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 […]

Sacral Neuromodulation /Stimulation Procedure Coding

Knowing the correct CPT code for a neurostimulator procedure can be tricky if you don’t know the staged procedures and temporary vs. permanent placement. Follow along and I’ll explain sacral neuromodulation /stimulation coding for this scenario.    Question:  A female patient with interstitial cystitis is being seen by her urologist for percutaneous implantation of a […]

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 […]