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Coding Craniofacial Procedures: A Deep Dive into Craniosynostosis Surgery

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Presenter Nancy L Reading, CPC, CPC-P, CPC-I
Broadcast Date 10/22/2025
Time 10:00am PT / 11:00am MT / 12:00pm CT / 1:00pm ET
Presentation Length 60 minutes
Price $65 (Non-members $85)
1 CEU
A
Coding Billing Auditing Compliance Management
Coding Craniofacial Procedures: A Deep Dive into Craniosynostosis Surgery Webinar

Learn more about this event

Coders will learn about the complex anatomy and the variety of phenotypic presentations of skull deformities due to premature closure of the cranial sutures. This is a problem found in infants during the first year of life and can cause long lasting effects if left unchecked. The variety of complex presentations drive diagnosis coding and determine the type of surgical repair.

This webinar will take a deep dive into each of the craniofacial anomalies associated with the premature closure of cranial sutures in infants. The repairs associated with the defects will be discussed and CPT® coding, modifiers and ICD 10 CM diagnoses will be presented. Co-surgery is often needed to make these corrections, and the session will address best strategies for reimbursement.

Learning Objectives/Agenda

• Gain an Understanding of the Anatomy and Etiology of Craniosynostosis
• Learn the correct assignment of neurological and craniofacial codes for the correction of craniosynostosis
• Attendees will be able to identify the correct type of craniosynostosis and assign the correct ICD-10-CM code
• Provide an understanding for when it is appropriate to use co-surgery versus assistant at surgery modifiers.

Why is this topic important?

As of 2024, the CDC indicated 1 in 2500 live births was diagnosed with craniosynostosis. Pediatric coding topics seldom see the light of day. Due to better diagnostic criteria, this problem is being identified earlier and treated. Craniofacial surgery presents a number of coding challenges that need to be addressed.

Who would benefit from this topic?

• Pediatric Coders
• Surgical coders
• Medical Auditors
• Coding Educators
• Coders Adjudicating claims for Pediatric conditions

What is the presenter's background/expertise on this topic?

Nancy is an RN with 46 years' experience in healthcare and 33 years as a coder. She worked for the University of Utah, where she was responsible for coding and educating over 1000 providers. This included the department of pediatric neurosurgery at Primary Children’s hospital in Salt Lake City, where these surgeries were performed on a regular basis, serving a 4-state region.

Nancy L Reading, CPC, CPC-P, CPC-I

About The Author

Nancy L Reading, CPC, CPC-P, CPC-I

Ms. Reading has worked 42 years in Healthcare as a Nurse and Coder. She has worked in the Professional, Hospital Outpatient and Hospital Inpatient settings. Her career includes having her own consulting business, working for a large University Medical Centers, Medicaid, and as a Medicare specialist for the country’s largest private third party payer. She is a 2 time past Local Chapter president, national advisory board member and previously worked for AAPC as VP of Education. Nancy is currently the Director of Coding for Robin Healthcare.

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