Neurosurgery MSP billing codes


Referred Cases

Code Description Amount
03005 EMERGENCY VISIT - NEUROSURGERY $112.94
03007 VISIT, OFFICE, NEUROSURGERY $47.16
03008 VISIT, HOSPITAL, NEUROSURGERY $29.63
03009 VISIT, HOME, NEUROSURGERY $54.82
03010 CONSULTATION, NEUROSURGERY $172.86
03011 CONSULTATION, LIMITED, NEUROSURGERY $78.97
03101 AVULSION SUPRA OR INTRA-ORBITAL NERVE $225.93
03102 DECOMPRESSION GASSERIAN GANGLION $1,195.79
03103 PREGANGLIONIC RHIZOTOMY 5TH NERVE $1,037.96
03104 PERCUTANEOUS RHIZOTOMY 5TH NERVE $1,024.33
03106 POSTERIOR FOSSA EXPLORATION W/ RHIZOTOMY 5TH NERVE $1,722.07
03232 CRANIAL NERVE WITH GRAFT/MICROSURGICAL ANASTOMOSIS $733.22
03233 CRANIAL NERVE WITHOUT GRAFT - MICROSURGICAL $449.18
03250 MICROELECTRODE RECORDING (MER) $3,127.23
03310 TELEHEALTH CONSULTATION - NEUROSURGERY $172.86
03312 TELEHEALTH REPEAT/LIMITED CONSULT - NEUROSURGERY $78.97
03317 TELEHEALTH SUBSEQUENT OFFICE VISIT - NEUROSURGERY $47.16
03318 TELEHEALTH SUBSEQUENT HOSPITAL VISIT -NEUROSURGERY $29.63

Trauma

Code Description Amount
03110 ELEVATION OF DEPRESSED SKULL FRACTURE IN INFANT $142.29
03111 SKULL FRACTURE DEPRESSED SIMPLE $729.98
03112 SKULL FRACTURE DEPRESSED COMPOUND $1,177.67
03113 CEREBRAL LACERATION WITH SKULL FRACTURE $1,867.71
03115 EXPLORATION SUBDURAL SPACE $914.11
03116 ABSCESS INTRA-CRANIAL $1,719.76
03118 CRANIOTOMY REPAIR CFS LEAK $1,612.18
03119 CRANIOTOMY, MICROVASCULAR DECOMPRESSION $1,999.53

