Recent content by tboback

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    Question tPA admin via EVD catheter

    Hello, My neurosurgeon is doing this and the codes I come up with are: 61120, 61781, and 61645. Can anyone tell me if I'm correct or maybe direct me to the correct codes? Second question would be if tPA is administered on a subsequent days, how do I code them? OP Note: Postoperative...
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    Kyphoplasty and bilateral pedicle screw fixation

    Op Note Here is the op note, thank you! PROCEDURES: 1. Thoracic 12 kyphoplasty. 2. Thoracic 11 to lumbar 1 pedicle screw fixation, bilateral. 3. Biplanar C-arm fluoroscopic guidance. PREOPERATIVE DIAGNOSES: 1. Thoracic 12 burst fracture. 2. Intractable back pain. POSTOPERATIVE DIAGNOSES: 1...
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    Kyphoplasty and bilateral pedicle screw fixation

    Severe T12 fracture corrected using Kyphoplasty and T11 to L1 pedicle screw fixation, bilateral. I coded 22513 and 22840. Auto insurance is denying. Any suggestions? Any help would be appreciated. Thank you, Tina M Boback, CPC
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    Neurosurgery NEW CODE REPLACEING DELETED CODE

    I hear you Donna! My doctors always do arthrodesis!!! Hoping to get clarification soon!
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    Neurosurgery NEW CODE REPLACEING DELETED CODE

    Interested! I'm also interested in how these new codes should be used in 2017. Any hints/cheat sheets would be greatly appreciated!
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    Neurosurgical Coder

    Neurosurgery Coder Here Feel free to contact me with any neurosurgery coding questions. I will do my best to help in anyway possible. Tina M Boback, CPC | Neurosurgery Specialty Coder Work email - tina.boback@beaumont.org or Personal email - tina.boback@msn.com
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    SECOND request**Need help**

    We have 3 new NP's and I've never coded for NP's. 1) When a NP assists my neurosurgeon on a procedure, what is required? 2) Does the NP need to dictate their own note for the procedure? 3) Does the surgeon have to dictate who assisted them and what part of the procedure did they assist? 4)...
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    NP assistant during surgery/procedure

    We have 3 new NP's and I've never coded for NP's. 1) When a NP assists my neurosurgeon on a procedure, what is required? 2) Does the NP need to dictate their own note for the procedure? 3) Does the surgeon have to dictate who assisted them and what part of the procedure did they assist? 4)...
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    3 level total disc arthroplasty (artificial disc)

    My doctor wants to do a 3 level total disc arthroplasty (artificial disc). For the first two levels the codes are 22856 and 22858. What would I use for the third level? Would I have to use 22899 unlisted procedure with modifier XS? Any suggestions? Thank you, Tina
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    billing 0200T & 0201T

    Actually it was two different claims One was billed DX 805.6 CPT 0201T Patient had fallen had terrible low back pain. Procedure "Local anesthetic was placed. Using a trajectory and orders to go to the sacral ala, 2 needles were place and balloons were placed and then cement was placed". One...
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    billing 0200T & 0201T

    Actually it was two different claims One was billed DX 805.6 CPT 0201T Patient had fallen had terrible low back pain. Procedure "Local anesthetic was placed. Using a trajectory and orders to go to the sacral ala, 2 needles were place and balloons were placed and then cement was placed"...
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    billing 0200T & 0201T

    I have billed both of these codes and Medicare has denied as "Procedure/treatment is deemed experimental/investigational by the payer" Claims were appealed with documentation (Op Note and documentation where they have approved these procedures as of July 2009). The DX codes being billed are...
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    Kypho with Facet block?????

    Can Kyphoplasty and Facet block be billed together? CCI edits say they can, but I wanted to see if anyone had this come up before. Op note incase anyone is interested... PROCEDURES: 1. Balloon reduction of compression fracture at T11. 2. Vertebroplasty at T9. 3. Biplanar fluoroscopic guidance...
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    Cranioplasty for skull defect

    I have a new Neurosurgeon starting soon. He asked me what code I would use for a cranioplasty for skull defect when he uses polymethyl methacrylate or PMMA instead of the patients own bone. I think I would use 62146 Cranioplasty with autograft? Can anyone confirm this for me?
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