tci General Surgery Coding Alert - 2002 Issue 4

Reader Question: Pediatric Shunt Insertions

Question: Some of our surgeons have worked with pediatric neurosurgeons to insert ventriculo-peritoneal (VP) or ventriculo-atrial (VA) shunts in the operating room. We do the cutdown and tunneling of the shunt tubing in the chest area (similar to a port), and the other doctor does the cerebral portion. I have used the shunt codes with modifier -62. Others have suggested that we use 36533 and that the neurosurgeons use shunt codes 62220 and 62223. What is your view on this?Michigan Subscriber  Answer: The neurosurgeon has no choice but to split reimbursement for the shunt code. It is...

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