Surgery: Nervous System (May 2008)

May 2008 page 14d Surgery: Nervous System, 0169T, 61210, 61795, 62160 (Q&A) Question: The procedure was right frontal Ommaya reservoir placement with Stealth guidance and neuroendoscopy placement of the ventricular catheter with intraventricular chemotherapy infusion. Stealth was used for correct placement of the catheter because of small ventricles, and the burr hole was placed. The dura was opened, and the ventricular catheter was placed. An endoscope was used to verify the correct placement of catheter tip because chemotherapy will be infused. The endoscope was removed, and a catheter was attached and secured to the reservoir. Gelfoam was placed...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a May 2008 CPT Assistant question and answer about coding for a nervous system surgical case involving intracranial catheter and reservoir placement with imaging/navigation assistance. It is useful for coders working in neurosurgery, especially when evaluating whether related procedures fall under separate CPT reporting categories and when additional services may be considered in a complex case.

Why This Topic Matters

Neurologic procedures that combine reservoir placement, catheter placement, navigation, and endoscopic assistance can create coding uncertainty. This Q&A helps readers understand the scope of the discussion and the types of CPT guidance addressed in the article.

Article Sections

  1. Question

    Presents a clinical scenario involving intracranial reservoir and catheter placement with assistance from navigation and endoscopic techniques, and asks about reporting of related CPT services.

  2. Answer

    Provides CPT Assistant guidance on the procedures discussed in the question and identifies which additional services are considered in the case.

What You Will Learn

  • The general coding issues raised by intracranial catheter and reservoir placement cases
  • How CPT Assistant frames the relationship between a primary nervous system procedure and related services
  • What kinds of ancillary technologies are discussed in complex neurosurgical coding scenarios
  • How the article addresses reporting questions in a May 2008 Q&A format

Who Should Read This

  • Neurosurgery coders
  • CPT coding professionals
  • Physician documentation reviewers
  • Hospital outpatient coding staff
  • Revenue cycle and compliance staff

Codes Discussed


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