MSP Billing Codes

Specialty: Neurosurgery

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Code	Description	Anes	Fee
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Cerebral Procedures
03132	- two surgeons - neurosurgeon	8	$2,019.98
03094	Anterior decompressing craniovertebral junction	8	$2,947.49
03125	Bilateral craniectomies for cranial expansion or delayed treatment of synostosis (patient must be older than 1 year)	8	$1,913.31
03144	Corpus callosum - section of corpus callosum	8	$2,255.16
03238	Cortical or deep brain localization with seep or stimulation in an awake patient (extra to craniotomy)	0	$471.01
03147	Cranial reconstruction for complex deformity in a child	8	$2,480.37
03122	Craniectomy for osteomyelitis or skull tumor	7	$1,061.40
03123	Craniectomy osteomyelitis or tumor w/cranioplasty	7	$1,493.23
03121	Cranioplasty	7	$950.12
03057	Craniotomy - cortical resection -epilepsy	8	$2,149.49
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03055	Craniotomy - microsurgical-resection-epilepsy-ga	8	$2,474.42
03053	Craniotomy - neurosurgical component	8	$685.59
03056	Craniotomy - resection - epilepsy/awake	8	$3,249.23
03239	Craniotomy and insertion of subdural grid electrodes with or without additional strip electrodes unilateral	7	$1,465.22
03059	Craniotomy and microsurgical hemispherotomy	8	$2,592.93
03114	Craniotomy and microsurgical removal of tumour	8	$2,909.46
03136	Craniotomy for intracranial aneurysm or angioma	9	$2,731.29
03133	Craniotomy for removal of extra-axial brain tumour using operating microscope	8	$2,909.46
03130	Craniotomy for removal of extra-axial brain tumour using operating microscope when procedure is prolonged more than 8 hours (to include operative report)	8	$4,490.32
03129	Craniotomy for tumor	8	$1,701.87
03222	Craniotomy lasting more than 12 hours	9	$5,337.81
03135	Craniotomy or laminectomy using operating microscope when procedure is prolonged more than 8 hours (to include operative report)	9	$3,924.59
03066	Craniotomy-microsurgical resection-extra-axial	0	$193.16
03148	Forehead reconstruction/extra linear craniectomy	0	$285.85
03058	Hemispherectomy	8	$2,235.64
03139	Implantation of stimulator	3	$985.00
03236	Insertion of subdural strip electrodes - unilateral [epilepsy surgery, to include burrhole(s)]	8	$1,099.02
03140	Intra-cranial stimulating electrodes	7	$2,450.00
03143	Lateral canthal - bilateral	8	$1,280.35
03137	Lateral canthal advancement or similar procedure for coronal synostosis - unilateral	8	$1,195.69
03124	Linear craniectomy or craniotomy for cranial stenosis - 1st suture	7	$1,032.86
03127	Linear craniectomy or craniotomy for cranial stenosis - additional sutures to a maximum of 3 - each extra	7	$253.50
03146	Morcellation of skull for craniosynostosis	8	$1,745.53
03120	Neurosurgical fee for facial craniotomy reconstruction	9	$1,347.34
03235	Ntraoperative cortical localization ssep or stimulation studies g.a. (extra to craniotomy)	0	$235.48
03095	Posterior decompression - no dural repair	8	$1,549.63
03097	Posterior decompression - with 4th ventricular rep	8	$2,124.50
03096	Posterior decompression - with dural repair	8	$1,874.56
03241	Re-opening of craniotomy for removal of subdural grid electrodes unilateral	6	$789.19
03126	Re-opening or removal of bone flap	6	$693.26
03320	Removal of skull tumour without craniectomy	6	$418.78
03237	Removal of subdural strip electrodes - unilateral	6	$471.01
03128	Stereotactic biopsy for intracranial pathology via frame-based or frameless techniques	7	$1,474.65
