Neurosurgery Coding Alert

Question: Is there a CPT code for reprogramming a VP shunt valve?

Michigan Subscriber

Answer: CPT 2001 introduced a new code for the reprogramming of a VP (ventriculoperitoneal) shunt, which drains excess cerebrospinal fluid (CSF) and routes it into the peritoneal (abdominal) cavity to relieve pressure in the brain: 62252 (reprogramming of programmable CSF shunt). If a separate, identifiable evaluation and management (E/M) service is performed at the same time as the reprogramming of the VP shunt valve for example, evaluating the patients symptoms to determine the need for an adjustment you would also code for the appropriate E/M service (99211-99215) with modifier -25 (significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service). Check with your local carriers to see if they are ready for you to use this code before submitting claims.


Reader Questions answered by Eric Sandham, CPC, compliance educator for Central California Faculty Medical Group, a group practice and training facility associated with the University of California at San Francisco in Fresno, a coder who specializes in neurosurgical procedures; and Michael W. Potter, MD, president of Cascade Neurosurgery and Spine Inc. and a practicing neurosurgeon for 19 years in Medford, Ore.