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Ventriculosubgaleal Shunt creation

Deborah h Posted Tue 10th of March, 2015 14:44:30 PM

Since the Rickham reservoir is not considered part of the shunt; then when the doctor performs a Ventriculosubgaleal shunt creation and connects it to the Rickham Reservior, what code would you bill for the Rickham Reservior? The Ventriculosubgaleal shunt would be coded 62223.

SuperCoder Answered Wed 11th of March, 2015 05:42:55 AM


Some physicians report 62360 for Reservoir but Julee Shiley, CPC, CCS-P, CMC, an anesthesia coding consultant in South Carolina recommends 61215 is more appropriate code. One reason is because 61215 is in the most appropriate section of CPT to describe the procedure; second, this code represents an intracranial procedure versus a spinal epidural or intrathecal infusion as 62360 reports. Both distribute medications into the CSF.

So please check the complete documentation of procedure to code correctly.


Deborah h Posted Thu 12th of March, 2015 08:24:19 AM

If the physician does the ventriculosubgaleal shunt and connects it to the Rickham reservoir; how would this be coded?

Deborah h Posted Thu 12th of March, 2015 08:29:06 AM

Is the rickham reservoir included in the cpt code 62223 (whole system)? If not, how would you code?

SuperCoder Answered Fri 13th of March, 2015 07:46:36 AM

Rickham Reservoir is not included in CPT 62223. So you can bill code 61215 for Reservoir.


Deborah h Posted Wed 25th of March, 2015 18:28:02 PM

When placing a parieto-occipital VP shunt,if the Rickham Reservoir is not used to administer medications,can you still code 61215 when they connect it to the ventricular catheter? Please advise.

SuperCoder Answered Thu 26th of March, 2015 02:57:04 AM

Rickham Reservoir is used to deliver medications such as chemotherapy drugs, directly into the CSF. If medication was not adminstered, then what was the motive behind placement of Rickham Reservoir?

Deborah h Posted Thu 26th of March, 2015 07:47:03 AM

If it's used as part of the shunt system, can you bill separately?

SuperCoder Answered Fri 27th of March, 2015 01:17:59 AM

Rickham Reservoir is not included in CPT 62223, So you can bill for it separately.

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