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Placement of a right percutaneous subdural drainage; left frontal subdural drain

Deborah h Posted Thu 12th of February, 2015 11:42:28 AM

When the physician does a right subdural drainage; using a 16 gauge angiocath needle inserted via the coronal suture underneath the parietal bone towards the mastoid; the entry is performed in a Z like fashion;sutures were overlapping, and IV tubing is attach for additional drainage. Would this be considered cpt code 61000? Then he places a left frontal subdural drain; cpt code 61020-59?

SuperCoder Answered Fri 13th of February, 2015 07:50:52 AM

Thanks for your question.

Code 61000 should be only used when patient is an infant. If the patient is not an infant then suitable code would be 61020 RT and 61020 LT for bilateral placement as both modifiers are allowed for this code.

Hope it helps.

Deborah h Posted Fri 13th of February, 2015 08:29:17 AM

But, would you still charge 61020 if it was done percutaneously with a needle;would sutures be involved; and a z like fashion be used?

Deborah h Posted Fri 13th of February, 2015 08:41:35 AM

This is an infant; therefore, would you charge 61000-LT on the first day and 61001-RT next day if the physician is placing a frontal subdural drain on the left and then the next day did a right subdural drainage on the right, or would that be another code?

SuperCoder Answered Wed 18th of February, 2015 08:40:32 AM

You are correct. You would use 61000 LT on the first day and 61101 RT for the next day for placing frontal subdural drain on left and then on right side next day.

Thank you!

Deborah h Posted Wed 18th of February, 2015 09:13:52 AM

I'm not finding 61101 cpt code; please see your previous answer. It was said to code 61000-LT on the first day and 61101-rt second day. What is the code for the placement of the subdural drain?

SuperCoder Answered Thu 19th of February, 2015 05:48:52 AM

The correct code would be 61001 apologies for the confusion.

Thank you.

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