03189	Stereotactic localization during neurosurgery in association with craniotomy and spinal fusion/stabilization procedures extra	0	$481.50
03131	Transsphenoidal removal of pituitary tumour or hypophysectomy - one surgeon	8	$2,022.48
03138	Unilateral stereotaxic intracranial procedures	7	$1,195.69
Cervical - Instrumented Procedures
03354	Cervical	6	$2,836.82
03358	Cervical - orif	7	$1,008.32
03341	Cervical - segmental (includes c1-2 transarticular screws).	6	$1,087.67
03340	Cervical - simple, single or multiple level (includes gallie fusion)..	6	$541.49
03347	Cervical - stabilization alone (with neurosurgeon).	6	$504.14
03348	Cervical - with plates and discectomy	6	$1,574.63
03349	Cervical - with plates and discectomy	6	$1,769.22
Ceverical - Decompression Procedures
03362	Cervical - single level	6	$625.53
03363	Cervical - two or more levels	6	$807.58
03365	Vertebral body resection - cervical	6	$1,633.84
Endoscopy / Hydrocephalus
03037	Removal of ventricular shunt (operation only)	6	$288.15
03038	Stereotactic localiz w intracran shunt proc-extra	6	$380.65
Extra-cranial Vascular Procedures
03142	Application of silverstone clamps (operation only)	5	$561.66
03141	Cerebral re-vascularization procedure with extracranial-intracranial anastomosis	9	$2,222.19
Functional Neurosurgery / Pain
03276	Dual channel neural stimulator implant test -prof	0	$69.11
03277	Dual channel neural stimulator implant test tech	0	$46.08
03274	Single channel nerual stimulator implant test prof	0	$46.08
03275	Single channel neural stimulator implant test-tech	0	$23.04
Hydrocephalus
03240	Implantation of totally implantable ventricular access device (e.g.: ommaya reservoir) - (operation only)	6	$467.81
03184	Lumbar peritoneal shunt for hydrocephalus	5	$1,011.31
03182	Revision-shunt/ventricular obstruction	6	$1,011.31
03181	Shunt procedure for ventricular obstruction	6	$1,011.31
03188	Ventriculostomy or insertion of external ventricular drain (operation only)	6	$339.44
Maxillo-facial
61381	Plastic surgery portion	8	$2,073.65
Maxillo-facial, Cerebral Procedures
03080	Bilat orbital advancement-hypertelorism team-neurosurgery portion	8	$2,235.25
03082	Bilateral orbital advancement-team proc-neurosurgery portion	8	$2,773.64
61380	Plastic surgery portion	8	$2,235.25
61382	Plastic surgery portion	8	$2,773.64
03081	Unilateral orbital advancement-team proc-neurosurgery portion	8	$2,073.65
Microsurgery
06214	Intrafascicular nerve graft - digital or palmar	2	$533.59
06215	Intrafascicular nerve graft - major nerve	4	$1,600.00
06213	Microfascicular neurorraphy - major nerve	2	$614.93
06212	Microfascicular neurorraphy - digital or palmar	2	$288.08
06210	Microneural surgery; neurolysis - external	2	$288.08
06211	Microneural surgery; neurolysis - intraneural	2	$438.94
03207	Microsurgical removal of neoplasm/major peripheral nerve	3	$815.19
Miscellaneous
03145	Cranioplasty using autologous bone graft	7	$1,341.20
03221	Implantation of vagal nerve stimulator to include electrodes and stimulator	4	$531.34
03100	Intra-operative ultrasound during neurosurgery	0	$40.87
00750	Lumbar puncture in a patient 13 years of age and over	2	$55.28
03211	Muscle biopsy	2	$55.80
03065	Neurosurgical component of cranial facial resection for tumour of ethmoid, frontal sinus or orbit, as a combined procedure with ent	7	$1,639.46
03224	Neurosurgical component of microsurgical removal of cerebellar pontine angle tumour	8	$1,885.07
03227	Neurosurgical interpretation and written report of submitted x-ray films (including ct scan, mri)	0	$59.43
