AMA CPT® Assistant - 2017 Issue 4 (April)
Surgery: Nervous System (Q&A) (April 2017)
April 2017 page 10 Surgery: Nervous System Question: Should code 61630 be reported when the neurosurgeon performs a percutaneous trigeminal rhizotomy with balloon compression with biplanar fluoroscopy assistance? This procedure is performed for the treatment of medically refractory trigeminal neuralgia. Answer: No, in this instance, it is not appropriate to report code 61630, Balloon angioplasty, intracranial (eg, atherosclerotic stenosis), percutaneous, because that procedure is intended for the catheterization of cerebral arteries and not for the destruction of cranial nerves. Instead, code 64610, Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring...
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