Cerebral Procedures

Code Description Amount
02437 Transphenoidal removal of pituitary tumour or hypophysectomy - two surgeons - otolaryngologist $1,233.76
03053 CRANIOTOMY - NEUROSURGICAL COMPONENT $685.59
03055 CRANIOTOMY - MICROSURGICAL-RESECTION-EPILEPSY-GA $2,474.42
03056 CRANIOTOMY - RESECTION - EPILEPSY/AWAKE $3,249.23
03057 CRANIOTOMY - CORTICAL RESECTION -EPILEPSY $2,149.49
03058 HEMISPHERECTOMY $2,235.64
03059 CRANIOTOMY AND MICROSURGICAL HEMISPHEROTOMY $2,592.93
03066 CRANIOTOMY-MICROSURGICAL RESECTION-EXTRA-AXIAL $193.16
03080 BILAT ORBITAL ADVANCEMENT-HYPERTELORISM TEAM-NEUROSURGERY PORTION $2,235.25
03081 UNILATERAL ORBITAL ADVANCEMENT-TEAM PROC-NEUROSURGERY PORTION $2,073.65
03082 BILATERAL ORBITAL ADVANCEMENT-TEAM PROC-NEUROSURGERY PORTION $2,773.64
03094 ANTERIOR DECOMPRESSING CRANIOVERTEBRAL JUNCTION $2,947.49
03095 POSTERIOR DECOMPRESSION - NO DURAL REPAIR $1,549.63
03096 POSTERIOR DECOMPRESSION - WITH DURAL REPAIR $1,874.56
03097 POSTERIOR DECOMPRESSION - WITH 4TH VENTRICULAR REP $2,124.50
03114 CRANIOTOMY AND MICROSURGICAL REMOVAL OF TUMOUR $2,909.46
03120 Neurosurgical fee for facial craniotomy reconstruction $1,347.34
03121 CRANIOPLASTY $950.12
03122 CRANIECTOMY FOR OSTEOMYELITIS OR SKULL TUMOR $1,061.40
03123 CRANIECTOMY OSTEOMYELITIS OR TUMOR W/CRANIOPLASTY $1,493.23
03124 Linear craniectomy or craniotomy for cranial stenosis - 1st suture $1,032.86
03125 Bilateral craniectomies for cranial expansion or delayed treatment of synostosis (patient must be older than 1 year) $1,913.31
03126 RE-OPENING OR REMOVAL OF BONE FLAP $693.26
03127 Linear craniectomy or craniotomy for cranial stenosis - additional sutures to a maximum of 3 - each extra $253.50
03128 Stereotactic biopsy for intracranial pathology via frame-based or frameless techniques $1,474.65
03129 CRANIOTOMY FOR TUMOR $1,701.87
03130 Craniotomy for removal of extra-axial brain tumour using operating microscope when procedure is prolonged more than 8 hours (to include operative report) $4,490.32
03131 Transsphenoidal removal of pituitary tumour or hypophysectomy - one surgeon $2,022.48
03132 - two surgeons - neurosurgeon $2,019.98
03133 Craniotomy for removal of extra-axial brain tumour using operating microscope $2,909.46
03135 Craniotomy or laminectomy using operating microscope when procedure is prolonged more than 8 hours (to include operative report) $3,924.59
03136 Craniotomy for intracranial aneurysm or angioma $2,435.78
03137 Lateral canthal advancement or similar procedure for coronal synostosis - unilateral $1,195.69
03138 Unilateral stereotaxic intracranial procedures $1,195.69
03139 IMPLANTATION OF STIMULATOR $985.00
03140 INTRA-CRANIAL STIMULATING ELECTRODES $2,450.00
03143 LATERAL CANTHAL - BILATERAL $1,280.35
03144 CORPUS CALLOSUM - Section of corpus callosum $1,998.14
03146 Morcellation of skull for craniosynostosis $1,745.53
03147 Cranial reconstruction for complex deformity in a child $2,078.06
03148 FOREHEAD RECONSTRUCTION/EXTRA LINEAR CRANIECTOMY $285.85
03189 Stereotactic localization during neurosurgery in association with craniotomy and spinal fusion/stabilization procedures – extra $481.50
03222 CRANIOTOMY LASTING MORE THAN 12 HOURS $5,337.81
03235 ntraoperative cortical localization SSEP or stimulation studies G.A. (extra to craniotomy) $235.48
03236 Insertion of subdural strip electrodes - unilateral [epilepsy surgery, to include burrhole(s)] $1,099.02
03237 Removal of subdural strip electrodes - unilateral $471.01
03238 Cortical or deep brain localization with SEEP or stimulation in an awake patient (extra to craniotomy) $471.01
03239 Craniotomy and insertion of subdural grid electrodes with or without additional strip electrodes – unilateral $1,465.22
03241 Re-opening of craniotomy for removal of subdural grid electrodes – unilateral $789.19
03320 Removal of skull tumour without craniectomy $418.78
61380 Plastic Surgery portion $2,235.25
61382 Plastic Surgery portion $2,773.64

Venticuloscopic Procedures

Code Description Amount
03030 VENTRICULOSCOPY $840.73
03031 VENTRICULOSCOPY, THIRD VENTRICULOSTOMY $1,324.72
03032 VENTRICULOSCOPY/ENDOSCOPY BIOPSY /INTRAVENTRICULAR $1,909.66
03033 VENTRICULOSCOPIC RETRIEVAL OF FOREIGN BODY $1,638.85
03034 VENTRICULOSCOPY/FENESTRATION OF CYST OR SEPTUM $1,475.45
03035 VENTRICULOSCOPIC RESECTION /INTRAVENTRICULAR TUMOR $2,576.95
03036 VENTRICULAR SHUNT WITH VENTRICULOSCOPIC GUIDANCE $1,074.87

Extra Cranial Vascular Procedures

Code Description Amount
03141 Cerebral re-vascularization procedure with extracranial-intracranial anastomosis $2,222.19
03142 Application of Silverstone clamps (operation only) $561.66

