Question Neurosurgery Coding

melanied

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Hi
I have a question regarding shunts. my provider took the patient into the Or and did an externalization of a distal ventriculoperitoneal shunt.
He did not remove the shunt or revise the shunt.
Do I code a removal with mod 52 ? Or is there anther code I can use?
Has anyone come across this?

Thanks for your help
Melanie D
 

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mstiff81

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Externalization of a shunt is considered a "revision," so the appropriate code is 62230 (replacement or revision of CSF shunt, obstructed valve, or distal catheter in shunt system). If the shunt was completely removed and replaced, report 62258 (removal of complete CSF shunt system; with replacement by similar or other shunt at same operation).
 
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