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Placement of subdural external drain

Deborah h Posted Thu 12th of March, 2015 14:47:56 PM

Would I code 61210 for a right external subdural drain through the opening of a previous incision?

SuperCoder Answered Fri 13th of March, 2015 05:07:01 AM

CPT code 61210 can be coded for the drainage performed through implanting ventricular catheter. You can also use CPT code 61154 for evacuation and/or drainage of subdural hematoma.

Deborah h Posted Sat 14th of March, 2015 22:44:17 PM

If the physician reintroduce the subdural catheter for drainage and not for pressure monitoring, would you code cpt code 62194 and not 61210?Please explain why you would choose one of the codes and not the other.

SuperCoder Answered Mon 16th of March, 2015 06:57:11 AM

CPT code 62194 is specific for replacement or irrigation of subarachnoid or subdural catheter for a patient with a failed or malfunctioning cerebrospinal fluid shunt. This code should only be used in case of an failed or malfunctioning cerebrospinal fluid shunt whereas per CPT code 61210, the provider drills a hole or holes into the skull to implant a ventricular drainage catheter to drain fluid from the brain.

Deborah h Posted Mon 20th of April, 2015 18:40:29 PM

Isn't cpt code 61210 for implanting ventricular catheter, reservoir, pressure recording device, or other cerebral monitoring device? If the subdural peritoneal shunt was removed and a few days later a subdural drain was inserted with the distal end of the catheter anchored, would you code this as 64999 compared to 62194 since the catheter wasn't removed and replaced in the same setting?If not, what code would you use to place the subdural external drain through a previous incision? Please remember that a drain was used and the distal catheter was anchored; please advise.

SuperCoder Answered Tue 21st of April, 2015 03:33:58 AM

This query is different from the original query that was raised last month. For any new query, please raise a new thread.
That would be much appreciated.

Deborah h Posted Tue 28th of April, 2015 10:12:22 AM

Please let me find out what you found out.

SuperCoder Answered Wed 29th of April, 2015 03:25:18 AM

As requested earlier, you new query is add on/different to the original query. For queries other than the original query, you are requested to raise a new thread.

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