Spinal

Code Description Amount
03108 Operative facet rhizotomy utilizing fluoroscopy or CT in an operating room environment under general anesthetic $450.00
03150 Laminectomy, 03153, 03155 for selective posterior rhizotomy $1,256.01
03151 STEREOTAXIC SURGERY $785.28
03152 Bischoff's or longitudinal myelotomy $936.10
03153 Laminectomy with DREZ lesion for pain $1,408.69
03155 LAMINECTOMY - for hematoma, tumour or vascular malformation $948.86
03156 LAMINECTOMY FOR CERVICAL DISC - ONE LEVEL $1,524.64
03157 LAMINECTOMY FOR CERVICAL DISC - MULTIPLE LEVELS $1,874.56
03158 LAMINECTOMY FOR LUMBAR DISC - ONE LEVEL $670.94
03159 LAMINECTOMY FOR LUMBAR DISC - MULTIPLE LEVELS $1,323.50
03160 Laminectomy for congenital spinal malformation or tethered spinal cord $2,027.87
03161 Laminectomy for localized spinal stenosis (two levels or less) $789.13
03162 Laminectomy for generalized spinal stenosis (more than two levels) $1,213.99
03163 Anterior cervical discectomy and fusion - one level $1,429.88
03164 Anterior cervical discectomy and fusion - multiple level $1,936.16
03165 Insertion of intracranial pressure monitoring device - operation only $296.11
03166 Removal of thoracic disc $2,349.45
03167 Insertion of skull tongs (operation only) $126.29
03168 Laminectomy for intradural spinal cord or extra-medullary tumour or vascular malformation by micro-surgical technique $2,213.98
03169 Fracture of spine without cord injury - open reduction and fusion $686.74
03170 - in conjunction with orthopaedic surgeon (operation only) $649.23
03172 Fracture of spine with cord injury - open reduction and fusion $937.07
03173 - in conjunction with orthopaedic surgeon (operation only) $649.23
03174 Trans-thoracic or trans-abdominal removal of thoracic disc; team procedure - Neurosurgeon $1,239.79
03175 Repair of meningocoele or encephalocoele $1,001.39
03176 Percutaneous cordotomy $984.04
03177 CORDOTOMY $791.17
03178 Operative microsurgical rhizotomy utilizing fluoroscopy or CT in an operating room environment under general anesthetic $932.43
03179 - Thoracic or General Surgeon $470.49
03180 Multiple level laminectomy for cervical cord compression, three or more levels $1,430.75
03183 Microsurgical repair of meningomyelocele $1,754.52
03185 Postero-lateral microsurgical thoracic discectomy $1,915.56
03215 Insertion of spinal subarachnoid catheter (operation only) $46.62
03218 Replacement of spinal subarachnoid catheter access device with infusion pump for spinal subarachnoid infusion (operation only) $462.00
03219 Insertion of spinal subarachnoid device reservoir in paraspinal region (operation only) $391.54
03220 Insertion of spinal subarachnoid catheter access device-reservoir/pump in anterior chest wall or abdominal wall (operation only) $626.46
03231 Repair of spinal CSF leak or pseudomeningocoele $698.96
03301 Laminotomy for insertion of spinal stimulator electrode for chronic pain (operation only) $472.93
03302 Percutaneous fluoroscopically controlled insertion of spinal stimulator electrode for chronic pain (operation only) $353.75
03303 Implantation of pulse generator or receiver for chronic pain stimulation (operation only) $605.71
03304 Implantation of spinal stimulator (complete system), to include implantation of pulse generator/receiver - using percutaneous electrode (operation only) $851.71
03305 - using laminotomy electrode (operation only) $951.90
03306 Revision of spinal/cranial stimulator pulse generator $605.71
03307 Removal of spinal/brain stimulator system $400.79

Hydrocephalus

Code Description Amount
03181 SHUNT PROCEDURE FOR VENTRICULAR OBSTRUCTION $1,011.31
03182 REVISION-SHUNT/VENTRICULAR OBSTRUCTION $1,011.31
03184 Lumbar peritoneal shunt for hydrocephalus $1,011.31
03188 Ventriculostomy or insertion of external ventricular drain (operation only) $339.44
03240 Implantation of totally implantable ventricular access device (e.g.: Ommaya reservoir) - (operation only) $467.81

