May 25, 2023 Question: The neurosurgeon documents a placing a cervical “facet implant or intrafacet implant “ with bone graft.…

May 11, 2023 Question: The surgeon placed methylmethacrylate around the pedicle screw in a spine surgery. How is this coded?…

April 27, 2023 Question: When using LITT treatment, can the neuronavigation  and headframe placement be billed separately? Answer: No, neuronavigation,…

April 13, 2023 Question: I’m using LITT for epilepsy treatment. Answer: The codes are 61736 Laser interstitial thermal therapy (LITT)…

March 30, 2023 Question: I just got a case where the neurosurgeon and ENT want to bill the following codes:…

March 16, 2023 Question: Is there a code for a craniotomy for decompression for Chiari? And the surgeon also did…

March 2, 2023 Question: Can placement of a lumber drain be billed separately with a cranial procedure? I heard that…

February 16, 2023 Question: The patient present with a ruptured aneurysm. A craniotomy was performed to clip the aneurysm and…

January 19, 2023 Question: When choosing the level of E&M we are confused about the History and Exam. If we…

December 15, 2022 Question: I am confused and hoping you can clarify a coding question I have. I thought I…

December 1, 2022 Question: A patient had a craniotomy a week ago and the provider is doing a removal of…

November 17, 2022 Question: I am confused and hoping you can clarify a coding question I have. I thought I…

November 3, 2022 Question: How is RFA rhizotomy of the trigeminal nerve at the second and third division branches of…

October 20, 2022 Question: How is percutaneous ganglion balloon compression rhizotomy of the trigeminal nerve reported? The diagnosis was Trigeminal…

October 6, 2022 Question: A retrosigmoid craniotomy was performed with microvascular decompression of the 5th nerve. The diagnosis was Trigeminal…

September 22, 2022 Question: In a recent head trauma case, a decompressive craniectomy was performed with a partial temporal lobectomy,…

September 8, 2022 Question: We have a patient with 2 commercial payers (BCBS and Cigna). A consultation code was submitted…

August 25, 2022 Question: If the exposure is thoracic, for example in a thoracic corpectomy, and the documentation states a…

August 11, 2022 Question: How do you report a spinal procedure for example, arthrodesis or laminectomies when two spinal are…

July 28, 2022 Question: Can code 20680, removal of implant, be used for removal of a previously placed intervertebral device,…

July 14, 2022 Question: I placed posterior percutaneous screws and rods without an arthrodesis. I know I have to use…

June 30, 2022 Question: Can I use modifiers on an unlisted code? Answer: There is not a single right answer…

June 16, 2022 Question: The patient had a re-do laminectomy for stenosis at L3-L4. Can code 63042 be used for…

June 2, 2022 Question: Since we have to bring the patients back in for COVID testing and H&P for Joint…

May 19, 2022 Question: I did an inpatient consultation and coded 99253 (non-Medicare). I did not need to follow the…

May 5, 2022 Question: What code do we charge for an ER visit when our physician was called to the…

April 21, 2022 Question: I did a posterior fossa craniectomy for resection of a cerebellopontine angle tumor requiring the dura…

April 7, 2022 Question: Can a PA bill a consult if going to the ED at the request of the…

March 24, 2022 Question: We are going to start doing this new procedure called High Intensity Focused Ultrasound to treat…

March 10, 2022 Question: Can we bill for a PA to assist on a cerebral angiogram? What about aneurysm coiling?…