03217	Percutaneous ventricular puncture (operation only)	2	$129.36
03216	Puncture of ventricular shunt for csf aspiration (operation only)	2	$36.20
03225	Removal of vagal nerve stimulator and electrodes	4	$391.52
03230	Repeat neurosurgery	0	$3,892.38
03223	Replacement of stimulator component of vagal nerve stimulator	3	$221.49
Peripheral Nerve
03045	Brachial plexus exploration for neurolysis, primary repair or tumour removal	3	$1,500.00
03196	Exploration, mobilization and transposition	2	$281.48
03204	Hypoglossal facial anastomosis	4	$681.78
03205	Nerve graft	3	$431.81
03048	Nerve graft done in addition to brachial plexus exploration, extra per graft	0	$194.02
03198	Neurectomy of major peripheral nerve	2	$222.43
03049	Neurotization in brachial plexus surgery, extra	0	$452.71
03047	Ntraoperative diagnostic monitoring in brachial plexus surgery, extra	0	$213.42
03046	Post traumatic delayed or repeat exploration in brachial plexus surgery, extra	3	$550.00
03200	Secondary suture including transposition	3	$575.24
03201	Secondary suture of major nerve	3	$437.73
Referred Cases
03101	Avulsion supra or intra-orbital nerve	3	$225.93
03011	Consultation, limited, neurosurgery	0	$90.17
03010	Consultation, neurosurgery	0	$172.86
03232	Cranial nerve with graft/microsurgical anastomosis	0	$733.22
03233	Cranial nerve without graft - microsurgical	0	$449.18
03102	Decompression gasserian ganglion	8	$1,195.79
03005	Emergency visit - neurosurgery	0	$112.94
03250	Microelectrode recording (mer)	0	$3,127.23
03104	Percutaneous rhizotomy 5th nerve	3	$1,024.33
03106	Posterior fossa exploration w/ rhizotomy 5th nerve	8	$1,722.07
03315	Pre-operative assessment - neurosurgery	0	$172.86
03103	Preganglionic rhizotomy 5th nerve	3	$1,037.96
03310	Telehealth consultation - neurosurgery	0	$172.86
03312	Telehealth repeat/limited consult - neurosurgery	0	$90.17
03318	Telehealth subsequent hospital visit -neurosurgery	0	$29.63
03317	Telehealth subsequent office visit - neurosurgery	0	$47.16
03009	Visit, home, neurosurgery	0	$54.82
03008	Visit, hospital, neurosurgery	0	$29.63
03007	Visit, office, neurosurgery	0	$47.16
Spinal
03170	- in conjunction with orthopaedic surgeon (operation only)	0	$649.23
03173	- in conjunction with orthopaedic surgeon (operation only)	0	$649.23
03179	- thoracic or general surgeon	8	$470.49
03305	- using laminotomy electrode (operation only)	5	$951.90
03369	Abscess or hematoma, extraspinal, under ga (operation only).	4	$186.72
03164	Anterior cervical discectomy and fusion - multiple level	6	$1,936.16
03163	Anterior cervical discectomy and fusion - one level	6	$1,429.88
03152	Bischoff's or longitudinal myelotomy	5	$936.10
03177	Cordotomy	5	$791.17
03368	Discogram (operation only)	2	$92.97
03172	Fracture of spine with cord injury - open reduction and fusion	7	$937.07
03169	Fracture of spine without cord injury - open reduction and fusion	7	$686.74
03303	Implantation of pulse generator or receiver for chronic pain stimulation (operation only)	3	$605.71
03304	Implantation of spinal stimulator (complete system), to include implantation of pulse generator/receiver - using percutaneous electrode (operation only)	3	$851.71
03165	Insertion of intracranial pressure monitoring device - operation only	6	$296.11
03215	Insertion of spinal subarachnoid catheter (operation only)	2	$46.62
03220	Insertion of spinal subarachnoid catheter access device-reservoir/pump in anterior chest wall or abdominal wall (operation only)	3	$626.46
