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Neurosurgery Coding Alert

ICD-10 Update:
New Neurostimulator Z-Code, Cervical Disc Disorder Revisions Top Neurosurgery ICD-10 Options
Presence of a sacral nerve neurostimulator will be included under code Z96.82. CMS recent... Read more
CPT®:
Navigate PLIF Claims By Remembering Additional Add-On Procedures
If surgeon instruments 3 or more segments, you should report segmental pedicle screw fixat... Read more
FAQs:
Answer Common Hydrocephalus FAQs to Identify Specific Type
Hint: Report Q03.9 for unspecified congenital hydrocephalus. Reporting hydrocephalus diag... Read more
You Be the Coder:
Dig Into This Ventriculoperitoneal Shunt Tap Scenario
Question: According to the op report, the surgeon inserted a small 23-gauge butterfly... Read more
Reader Question:
Dive Into Trigeminal Neuralgia Solution
Question: An established patient with trigeminal neuralgia reports to the neurosurgeo... Read more
Reader Question:
Always Know For Certain What Physician Documented
Question: We recently performed an internal audit and found that one coder was reporting 9... Read more
Spinal Dural Repair:
Dial Into Codes for Synthetic Spinal Dural Grafts, Delayed CSF Leak Repairs
Hint: Reporting 63707 or 63709 depends upon whether surgeon performed laminectomy. When t... Read more
ICD-10:
3 Tips Pinpoint Correct Multiple Sclerosis Dx Code
Hint: If the neurosurgeon confirms a diagnosis of MS, you would report G35. ICD-10 codes ... Read more
Modifier 62:
Append Modifier 62 Only When Each Physician Identifies as Co-Surgeon, Uses Same Dx Codes
Always mind the co-surgery indicators. Your neurosurgeon works together with another surg... Read more
You Be the Coder:
Put 61650 in Your Coding Toolkit
Question: The surgeon establishes access and advances the catheter into the right common c... Read more
Reader Question:
Become a Pro at Observation Care
Question: I'm new to medical coding, and I've been struggling with some of the evaluation ... Read more
Reader Question:
Rely on These Dx Codes for Secondary Parkinsonism
Question: How does secondary Parkinsonism differ from Parkinson's disease, and what ICD-10... Read more
Reader Question:
Don’t Forget to Append Modifier 53 In This Case
Question: While undergoing a lumbar spinal puncture to obtain a diagnostic sample of spina... Read more
Reader Question:
Check Location of Schmorl’s Nodes
Question: What are Schmorl's nodes, and how should we report them? Florida Subscriber An... Read more
Neuroendoscopy:
3 Tips Eliminate Neuroendoscopy Coding Challenges
Remember: Don't report the burr hole separately. In the medical documentation, you see th... Read more
Coding Quiz:
Brush up on Concussion Smarts With Quick Quiz
Hint: Make sure you know whether patient lost consciousness or not. When you're reporting... Read more
Modifiers:
Pave the Way to Modifier 59 Success With This Handy Guide
Remember: Always pay attention to the modifier indicator. Learning the ins and outs of CP... Read more
You Be the Code:
Dive Into This Spine CT Scenario
Question: The surgeon performed a computed tomography (CT) scan of a patient's spine. Ther... Read more
Reader Question:
Report Removal of Spinal Instrumentation Codes With Caution
Question: There is a debate in our office, and we were hoping you could help settle it. Is... Read more
Reader Question:
Demystify HPI for Cleaner E/M Coding
Question: We have a provider who believes that if she has an extended HPI, then she can re... Read more
Reader Question:
Rely on This ICD-10 Code for Congenital Aneurysm
Question: The physician documented that the patient has a congenital aneurysm associated w... Read more
Reader Question:
Read This Before Applying Modifier Q6 to NP Claims
Question: Can we report a nurse practitioner's (NP) services to Medicare with a locum tene... Read more
Reader Question:
Report This Dx Code for Intracranial Abscess
Question: The physician documented that the patient has an embolic cerebellar abscess. Whi... Read more
Reader Question:
Listen to CMS Podcast
Question: Can you tell me about CMS's new podcast that updates listeners to policy informa... Read more
CPT®:
Follow This Expert Advice for Smart EEG Billing
Check the documentation to see if the physician performed an extended EEG. Sometimes your... Read more
Coding Quiz:
Test Your Sciatica ICD-10 Skills With These Quick Questions
Hint: Always check the documentation to see if the physician documented sciatica with lumb... Read more
E/M:
3 Handy Tips Fortify Your ROS Skills for Solid E/M Coding
See who can appropriately record the ROS. When you report evaluation and management (E/M)... Read more
Reader Question:
