Are you reporting a service that is rare, unusual, variable, or new? In 2013, you might turn to new and discrete codes for unlisted procedures. The unlisted procedure codes for the procedures on spine and cranium include the following:
22899 -- Unlisted procedure, spine
69979 -- Unlisted procedure, temporal bone, middle fossa approach
21499 -- Unlisted musculoskeletal procedure, head
But not so fast. Before you report any of these, do not forget to confirm with your payer if the service is covered. You may even try obtaining a precertification stating that your payer accepts the procedure as medically necessary procedure and is not a covered service.
Also, make sure your surgeon documents the procedure. You may request your surgeon to prepare a letter explaining the need and extent of the procedure and comparing it with a standard CPT® code.
This annual year-end conference will inform you of these new codes and more. You’ll examine 2013 CPT® new and revised codes for neurosurgeons and their impact. The 2012 CPT changes will be reinforced. Trends in bundling services will be examined in the context of the new and revised codes.
This session will help you:
Who should attend? Neurosurgeons, neurosurgery billing and staff, midlevel providers, coders, practice managers
Gregory J. Przybylski, MD is Professor of Neurosurgery at Seton Hall University and Interim Chairman of the NJ Neuroscience Institute at JFK Medical Center. For two decades, he has been involved in socioeconomic issues for spinal surgery and neurosurgery. He is a Past-President of the North American Spine Society, the largest professional medical association representing spine care providers. He formerly chaired the AANS-CNS Coding and Reimbursement...
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