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- Cerebrospinal fluid leak repair cpt code skin#
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Cerebrospinal fluid leak repair cpt code skin#
Both the AAO-HNS and the American Association of Neurological Surgeons agree it is not accurate to use the existing skull base surgery CPT codes for endonasal/endoscopic procedures because the existing codes describe an open procedure involving skin incision(s). Therefore, endonasal/endoscopic skull base procedures, except the endoscopic resection of a pituitary tumor (62165), do not have a CPT code. Endonasal/endoscopic skull base surgery is relatively new and performed in a limited number of organizations.
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The existing open (involving a skin incision) skull base surgery CPT codes were introduced to the CPT code system in 1994. Modifier 62 (two surgeons) is appended to 62165 when performed as co-surgery involving the otolaryngologist (ORL) and neurosurgeon (NS) to show that neither surgeon performed the entire procedure code. Only one CPT code exists for an endoscopic skull base procedure-62165, Neuroendoscopy, intracranial with excision of a pituitary tumor, transnasal, or trans-sphenoidal approach. Unlike the skull base surgery codes that include separate codes for the approach and definitive procedure, CPT 62165 includes the approach, tumor resection, and closure. The contemporary practice of medicine is occasionally ahead of the CPT code system and an accurate code may not always exist for the procedure performed this is true for reporting most endoscopic/endonasal skull base surgery procedures.Coding Issues The American Medical Association’s Current Procedural Terminology® (CPT) codes for reporting medical services and procedures performed by physicians must be used to bill services to third party payers. Please accept the terms and conditions for use of the Part B News web site.Coding and Reimbursement Strategies: Using an Unlisted Code for Endoscopic Skull Base Surgery You may not use any trademark displayed on the site without the written permission of DecisionHealth or its respective owners.

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Cerebrospinal fluid leak repair cpt code full#
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Cerebrospinal fluid leak repair cpt code how to#
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