Don’t Append Modifier 52 in This Case
Question: I don't see any guidance on how to report an EEG where all 16 channels were not ... Read more
Reader Question:
Discover New Versus Established Patient Rules
Question: Our practice was recently audited, and an established patient visit was marked a... Read more
Reader Question:
Conquer Inpatient Initial Care Code Errors With Ease
Question: Can we report codes 99221-99223 more than once in the same day if a different ph... Read more
Reader Question:
Delve into 63047 Requirements
Question: Does 63047 require all three components, laminectomy, facetectomy, and foraminot... Read more
Reader Question:
Demystify Medicare’s Conversion Factor
Question: What is Medicare's conversion factor and how will it impact our payments? Ohio ... Read more
You Be the Coder:
Discover Primary Laminotomy Codes
Question: I'm new to neurosurgery coding, and I'm confused about how to correctly report t... Read more
CMS:
Neurosurgery Procedures Logged Over $253 million in Improper Payments, Per CERT Report
Here are the claims that could be costing your practice well-deserved reimbursement. Your... Read more
ICD-10:
5 Tips Help You Navigate Common Neoplasm Dx and Avoid Denial Pileups
If the cerebral meninges tumor is benign, you would report D32.0. Whether they are malign... Read more
Quiz:
3 Quick Questions Test Your Understanding of Medicare Appeals Process
Hint: Don't mix up reopenings with appeals. Picture this scenario: You submit a claim to ... Read more
Reader Question:
Count Days, Not Number of Adhesions
Question: Can you explain the rules for 62263? Can you report this code for each adhe... Read more
Reader Question:
Know How to Handle Overpayments
Question: We recently realized that our practice has received overpayments from CMS. How s... Read more
Reader Question:
Differentiate Between Inpatient, Office Consult With This Advice
Question: Is there a difference between an office consultation and an inpatient consu... Read more
Reader Question:
Get Ready for LCD Updates
Question: One of my colleagues said that Medicare is changing LCDs to eliminate ICD-1... Read more
You Be the Coder:
Don’t Miss the Modifier on This Claim
Question: In a patient with medically intractable epilepsy, the neurosurgeon replaced... Read more
CCI:
Focus on These Spinal Arthrodesis CCI Rules for Cleaner Claims
Report 63047 and +63048 with care. As you're reading the 2019 Correct Coding Initiative (... Read more
Coding Quiz:
Test Yourself on Common Cerebral Embolism Questions
Hint: Make sure you know specific site of the embolism. If you've ever report cerebral em... Read more
MPFS 2019:
2019 MPFS Concentrates on Lessening Practice Paperwork Burden
CMS emphasizing more time with patients, less with doing paperwork. CMS's “Patients Ove... Read more
Reader Question:
Dial into New Codes 95983 and +95984
Question: I am confused about the CPT® guidelines for new codes 95983 and +95984. Can you... Read more
Reader Question:
Let These Tips Guide Your Office’s Self-Audit
Question: We would like to perform a self-audit of critical care claims in our practice to... Read more
Reader Question:
Always Accurately Code for E/M Procedures
Question: When coding evaluation and management (E/M) codes, how do we know where the “c... Read more
Reader Question:
Brush up on Critical Care Requirements
Question: What constitutes as critical care? Also, I once read that there is a specific li... Read more
You Be the Coder:
Hone in on EMG Procedure Codes
Question: In the medical documentation, I read that a patient who is recovering from a spi... Read more
CCI 25.0 Update:
Conquer New Implanted Neurostimulator CCI Edits
Remember: Always check the modifier indicator. You've learned about the 2019 CPT® code a... Read more
2019 Update:
Discover 3 Tips for Reporting Spinal Arthrodesis from CCI Edits Policy Manual
Know the rules when surgeon performs arthrodesis across multiple interspaces. The 2019 up... Read more
Modifiers:
Reporting Assistant Surgeons? Discover Which Modifiers You Can Append
Hint: Reserve modifier 82 for cases in a teaching hospital when a qualified resident is no... Read more
Reader Question:
Set This Critical Care Puzzle Straight
Question: During a recent critical care encounter, Dr. A spent 30 minutes with the patient... Read more
Reader Question:
Hone in on This Code for Removal of Previously Placed Spinal Catheter
Question: What CPT® code should we report if the neurosurgeon removed a previously placed... Read more
You Be the Coder:
Understand When to Correctly Append Modifier 24
Question: The surgeon completed a L5 laminectomy on a patient. Two months later, the patie... Read more