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Neurosurgery Coding Alert

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Question: In a patient with medically intractable epilepsy, the neurosurgeon replaced the pulse generator with a new one, using a new incision and pocket. According to the op note, the surgeon “used stereotactic guidance, created bilateral burr holes, and implanted electrode arrays.” He also performed a craniectomy and inserted an RNS pulse generator. He reopened the prior VNS internal pulse generator [...]