Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Craniotomy for excisional biopsy for rt-cerebellopontine angle tumor infratentor

Deborah h Posted Sat 07th of March, 2015 23:29:56 PM

If the tumor wasn't removed and just a biopsy done, would you bill 61305 or 61520-52?

SuperCoder Answered Tue 10th of March, 2015 01:58:03 AM

Hi Deborah,

Thank you for the query.

When performing a biopsy for diagnosing a neoplasm, one must consider whether the biopsy was performed through a burr hole or craniotomy. Typical coding options include 61140 (Burr hole[s] or trephine; with biopsy of brain or intracranial lesion). Since your example instead describes a craniotomy the best option would be 61140-22 (Unusual procedural services:....) to describe the additional bony removal. An alternative option includes 61305 (Craniectomy or craniotomy, exploratory; infratentorial [posterior fossa]). Unless the tumor itself was excised, 61520 (Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor ) would not be as accurate.

Hope it helps!

Related Topics