Neurosurgery Coding Alert

Pay close attention to new round of bundles if your docs rely on fluoroscopy. CCI 15.2 went into effect July 1 and included more than 100 edit pairs that could affect your day-to-day neurosurgery coding, especially if you repeatedly report 76000. Here's the scoop on changes you need to know. Most Edits Deal With Fluoroscopy The bulk of edits pair neuro-related procedures with 76000 (Fluoroscopy [separate procedure], up to 1 hour physician time, other than 71023 or 71034 [e.g., cardiac fluoroscopy) and classify the services as "Standard of medical/surgical practice." If your physician routinely uses fluoroscopy during injections, laminectomy, or stereotactic radiosurgery, double-check the edits before filing claims. The fluoroscopy bundles cover a wide range of procedures, such as: • 62350 -- Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via external pump or implantable reservoir/infusion pump; without laminectomy • 63045 -- Laminectomy, facetectomy and foraminotomy [...]