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62223 with laparoscopy

Denise Posted Wed 14th of December, 2016 10:02:17 AM
I have a general and neurosurgeon performing the above procedure. Can you bill for laparoscopy and if so does the general surgeon charge for that portion and neurosurgeon charge for 62223? Or would they code 62223-62 and not bill for laparoscopy?
SuperCoder Answered Thu 15th of December, 2016 06:28:00 AM

CPT procedure code 62223, the physician drills a burr hole and inserts the proximal portion of the shunt toward the lateral ventricles, with or without the aid of an endoscope as well, until CSF flows through the shunt. So need not to bill laparoscope separately. When two surgeons performed the surgery, append modifier 62 to procedures where both the providers work together as primary surgeons, each performing a distinct part of the procedure. And if one worked as a assistance then use modifier 80.

Denise Posted Fri 31st of March, 2017 12:42:09 PM
Sorry for such a delay but the laparoscope is used the place the abdominal portion of the shunt not the cranial portion. Can we bill for it then?
SuperCoder Answered Mon 03rd of April, 2017 07:28:39 AM

In the CPT 62223, the provider creates a shunt, or tube, leading from the ventricles of the brain to the abdominal cavity, pleural cavity, or other terminus, meaning another location to drain. Providers perform the procedure to treat diseases, such as hydrocephalus, where the ventricles enlarge with CSF and to drain CSF to another area of the body. The provider may use an endoscope to perform the procedure. So, endoscopic guidance cannot be reported separately, although it is suggested to used modifier 22 (Increased Procedural Services) in case physician performed excessive of the usual work in the billing CPT. For increased procedural services, you have to provide the documentation to the billing department to support the increased service.

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