63600

debipbarik

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Stereotaxy is a three-dimensional surgical technique to direct a needle or beam of radiation for targeting lesion location.

CPT 63600 : Creation of lesion of spinal cord by stereotactic
method, percutaneous, any modality (including stimulation and/or recording)

This can be billed with maximum of 2 units on same DOS, exceeding 2 unit result in denial, But this can be appealed if you have documentation supporting medical necessity.

When the patient is appropriately prepped and anesthetized, the provider identifies the target area of the spinal cord using the stereotactic method, in which previously taken CT or MRI images are imported into a computer system that provides three dimensional images of the spinal cord. The goal of this procedure is to create a lesion on the pain pathways of the spinal cord to treat chronic pain. The provider then makes a small incision through the skin and passes a hollow needle electrode to the target area. He then creates the lesion on targeted areas of the spinal cord. He may perform stimulation or recording as part of the service. He then withdraws the electrode and closes the skin incision.

Below are ICD's that may be reported as medical necessity for 63600

C70.1 Malignant neoplasm of spinal meninges
C72.0 Malignant neoplasm of spinal cord
C72.1 Malignant neoplasm of cauda equina
C79.31 Secondary malignant neoplasm of brain
D33.4 Benign neoplasm of spinal cord DRG
D43.0 Neoplasm of uncertain behavior of brain, supra-tentorial
D43.1 Neoplasm of uncertain behavior of brain, infratentorial
D43.2 Neoplasm of uncertain behavior of brain, unspecified
D43.4 Neoplasm of uncertain behavior of spinal cord
D49.7 Neoplasm of unspecified behavior of endocrine glands and other parts of nervous system
G20 Parkinson's disease
G21.11 Neuroleptic induced parkinsonism
G21.19 Other drug induced secondary parkinsonism
G21.2 Secondary parkinsonism due to other external agents
G21.3 Post-encephalitic parkinsonism
G21.4 Vascular parkinsonism
G21.8 Other secondary parkinsonism
G21.9 Secondary parkinsonism, unspecified
M48.061 Spinal stenosis, lumbar region without neurogenic claudication
M48.062 Spinal stenosis, lumbar region with neurogenic claudication
M48.07 Spinal stenosis, lumbosacral region DRG M51.06 Intervertebral disc disorders with myelopathy, lumbar region
M51.14 Intervertebral disc disorders with radiculopathy, thoracic region
M51.15 Intervertebral disc disorders with radiculopathy, thoracolumbar region
M51.16 Intervertebral disc disorders with radiculopathy, lumbar region
M51.17 Intervertebral disc disorders with radiculopathy, lumbosacral region
M51.36 Other intervertebral disc degeneration, lumbar region
M51.37 Other intervertebral disc degeneration, lumbosacral region
M54.14 Radiculopathy, thoracic region
M54.15 Radiculopathy, thoracolumbar region
M54.16 Radiculopathy, lumbar region
M54.17 Radiculopathy, lumbosacral region
M79.609 Pain in unspecified limb
M96.1 Post-laminectomy syndrome, not elsewhere classified
M99.23 Subluxation stenosis of neural canal of lumbar region
M99.33 Osseous stenosis of neural canal of lumbar region
M99.43 Connective tissue stenosis of neural canal of lumbar region
M99.53 Intervertebral disc stenosis of neural canal of lumbar region
M99.63 Osseous and subluxation stenosis of intervertebral foramina of lumbar region
M99.73 Connective tissue and disc stenosis of intervertebral foramina of lumbar region

Hope this helps
Dee Medical Coding
 
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