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Shunt tap and aspiration of left pseudomeningocele

Deborah h Posted Thu 04th of June, 2015 20:54:59 PM

Would you code the pseudomeningocele cpt code 10021 or 62270 and for the shunt tap; if no fluid was obtained, would you still code 61070-52?

SuperCoder Answered Fri 05th of June, 2015 03:50:28 AM

Well, I assume that for the first part of the question you are intending to ask what would be the CPT code for pseudomeningocele tap, if that’s the question then I would go with 62270. For the second question if the fluid is not obtained the safest way would be to bill with 52 modifier although I think even if we bill it without a 52 modifier it is a correct way as you are doing the service completely and lack of fluid is due to some reason like an infection, calcification or breakage of tube.

Deborah h Posted Fri 05th of June, 2015 09:36:23 AM

If it is a left temporal pseudomeningocele; wouldn't it be 10021 not 62270?

SuperCoder Answered Mon 08th of June, 2015 07:41:19 AM

Well, if it is temporal CPT 10021 pseudomeningocele then neither 10021 nor 62270 will be billed, the cpt will depend upon how the area was accessed, depending upon the approach of surgery like burr hole etc. CPT 10021 is for fine needle aspiration which is a procedure for soft tissue and not skull.

Deborah h Posted Mon 08th of June, 2015 08:07:43 AM

If it's a needle aspiration, would you charge 64999 and compare it to 61000?

SuperCoder Answered Tue 09th of June, 2015 08:53:24 AM

CPT 64999 seems appropriate, whereas CPT 61000 is not accurate according to the procedure performed.

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