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Exploration of Fusion (22830) – Two Questions Answered
Can we bill 22830 with modifier 50 because we explored both sides?
Registered Nurse FA (First Assistant) vs. a Formal Mid-Level Provider (PA, etc.) Billing Difference
Is there a difference in billing and especially reimbursement for a registered nurse FA (first assistant) vs. a formal mid-level provider (PA, etc.)?
Billing for Pre-Op H&P Visit
Hospitals require that we do an H&P within 30 days of taking a patient to the OR. If this visit is more than 48 hours prior to surgery, is that a billable visit?
Endoscopic Transnasal Pituitary Tumor Removal
I’m confused. Should I use 61548 vs 61580 & 61600 to bill an endoscopic transnasal approach to remove a pituitary tumor? Or is this an unlisted code (64999)?
Advancement Flap
My physician excised a malignant skin lesion from the left cheek measuring 2.0 cm. The defect was repaired with a rotational advancement flap with total primary and secondary defect
Denials of 20930 and 20936
I’m new to neurosurgery coding and notice a big problem with denials. Medicare doesn’t pay us on 20930 and 20936. I’ve been appealing but don’t seem to have any success. Can you help?…
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