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?…

February 24, 2022 Question: Can we code a laminectomy for disc herniation, such as 63030 or 63042, with a TLIF/PLIF…

February 10, 2022 Question: Can we code for harvest of vascularized pericranial graft during a left temporal craniotomy for resection…

January 27, 2022 Question: If an endoscope is used to check for residual tumor or ensure an aneurysm is clipped,…

December 30, 2021 Question: If my neurosurgeon does an intraoperative angiogram after she has clipped an aneurysm, at the same…

December 16, 2021 Question: If I do a retrosigmoid craniotomy for resection of an acoustic neuroma (61520) but I also…

December 2, 2021 Question: I see there is a code for intraoperative ultrasound, 76998. Can I code that when I…

November 11, 2021 Question: What do we code when we put cement around the pedicle screws, or inject cement into…

October 28, 2021 Question: Does the multiple procedure payment reduction apply for the same day anterior-posterior procedures when done through…

October 14, 2021 Question: I’m placing catheters in the erector spinae plane through a separate puncture after the surgical wound…

September 30, 2021 Question: Do I use a modifier 58 (staged procedure) on the ventricular drain code when it’s done…

September 16, 2021 Question: If a patient has one stable chronic illness and one acute uncomplicated illness without systemic symptoms,…

September 2, 2021 Question: Can we code separately for harvesting pericranial graft, such as temporalis fascia, when doing a craniotomy? Answer: CPT…

August 19, 2021 Question: Is there a code for turning off a VNS so the patient can have an MRI?…

August 5, 2021 Question: Is there a code for interpretation of an x-ray when placing percutaneous pedicle screws with use…