Surgery – Nervous System

Sacral Nerve Stimulation: CPT Coding
| | |

Sacral Nerve Stimulation: CPT Coding

Name That Code Question:  A female patient with interstitial cystitis is being seen by her urologist for percutaneous implantation of a neurostimulator electrode array. The neurostimulator electrode array is placed for direct transforaminal sacral nerve stimulation, and fluoroscopic guidance is used to place the electrodes. Assign the correct CPT code. Answer:  CPT: 64561 Sacral Nerve Stimulation…

Craniotomy to Evacuate a Hematoma in CPT
| |

Craniotomy to Evacuate a Hematoma in CPT

Selecting the most specific code for a craniotomy to evacuate a hematoma in CPT comes down to the documentation, where the hematoma is located, and the approach taken to treat it.  Question:  A patient suffers an extradural hematoma in the supratentorial region of the brain, and the neurosurgeon performs a craniotomy to evacuate it. What CPT code…

Possible Brain Herniation May Require Ventricular Puncture
| |

Possible Brain Herniation May Require Ventricular Puncture

Brain herniation is a serious and often fatal problem that requires immediate medical care. Therefore, when a patient presents with possible brain herniation, a surgeon may elect to perform a ventricular puncture to drain cerebrospinal fluid (CSF).  Question:  Patient is brought to the operating room with possible brain herniation. The surgeon performs a ventricular puncture…