may help:
   http://www.supercoder.com/cpt_assistant/cpt_assistant_details/2405.

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