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Thread: neurosurgery

  1. #1
    Join Date
    Apr 2007
    palo alto

    Default neurosurgery

    AAPC: Back to School
    The neurosurgery doc says he did 61559 and the plastic doc did 21175. The report states the neurosurgery doc did bifrontal craniotomy and barrel-stave osteotomies. I am wondering:
    1. Can 61557 be billed with 61559.
    2. Is it ok for me to bill 61557,61559 (for neurosurgery doc) with 21175 (for plastic doc). The CPT book states that 21175 should be billed with 61557 (only?)

    Thank you in advance.

  2. #2
    Join Date
    Apr 2007


    Usually In 61559, the neurosurgeon lifts off the cranium and the plastic surgeon performs the barrel-stave osteotomies and bone contouring.

    So you can bill 61559 with a 62 for the neuro and 21179-62 for the plastic.

    But I am not sure if you can bill 61557 here as 61559 says extensive craniotmy which means it includes 61557. I could not find a CCI edit also for 61557 and 61559 which makes it more confusing.

    Probably the entire Op report read would help in understanding what was excatly done? I possible pls post that here!!!

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