A patient underwent evacuation of intraparenchymal hemorrhage using NICO BrainPath® technology. A burr hole was created and a circular craniotomy was completed. The bone flap was elevated, a dural incision was completed, and the brain started to gently bulge out. The Mitaka arm was placed and the dedicated Storz exoscope was placed in the desired position. Using the NICO BrainPath® technology, a 60 mm port was gently advanced all the way down to the bottom of the clot. Clot fragments were suctioned and removed. What is the appropriate approach for this procedure, open or percutaneous? The “brain” was exposed during surgery, but it appears that the evacuation of the hemorrhage (operative site) was not directly visualized. What is the appropriate ICD-10-PCS code for the procedure?
Assign the following procedure codes:
The NICO BrainPath® is a new minimally invasive technology that allows access and visualization of previously inoperable brain malignancies, intracerebral hemorrhages and other growths located deep within the brain. This technology enables a neurosurgeon to navigate between the natural folds and structures in the brain, limiting tissue damage and improving the patient’s recovery with fewer deficits.The exoscope is a new technology consisting of a high-definition telescope that can be used as an alternative to a microscope in neurosurgery. According to the ICD-10-PCS guideline B3.11c, “When both an Inspection procedure and another procedure are performed on the same body part during the same episode, if the Inspection procedure is performed using a different approach than the other procedure, the Inspection procedure is coded separately.”