Neurosurgery Coding Alert

Reader Question:

Choose 62143 for Carniectomy Plates

Question: Our surgeon performed a right parietal craniotomy, open biopsy, placed a Mayfield headholder and used Stealth Image guidance. The operative note mentions "A burr hole craniectomy plate was placed over the defect." Please suggest the correct codes for reporting these procedures.

Ohio Subscriber

Answer: You report code 62143 (Replacement of bone flap or prosthetic plate of skull) as the operative note clearly mentions that the craniectomy plate was placed over the defect.

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