AMA CPT® Assistant - 2018 Issue 3 (March)

Surgery: Nervous System (Q&A) (March 2018)

March 2018 page 11b Surgery: Nervous System Question: When performing a translabyrinthine approach for the resection of a vestibular schwannoma, is it correct to report codes 61595 and 61616, or code 61526? Answer: This is a cerebellopontine angle (CPA) tumor, and should be reported with code 61526, Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor. Code 61526 was established specifically for translabyrinthine vestibular schwannoma removal. If both an otolaryngologist and neurosurgeon worked as a team to perform their respective portions of the procedure, each surgeon would report code 61526 with modifier 62, Two Surgeons, appended...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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