RE: Re:Surgery placement of bilateral deep brain stimulstaion electrodes with teh use of intraoperat

Hi,
Neurosurgery, billing for this prior to a surgery on a patient with Parkinson's submitted a 64999. The patient has been resistant to Medical therapy so they felt he was a candidate for deep brain stimulation of the subthalamic nucleus. (what I found below) Neuro experts??


At present, the procedure is used only for patients whose symptoms cannot be adequately controlled with medications.DBS uses a surgically implanted, battery-operated medical device called a neurostimulator—similar to a heart pacemaker and approximately the size of a stopwatch—to deliver electrical stimulation to targeted areas in the brain that control movement, blocking the abnormal nerve signals that cause tremor and PD symptoms. Before the procedure, a neurosurgeon uses magnetic resonance imaging (MRI) or computed tomography (CT) scanning to identify and locate the exact target within the brain where electrical nerve signals generate the PD symptoms.



Karyn Cardenas-Foray, CPC, CPMA ,CHCA, CEMC,CIMC,CSEMC
AHIMA ICD10 PROFICIENT
Government Reimbursement Analyst-Sharp Health Care
PFS-CCD 3rd Floor
858-499-4382


-----Original Message-----
From: Sam Cooper [mailto:scooper@iowaortho.com]
Sent: Thursday, March 02, 2017 11:11 AM
To: Multiple recipients of list CodingPro-L
Subject: Re:[codingpro-l] Surgery Not Paid-Can we bill for subsequent visits?

Thank you! As far as I know, we have not tried to appeal this denial as the CPT 63051 is on the Inpatient only list for CMS, although the payer is not CMS but Aetna/UHC. 
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