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Externalization of a ventricular catheter

Deborah h Posted Tue 31st of March, 2015 13:55:49 PM

1. If only the ventricular catheter part of the shunt was removed and then an externalized ventricular catheter was done. How would you code this; cpt code? 2. If the next day, the externalized ventricular catheter was re-internalized, how would you code this?

SuperCoder Answered Wed 01st of April, 2015 03:46:46 AM

You should bill add on CPT code 62160 with CPT code 61210/61107.
Hope this information will be helpful.

Deborah h Posted Wed 01st of April, 2015 07:36:16 AM

What if the Neuroendoscopy wasn't used? I was thinking about cpt codes 62225 and next day 62225-78, or 62258-52. This was part of a shunt externalized without neuroendoscopy. Please advise.

Deborah h Posted Wed 01st of April, 2015 07:57:49 AM

Also cpt code 62160 is an add on code and can't be billed by itself.

Deborah h Posted Wed 01st of April, 2015 13:14:36 PM

Please give the appropriate codes for both days. Thanks

SuperCoder Answered Thu 02nd of April, 2015 06:24:51 AM

We should bill this scenario will CPT code 62225 for the first day for externalization of the catheter and then bill 62225 with 78 modifier for re-internalization of the catheter the next day. 78 modifier will suggest that it was an unplanned return to the operating room by the same physician following initial procedure for a related procedure during the postoperative period.

Deborah h Posted Thu 02nd of April, 2015 08:25:42 AM

Sorry, one more clarification. If the ventricular catheter was replace with an EVD; would you still charge 62225?

SuperCoder Answered Fri 03rd of April, 2015 05:27:12 AM

Yes, CPT code 62225 is the correct code that should be used when ventricular catheter gets replaced with an EVD. External ventricular drain (EVD) is also called as ventriculostomy or ventricular catheter.

Deborah h Posted Fri 03rd of April, 2015 11:20:24 AM

If this be the case; then when a physician exchanges an EVD; you only charge 61210 for insertion and don't charge for removal; correct? If the EVD is considered a catheter, why wouldn't they code 62225 when it's exchanged? I thought when the physician removed the ventricular cath and placed an EVD; you would code 62225-52, and 62225-52 next day. If applicable, please give sources and documentation to support your answer.

Deborah h Posted Fri 03rd of April, 2015 13:42:31 PM

My thoughts would be that you could charge 62225-52 for the removal of the ventricular catheter and 61210-51 for a separate stab wound to insert the ventricular catheter (EVD); next day 62225-52 and not charge for removal of EVD but charge for the placement of the ventricular catheter 62225-52. Do you think this looks correct; or can you also charge for the removal of the EVD? Please advise.

Deborah h Posted Fri 03rd of April, 2015 19:16:27 PM

or bill 62225-52 for removal of ventricular catheter; 61210-51 for insertion of EVD separate burr hold for drainage; and then the next day charge 62225-52 only, since you can't bill for removal of EVD. Please advise.

SuperCoder Answered Mon 06th of April, 2015 08:39:35 AM

In case of multiple queries/multiple scenarios on a subject. Please use a new thread.

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