Wiki Billing stealth code +61782

rjh977@vc

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HELLO-I AM NEW TO CODING, THE MEDICAL FIELD AND WORK FOR AN ENT GROUP. OUR PHYSICIANS WILL USE THE STEALTH GUIDANCE SYSTEM (STEREOTACTIC COMPUTER ASSISTED NAVIGATION) IN SINUS SURGERIES AND PITUITARY TUMOR REMOVAL SURGERIES. MEDICARE DENIES THIS CODE EVERY TIME WE BILL IT:mad:. THEIR REASON STATES THAT WE "HAVE NOT BILLED IT WITH A PRIMARY CODE". PER MEDICARE'S PUBLICATION 100-04 TRANSMITTAL 2636, CPT CODE +61782 IS A TYPE II ADD ON CODE AND DOES NOT HAVE SPECIFIC PRIMARY CODES ASSIGNED TO IT. EVEN THE CPT BOOK DOES NOT LIST SPECIFIC CODES TO BILL WITH +61782. DOES ANYONE KNOW OF HOW TO BILL THIS CODE WITH SINUS SURGERY CODES (31254,31255,31256,31287,31288, ETC) OR THE PITUITARY SURGERY CODE (62165, BILLED WITH A CO-SURGEON)? COMMERCIAL PAYERS WILL PAY FOR IT. THANK YOU.
 
for CMS I found one LCD that mentions this code and its for Noridian (L34151). It only talks about use of this code w/ SRS/SBRT for cranial lesions. My only guess is its not for reporting w/ other surgeries.
 
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