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Neurosurgery Coding Alert

CPT® 2020 Guidelines:
How to Effectively Use New EEG, VEEG CPT® 2020 Guidelines
Hint: You will report 95700 for the long-term EEG setup service. As you learned in the ar... Read more
Know Spinal Region and Specific Imaging Used for Flawless Facet Joint Injection Claims
Remember: Don't report +64492 more than once per day. When you report paravertebral facet... Read more
Test Yourself on Prolonged Services Without Direct Patient Contact
Remember: Time is vital in determining whether to use a prolonged service code. In the ar... Read more
You Be the Coder:
Differentiate Between Decompression and Injection
Question: What is the difference between disc decompression and an injection for discograp... Read more
Reader Question:
Focus On These Laminectomy Codes
Question: To provide spinal cord and nerve decompression, the surgeon removed the spinous ... Read more
Reader Question:
Perfect Malignant Neoplasms Diagnosis With This Advice
Question: The physician documents that the patient has a malignant neoplasm of her right o... Read more
CPT® 2020 Updates, Part 1:
Check Out 23 New EEG and VEEG Codes Before Jan. 1 Rolls Around
These new EEG and VEEG codes specify certain times, so pay close attention when reporting ... Read more
CPT® 2020 Updates, Part 2:
CPT® 2020 Is Coming! Prep For Numerous Injection, Anesthetic Agent, and Steroid Revisions
You'll lose brain imaging code 78607 in 2020. CPT® 2020 will bring a lot of changes to y... Read more
Wondering if Your Parkinson’s Disease Knowledge Would Make the Grade? Test Yourself
Hint: Secondary Parkinsonism is different than Parkinson's disease. Coding for Parkinson'... Read more
You Be the Coder:
Clarify Correct Dx for Type II Dens Fractures
Question: My surgeon documented an initial encounter for an anterior displaced type I... Read more
Reader Question:
Solve Injection Dilemma
Question: The provider injected a steroid into the space around the spinal nerves of the t... Read more
Reader Question:
Observe This Occipitocervical Fusion Scenario
Question: The neurosurgeon made a midline incision from the occipital protuberance down to... Read more
Reader Question:
Medical Necessity Crucial Component of Services Rendered
Question: Can you explain what definitions for medical necessity payers are working f... Read more
Conquer Occipital Nerve Block Claims By Identifying the Specific Nerve
If the surgeon performs GON nerve block, you should report 64405. You read in the medical... Read more
3 Tips Pinpoint Intracranial Aneurysm Location and Complexity
Report 61700 and 61702 for simple aneurysms. When you report intracranial (within the sku... Read more
Bust Typical Critical Care Myths to Ensure Clean E/M Coding
Don't separately report the services that are bundled into critical care. If your neurosu... Read more
You Be the Coder:
Report Same Code for RSD, CRPS-I
Question: I'm so confused. I've seen the terms reflex sympathetic dystrophy (RSD) and comp... Read more
Reader Question:
Don’t Confuse 27096 and 20552
Question: The surgeon performed a steroid injection procedure for the patient's sacroiliac... Read more
Reader Question:
Look to These Dx Choices for Vascular Dementia
Question: A 75-year-old established patient is experiencing reduced memory and functioning... Read more
Reader Question:
Decipher This Intracranial Arterial Scenario
Question: The surgeon gained access through the right common femoral artery and advanced a... Read more
Strengthen Skull-Base Coding by Identifying Whether Surgeon Performed Approach, Definitive, or Repair/Reconstruction Procedure
Submit 61618 or 61619 for secondary repair/reconstruction of surgical defects of the skull... Read more
Coding Quiz:
Accelerate Kyphosis ICD-10 Skills With Quick Quiz
Always know underlying cause for the kyphosis. When your neurosurgeon diagnoses a patient... Read more
3 Handy Tips Shore Up Prolonged Services Coding For Cleaner Claims
Hint: Don't forget that +99354-+99357 are add-on codes. If your neurosurgeon provides an ... Read more
Reader Question:
Report These Codes for Unspecified Bacterial Meningitis
Question: Which ICD-10 code should we report if the physician did not specify the bacteria... Read more
Reader Question:
Boost Cervical, Thoracic Epidural Knowledge
Question: The surgeon gave the patient a single-level cervical transforaminal epidural to ... Read more
Reader Question:
Advance Your Neuropsychological Test Skills
Question: The neurosurgeon spent an hour administering the Boston Naming Test for the pati... Read more
You Be the Coder:
Identify Correct EEG Code
Question: The physician saw a patient he operated on six months ago for a brain cyst. The ... Read more
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
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
Answer Common Hydrocephalus FAQs to Identify Specific Type
Hint: Report Q03.9 for unspecified congenital hydrocephalus. Reporting hydrocephalus diag... 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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