AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2017 Issue 3; Ask the Editor

Implantation of Bilateral Neurostimulator Electrodes

A patient underwent placement of a responsive neurostimulator with bilateral hippocampal depth electrodes. During the procedure, a stereotactic Leksell frame was fitted to the patient’s head. A linear incision was then extended in an arc from the left occiput to the right parietal region. The left-sided depth electrode coordinate was programmed into the Leksell arc and a myocutaneous flap was created to expose the surface of the skull where the burr hole would be centered. A burr hole was then created via a perforated drill bit. The dura and pia were opened and the NeuroPace depth electrode was inserted into the cannula. The burr hole was plugged and the outer cannula was removed. The same procedure was repeated for insertion of the right-sided depth electrode. Would the approach value for the insertion of neurostimulator leads via burr holes be reported as “open or percutaneous”? ...

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