03219	Insertion of spinal subarachnoid device reservoir in paraspinal region (operation only)	3	$391.54
03158	Laminectomy for lumbar disc - one level	5	$670.94
03157	Laminectomy for cervical disc - multiple levels	6	$2,204.84
03156	Laminectomy for cervical disc - one level	6	$2,003.94
03168	Laminectomy for intradural spinal cord or extra-medullary tumour or vascular malformation by micro-surgical technique	7	$2,213.98
03159	Laminectomy for lumbar disc - multiple levels	5	$1,333.43
03153	Laminectomy with drez lesion for pain	6	$1,408.69
03150	Laminectomy, 03153, 03155 for selective posterior rhizotomy	5	$1,256.01
03301	Laminotomy for insertion of spinal stimulator electrode for chronic pain (operation only)	5	$472.93
03183	Microsurgical repair of meningomyelocele	6	$1,754.52
03108	Operative facet rhizotomy utilizing fluoroscopy or ct in an operating room environment under general anesthetic	4	$450.00
03178	Operative microsurgical rhizotomy utilizing fluoroscopy or ct in an operating room environment under general anesthetic	5	$932.43
03176	Percutaneous cordotomy	4	$984.04
03361	Percutaneous discectomy	3	$270.75
03302	Percutaneous fluoroscopically controlled insertion of spinal stimulator electrode for chronic pain (operation only)	2	$353.75
03185	Postero-lateral microsurgical thoracic discectomy	8	$1,915.56
03367	Removal of spinal instrumentation	5	$863.50
03307	Removal of spinal/brain stimulator system	3	$400.79
03166	Removal of thoracic disc	8	$2,349.45
03175	Repair of meningocoele or encephalocoele	6	$1,001.39
03231	Repair of spinal csf leak or pseudomeningocoele	5	$698.96
03218	Replacement of spinal subarachnoid catheter access device with infusion pump for spinal subarachnoid infusion (operation only)	3	$462.00
03306	Revision of spinal/cranial stimulator pulse generator	3	$605.71
03151	Stereotaxic surgery	5	$791.17
03174	Trans-thoracic or trans-abdominal removal of thoracic disc; team procedure - neurosurgeon	8	$1,239.79
Thoracolumbar Decompression Procedures
03372	Posterior lumbar interspinous/interlaminar stabilization/instrumentation - multiple level	0	$403.00
03371	Posterior lumbar interspinous/interlaminar stabilization/instrumentation - single level	0	$201.50
03366	Thoracolumbar	8	$1,904.58
03374	Thoracolumbar spinal fusion (6+ hours) - multiple level	0	$604.50
03373	Thoracolumbar spinal fusion (6+ hours) - single level	0	$403.00
03364	Thoracolumbar- includes decompression	8	$1,442.43
Thoracolumbar - Instrumented Procedures
03359	Orif with segmental fixation alone.	7	$1,307.07
03360	Orif with segmental fixation and decompression.	7	$1,577.82
03356	Posterior instrumentation and fusion - adult	7	$1,769.22
03357	Posterior instrumentation and fusion - pediatric	7	$1,442.43
03352	Thoracolumbar	8	$1,442.43
03350	Thoracolumbar - approach and stabilization alone (with neurosurgeon).	8	$952.30
03351	Thoracolumbar - instrumentation with anterior release or vertebrectomy.	8	$2,449.42
03346	Thoracolumbar - segmental instrumentation and fusion with decompression - multiple levels .	7	$2,411.31
03345	Thoracolumbar - segmental instrumentation and fusion with decompression - single level .	7	$2,058.13
03344	Thoracolumbar - segmental instrumentation and spinal fusion	7	$1,251.05
03343	Thoracolumbar - simple instrumentation (harrington or wires or screws, etc.).	7	$774.90
03353	Thoracolumbar - with anterior instrumentation and correction.	8	$1,713.19
03342	Thoracolumbar - without instrumentation	5	$490.15
03355	Thoracolumbar spinal fusion	7	$3,526.25
