Category: CC-Neurosurgery

Time Reporting for E/M Levels
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Time Reporting for E/M Levels

November 16, 2023 Question: Is it best practice to bill 99202-99215 based on time only? Answer: CPT Codes 99202 to 99215, history and physical examination will no longer be a key factor in determining your level of coding. Instead, coding will be dependent on: Levels of medical decision making applied during the service OR Total...

Coding Percutaneous Rods and Screws: Part 2
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Coding Percutaneous Rods and Screws: Part 2

October 19, 2023 Question: What if we the neurosurgeon places percutaneous screws and rods (no posterior fusion/bone graft) as the sole treatment for a vertebral fracture. Do we code the regular posterior instrumentation codes, for example +22840 or +22842? Answer: Unfortunately, no. Placement of percutaneous screws and rods as the sole procedure must be reported...

Placement of Percutaneous Posterior Instrumentation (Rod and Screws) Part 2
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Placement of Percutaneous Posterior Instrumentation (Rod and Screws) Part 2

August 3, 2023 Question: I placed posterior percutaneous screws and rods without an arthrodesis. I know I have to use an unlisted code, 22899. How should I price it? Answer: Good question. Let’s assume you’re doing +22842 (posterior instrumentation, 3-6 segments) which is an add-on code. Add-on codes are valued for only the intra-operative portion...

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