transphenoidal pituitary tumor approach

[cwater]

I am with an Otolaryngology practice in PA and one of our physicians has done a case with a Neurosurgeon. I need some advice regarding coding. They did a transphenoidal pituitary tumor together where our physician opened endoscopically and assisted the neurosurgeon. The neurosurgeon did 62165-62 and our physician said he did 62165-62.

Everything I have read says that 62165-62 is the correct way to bill for these services but according to the CMS fee schedule, CPT 62165 has a payment indicator of 1 and that the assistant surgeon will not be paid.

Is anyone performing and billing for this procedure? Are you being paid or denied?

Any information would be appreciated.

Thanks,
Cammy Waterhouse, CPC