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
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!