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Cortical Mapping during brain surgery

Sheila Posted Wed 16th of June, 2010 19:13:17 PM

The neurologist assosted during brain tumor excision and I billed Medicare using codes ~ 95961~ for the first hour and "95962" for the second hour. Medicare paid but is now asking for repayment as paid incorrectly.

How should this have been coded ? Help...would like to appeal



SuperCoder Answered Thu 17th of June, 2010 06:08:52 AM

CPT 95961 and 95962 are additional codes which describes about the sensory recorders used to determine seizures or any other abnormalities during the process of surgery. So you need to report the brain tumor excision code first and then these codes. If you have reported the excision codes also and still getting this denial then do post the operative report.

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