March 29, 2018
One of my neurosurgeons saw a new patient in the office for evaluation of neck pain after an MVA. The patient had a type III odontoid fracture and another provider, in a different state, placed a halo 2½ months ago. My provider decided to remove the halo. Can he bill for the halo removal and, if so, what code is it?
Yes, you can report CPT 20665 (Removal of tongs or halo applied by another physician) in addition to your E/M code assuming you have performed and documented a “significant and separately identifiable” E/M service. So you’d report the following codes: E/M-25 and 20665. However, if your physician or a spine surgeon in your group had originally placed the halo and it was removed in the 90-day global period, then you could not bill for the removal.
*This response is based on the best information available as of 03/29/18.