• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Using cpt 61154 more then once.

Jenr0406

New
Messages
5
Location
Salisbury, MD
Best answers
0
I have a neurosurgery where the operation was a redo of right front AND parietal bur holes for drainage of subdural hematoma. What was originally charged was 61154-78 and 61154-59-78, which was denied by medicare for frequency. I see to add a 50 mod if done bilaterally but this isn't so, just 2 different holes in 2 diff areas. Any help on how I should resubmit would be helpful.
 
According to the code description its Burr hole(s) which means one or more so if its not bilateral (per parenthetical note), it should only be 1 unit.
 
Top