03370	Thoracolumbar spinal fusion (6+ hours)	0	$50.79
Trauma
03116	Abscess intra-cranial	8	$1,719.76
03113	Cerebral laceration with skull fracture	8	$1,867.71
03118	Craniotomy repair cfs leak	8	$1,612.18
03119	Craniotomy, microvascular decompression	8	$1,999.53
03110	Elevation of depressed skull fracture in infant	6	$142.29
03115	Exploration subdural space	6	$914.11
03112	Skull fracture depressed compound	6	$1,177.67
03111	Skull fracture depressed simple	5	$729.98
Venticuloscopic Procedures
03036	Ventricular shunt with ventriculoscopic guidance	6	$1,074.87
03035	Ventriculoscopic resection /intraventricular tumor	6	$2,576.95
03033	Ventriculoscopic retrieval of foreign body	6	$1,638.85
03030	Ventriculoscopy	6	$840.73
03031	Ventriculoscopy, third ventriculostomy	6	$1,324.72
03032	Ventriculoscopy/endoscopy biopsy /intraventricular	6	$1,909.66
03034	Ventriculoscopy/fenestration of cyst or septum	6	$1,475.45
Vertebra, Facette and Spine
58250	Abscess/hematoma - extraspinal/ga	4	$185.33
58710	Application of halo - c-spine fracture/dislocation	4	$186.72
11845	Biopsy, with ga	3	$242.74
58715	Cervical spine - orif	7	$1,000.81
58680	Deformity correction - cervical	6	$2,427.87
58670	Deformity correction - thoracolumbar	8	$1,431.69
58675	Deformity correction - thoracolumbar/anterior inst	8	$1,700.44
58690	Deformity; instrumentation/fusion/posterior, adult	7	$1,756.05
58695	Deformity; instrumentation/fusion/posterior, child	7	$1,431.69
58305	Discectomy	3	$268.73
58375	Discectomy - cervical - >2 levels	6	$801.57
58370	Discectomy - cervical, single level	6	$620.87
58376	Discectomy - thoracolumbar	8	$1,431.69
58210	Discogram	2	$92.28
58725	Fracture/dislocation, thoracolumbar spine/fixation	7	$1,297.34
58205	Injection/aspiration - facet joint	2	$92.97
03167	Insertion of skull tongs (operation only)	4	$126.29
03155	Laminectomy - for hematoma, tumour or vascular malformation	6	$1,202.45
03160	Laminectomy for congenital spinal malformation or tethered spinal cord	5	$2,027.87
03162	Laminectomy for generalized spinal stenosis (more than two levels)	5	$1,213.99
03161	Laminectomy for localized spinal stenosis (two levels or less)	5	$789.13
03180	Multiple level laminectomy for cervical cord compression, three or more levels	6	$1,430.75
11831	Needle biopsy - soft tissue/bone - lumbar spine, under ga	2	$186.72
11830	Needle biopsy - soft tissue/bone - thoracic spine, under ga	2	$214.73
58685	Osteotomy - thoracolumbar- posterior	7	$2,427.87
58410	Spinal instrumentation - removal	5	$509.68
58655	Stabilization - anterior - thoracolumbar	8	$945.21
58640	Stabilization - anterior: cervical	6	$500.39
58645	Stabilization - cervical - plates/discectomy	6	$982.27
58650	Stabilization - cervical - plates/vertebrectomy	6	$1,756.05
58605	Stabilization - posterior - cervical	6	$537.46
58610	Stabilization - segmental - cervical	6	$1,079.57
58625	Stabilization - thoracolumbar/segmental instrument	7	$1,241.74
58630	Stabilization thoracolumbar, fusion/decompression	7	$1,566.07
58620	Stabilization thoracolumbar/simple instrumentation	7	$769.13
58615	Stabilization thoracolumbar/without instrumentatio	5	$486.50
58660	Stabilization; anterior, thoracolumbar/instrument	8	$2,024.76
58635	Thoracolumbar fusion/decompression/multiple levels	7	$1,834.81
58726	Thoracolumbar spine; orif/fixation + decompression	7	$1,566.07
58385	Vertebral body resection - cervical	6	$1,621.68
58386	Vertebral body resection - thoracolumbar	8	$1,890.40

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