AAPC - Back to school
Results 1 to 3 of 3

Thread: Burr hole for drainage subdural hematoma

  1. #1
    Join Date
    Apr 2007

    Default Burr hole for drainage subdural hematoma

    AAPC: Back to School
    My Neurosurgeon went in and did a burr hole for a drainage of subdural hematoma and the code I have for this is 61154. The question is, he inserted a ventricular drain into the subdural space and tunneled out through a seperate stab incision. The drain was sutured and attached to a drainage bag. What I'm questioning is if this piece can be seperately billed.. 61107? I'm being told yes, but just want to have someone elses thoughts on this.

    Thanks so much

  2. #2
    Join Date
    Apr 2007
    North Carolina


    I tend to think that if the drain was inserted through the same burr hole, it would be inclusive. It would interesting to see if the carrier would consider the "tunneling through a separate stab", a separate procedure since it appears that the drain was inserted through the original burr hole. This is an excerpt from the "Neurosurgery Answer Book"...

    In general, when a twist drill procedure is followed by a larger, more extensive procedure at the same operative session involving the same anatomic sites, only the code reflecting the more extensive procedure should be reported. If performed on the same date as a more extensive procedure, but at a different surgical session or involving a different operative site, both codes may be reported. However, a 59 modifier should be attached to the twist drill procedure code.

  3. #3
    Join Date
    Apr 2007


    Thanks so much.

Similar Threads

  1. Burr hole skull biopsy
    By gena379 in forum Neurology/Neurosurgery
    Replies: 3
    Last Post: 05-23-2014, 02:41 PM
  2. Billing burr hole
    By icys@aol.com in forum Neurology/Neurosurgery
    Replies: 1
    Last Post: 03-06-2014, 10:35 AM
  3. burr hole and ventriculostomy
    By icys@aol.com in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 02-06-2014, 02:00 PM
  4. Subdural aspiration after burr hole
    By wavesograin in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 09-06-2013, 09:09 PM
  5. Removal subdural strip electrode thru burr hole
    By marielad10 in forum Orthopaedics
    Replies: 0
    Last Post: 07-25-2011, 09:37 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.