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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
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
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
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
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