Results 1 to 4 of 4

Stereotactic surgery and MR billing

  1. #1
    Question Stereotactic surgery and MR billing
    Clearnace Sale
    Hello all, I have a dilemma relate to the billing of MRI from the facility related to 61793- Stereotactic radiosurgery PFX Gamma Knife

    Examination performed: MR stereo with contrast

    Technique: Axial 3-D spoiled gradient post contrast images obtained through the brain with patient in the stereotactic head frame. Exam was performed following the intravenous administration of 17cc of MultiHance without reported adverse reaction in radiology assessment.

    What CPT code(s) should be used for the MRI usage from the facility?
    What code is used for the contrast?
    Does the facility get to bill for placement of the headframe each time?
    Does the faility also bill for the sterotactic service, if yes what code?
    Is there different code for which of MRI/CT these the facility uses, particle beam, gamma knife OR PFX gamma knife or linear accelerator?

    Seperate of course from the usual REV code supplies...what are all the codes the facility should bill?

    THANK YOU TO THE EXPERTS! Jackie Mehalich

  2. #2
    Louisville, KY
    20660 looks like it's bundled in CCI with 61793, and is an SI of "C". It would seem the facility could use it, but not with that "C" status in the OP environment.

    70552 for the MRI.

    A9578X17 Units for Gadobenate dimeglumine (MultiHance).

    77301 might be applicable. I know next to nothing about Radiation, so I'm only using an encoder product which suggests I visit that code assignment for radiation planning.

    Hopefully your facility is catching payment under APC, making those codes about all you'd have to worry with. Hopefully I've helped somewhat.

    Good luck.

  3. #3
    Thank you Kevin.. This one is very confusing. I am still researching.
    Jackie Mehalich RN CPC

  4. #4
    In regards to reply above regarding 77301 - this is the code for IMRT planning...77295 is used for stereotactic radiosurgery planning by the facility.

Similar Threads

  1. Stereotactic Biopsy
    By caroline in forum General Surgery
    Replies: 1
    Last Post: 04-25-2012, 10:38 AM
  2. Stereotactic Radiosurgery
    By ckirkp1 in forum General Surgery
    Replies: 0
    Last Post: 09-09-2010, 09:54 AM
  3. Stereotactic localization
    By Sephardic in forum Interventional Radiology
    Replies: 1
    Last Post: 04-15-2010, 11:06 AM
  4. Stereotactic Localization
    By TBEATSON in forum General Surgery
    Replies: 2
    Last Post: 09-09-2008, 03:12 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.