tci Part B Insider - 2006 Issue 8

NEUROSURGERY: You Could Gain An Extra $2,700 For Placing Stereotactic Markers

Use unlisted code for fiducial marker placementIf your neurosurgeon is performing "frameless" stereotactic surgery, you don't have to take reimbursement out of the picture.In "frameless" stereotactic surgery, the surgeon places tiny beads or screws, called "fiducial markers," to help guide the neurostimulator placement. Unlike a frame, the fiducial markers can be added in a previous session, and then the patient can come back for surgery. The markers are secured with bone wax, and then the skin is sutured.For skull: There's no code for placing fiducial markers, so you have to use unlisted code 64999, says Toni...

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