Name That Code

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…

Vestibular Evaluation for Dizziness
| |

Vestibular Evaluation for Dizziness

Question:  A patient with complaints of dizziness is seen for a vestibular evaluation. The physician completed the following tests: spontaneous with gaze, optokinetic, oscillating tracking, positionals head right and left, and Dix-Hallpike right and left. The physician also completed warm and cool caloric irrigations in both ears, for a total of four irrigations. All tests were performed…

DaTscan to Differentiate Between Parkinson’s and Essential Tremor
| |

DaTscan to Differentiate Between Parkinson’s and Essential Tremor

When the neurologist has ordered several imaging tests and is still unsure of the diagnosis, it may be time for a SPECT brain DaTscan to differentiate between Parkinson’s and essential tremor. Name That Code Question: A patient who has not been responding well to dopaminergic therapy is considering deep brain stimulation surgery. The patient has…

Depression With Anxiety and Thoughts of Suicide in ICD-10
| | |

Depression With Anxiety and Thoughts of Suicide in ICD-10

Depression can be a big problem in not only adults but in children and adolescents as well. This coding scenario involves assigning the appropriate codes for depression with anxiety and thoughts of suicide in ICD-10.  Name That Code Question:   A 16-year-old male, who has been seeing his physician for anxiety and depression for the past…