AMA CPT® Assistant - 2018 Issue 8 (August)

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

August 2018 page 10d Surgery: Nervous System Question: What is the most appropriate code to report when co-surgeons perform endoscopic surgical management of skull base lesions? Answer: Currently, no specific CPT code describes an endoscopic skull base surgery approach. Therefore, code 64999, Unlisted procedure, nervous system, should be reported for this procedure. Because two surgeons are performing the procedure (typically one for exposure and the other for the surgical excision), each surgeon may report code 64999 to reflect his or her respective involvement. Although modifier 62, Two Surgeons, is typically appended to procedure codes when performed by co-surgeons, it...

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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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