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Resection of calcified cephalhematoma, right parietal with re-absorbable plate

Deborah h Posted Fri 13th of March, 2015 13:53:56 PM

If a resection of calcified cephalhematoma, right parietal is performed and instead of replacing the bone, the physician buts re-aborbable plate, would you code this as 61500 instead of 62120? If not, what code would be use to bill this procedure?

Deborah h Posted Fri 13th of March, 2015 15:24:21 PM

In the description for the code 62120 the bone flap is put back on;however, if the physician isn't allowed to put the bone flap back, but uses a re-absorbable plate; would there be another code for that type of procedure? How would you code this?

Deborah h Posted Fri 13th of March, 2015 17:44:46 PM

Would cpt code 62141 or 62141 be correct if he did the a crainoplasty for calcified cephalhematoma?

SuperCoder Answered Mon 16th of March, 2015 03:28:13 AM

When the patient is appropriately prepped and anesthetized, the provider opens the original incision in the abdomen or in the scalp and retrieves the stored cranial bone graft from the abdominal wall or the inner lining of the scalp near the site of the cranial defect. If the storage site is the inner lining of the scalp, he next uses blunt dissection to access the level where the bone graft lays, identifies the graft, and removes it from its bed, placing it in an antibiotic solution. Since the incision is next to the site of the cranial defect, the provider opens the full length of the original incision. He uses the existing skull bone and retrieved autograft bone to repair the defect in the skull, fixing them in place using plates and screws.
If the cranial bone is stored in the abdomen, he sharply opens the original abdominal incision, identifies the bone graft, and bluntly dissects the graft free from the surrounding tissue, placing it into an antibiotic solution. He then reopens the original incision over the defect and places the autograft bone into the defect, fixing it in place using plates and screws. He then closes and dresses the abdominal wound.

Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure)
(Use 62148 in conjunction with 62140-62147)

Hope it helps you.

Deborah h Posted Mon 16th of March, 2015 08:21:32 AM

If the physician didn't retrieve bone graft, but just use a re-absorable plate, would if still be 62140-62147 without 62148? and Are these codes 62140-62147, generally used for this type of procedure, "Resection of calcified cephalhematoma, left parietal?

SuperCoder Answered Tue 17th of March, 2015 02:25:12 AM

Use CPT code 61500 along with any one of 62140 or 62141, as per the skull defect diameter.

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