Neurosurgery Coding Alert

Question: How do we report the transsphenoidal tumor resection for a tumor in the sellar/suprasellar area along with abdominal fat and fascia harvest?

California Subscriber

Answer: If your surgeon adopts a transnasal or transseptal approach without endoscopy, you report 61548 (Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic). For fat graft harvest at a separate site, you report 20926 (Tissue grafts, other [e.g., paratenon, fat, dermis]) -51 (Multiple procedures).