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Reporting Modifiers with Unlisted Codes
Can modifiers be reported with unlisted CPT codes?
Clarification for TLIF with Contralateral Posterior Fusion Using Robotic Navigation
TLIF case using robot/navigation. Placing a posterior fusion on the contralateral side of the spine from the TLIF. He is using a the robot to plan a "false" screw then using robot to drill the opposite facet and then place bone graft into the facet. It requires additional time both before and after procedure. Would this be coded as 22612 along with 22633?
J3301 Triamcinolone Billing
When billing HCPCS code J3301 Triamcinolone acetonide injectable suspension nos (Kenelog), if 40 mgs are injected, do I bill J3301 x 4 units or J3301 x 40 units?
Is CPT 20660 separately reportable with 61313?
My surgeon wants to bill CPT 20660 and CPT 61313. Is 20660 appropriate to report in addition?
E/M Coding Based on Time
When choosing the level of E/M we are confused about the History and Exam. If we choose a level of E/M based on time, does this time count toward total time, or is it only time spent on MDM?
Selecting Skull Base Surgical Approaches
How should we bill for a skull base surgery approach when the surgeon accessed both the middle and posterior cranial fossae (e.g., CPT® 61591 and 61595), and the main lesion was resected from the posterior cranial fossa (e.g., CPT® 61616)?
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