jessreese
New
Hi! When patients come into our hospital and get an MRI, it is standard practice that we check the programming on the shunt to make sure that the settings have not changed. A lot of the time, the providers check the setting and all is fine. When it does get need to get changed, the coders bill 62252. However, we aren't sure if we can bill it when the setting is NOT changed. Does anyone know the answer to this or have billed this type of scenario yourselves? The code description in the CPT book and Neurosurgery Specialty Guide makes it seem like we can only bill if it gets reprogrammed, but the doctors/NPs are doing the same amount of work to check the setting. Can we bill this with the reduced services modifier or do we just not bill at all if the setting isn't changed? Thanks in advance!