Results 1 to 2 of 2

Pediatric Neurosurgery Coding Question

  1. Default Pediatric Neurosurgery Coding Question
    Exam Training Packages
    Hi I was wondering if someone could help with a claim denial for coding. My physician performed a Right & Left frontal Parietal xpansile Craniotomy (61322) 50 modifier and also did a Barrel Stave Osteotomy of frontal bones (61340) insurance only paid the 61322 procedure and bundled the osteotomy to the crainotomy. I can't find where those two codes are bundled. Please let me know if this is indeed a bundled code.

  2. #2
    Milwaukee WI
    Default No 50 modifier
    NOT my area of expertise, but this is what I came up with ...

    First ... 61322 does NOT take a 50 modifier

    Second, if your documentation shows the surgeon was working on a completely different area of the skull, you should be able to appeal with op report. I don't find an edit, either, but the descriptions seem to involve the same area of skull, so that may be the issue with the insurance company.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. Neurosurgery Question
    By in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 04-21-2011, 01:34 PM
  2. Neurosurgery coding question
    By todd5400 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-29-2008, 12:38 PM
  3. Neurosurgery Question
    By todd5400 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 03-26-2008, 03:26 PM
  4. Neurosurgery question
    By louise a. murray in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-15-2008, 03:05 PM
  5. Pediatric coding question
    By jpeterson in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 08-22-2007, 02:14 PM

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.