Peripheral Nerve

Code Description Amount
03045 Brachial plexus exploration for neurolysis, primary repair or tumour removal $1,500.00
03046 Post traumatic delayed or repeat exploration in brachial plexus surgery, extra $550.00
03047 ntraoperative diagnostic monitoring in brachial plexus surgery, extra $213.42
03048 Nerve graft done in addition to brachial plexus exploration, extra per graft $194.02
03049 Neurotization in brachial plexus surgery, extra $452.71
03196 Exploration, mobilization and transposition $281.48
03198 NEURECTOMY OF MAJOR PERIPHERAL NERVE $222.43
03200 Secondary suture including transposition $575.24
03201 Secondary suture of major nerve $437.73
03204 HYPOGLOSSAL FACIAL ANASTOMOSIS $681.78
03205 NERVE GRAFT $431.81
03207 MICROSURGICAL REMOVAL OF NEOPLASM/MAJOR PERIPHERAL NERVE $815.19

Miscellaneous

Code Description Amount
03065 Neurosurgical component of cranial facial resection for tumour of ethmoid, frontal sinus or orbit, as a combined procedure with ENT $1,627.26
03100 INTRA-OPERATIVE ULTRASOUND DURING NEUROSURGERY $40.57
03211 MUSCLE BIOPSY $55.80
03216 Puncture of ventricular shunt for CSF aspiration (operation only) $36.20
03217 Percutaneous ventricular puncture (operation only) $129.36
03221 Implantation of vagal nerve stimulator – to include electrodes and stimulator $531.34
03223 REPLACEMENT OF STIMULATOR COMPONENT OF VAGAL NERVE STIMULATOR $221.49
03224 Neurosurgical component of microsurgical removal of cerebellar pontine angle tumour $1,885.07
03225 REMOVAL OF VAGAL NERVE STIMULATOR AND ELECTRODES $391.52
03227 Neurosurgical interpretation and written report of submitted x-ray films (including CT scan, MRI) $59.43
03230 REPEAT NEUROSURGERY $3,863.40

Diagnostic Procedures

Code Description Amount
00750 Lumbar puncture in a patient 13 years of age and over $54.99

Vertebra, Facette And Spine

Code Description Amount
11830 Needle biopsy - soft tissue/bone - thoracic spine, under GA $214.73
11831 Needle biopsy - soft tissue/bone - lumbar spine, under GA $186.72
11845 Biopsy, with GA $242.74
58205 INJECTION/ASPIRATION - FACET JOINT $92.97
58210 DISCOGRAM $92.28
58250 ABSCESS/HEMATOMA - EXTRASPINAL/GA $185.33
58305 DISCECTOMY $268.73
58370 DISCECTOMY - CERVICAL, SINGLE LEVEL $620.87
58375 DISCECTOMY - CERVICAL - >2 LEVELS $801.57
58376 DISCECTOMY - THORACOLUMBAR $1,431.69
58385 VERTEBRAL BODY RESECTION - CERVICAL $1,621.68
58386 VERTEBRAL BODY RESECTION - THORACOLUMBAR $1,890.40
58410 SPINAL INSTRUMENTATION - REMOVAL $509.68
58605 STABILIZATION - POSTERIOR - CERVICAL $537.46
58610 STABILIZATION - SEGMENTAL - CERVICAL $1,079.57
58615 STABILIZATION THORACOLUMBAR/WITHOUT INSTRUMENTATIO $486.50
58620 STABILIZATION THORACOLUMBAR/SIMPLE INSTRUMENTATION $769.13
58625 STABILIZATION - THORACOLUMBAR/SEGMENTAL INSTRUMENT $1,241.74
58630 STABILIZATION THORACOLUMBAR, FUSION/DECOMPRESSION $1,566.07
58635 THORACOLUMBAR FUSION/DECOMPRESSION/MULTIPLE LEVELS $1,834.81
58640 STABILIZATION - ANTERIOR: CERVICAL $500.39
58645 STABILIZATION - CERVICAL - PLATES/DISCECTOMY $982.27
58650 STABILIZATION - CERVICAL - PLATES/VERTEBRECTOMY $1,756.05
58655 STABILIZATION - ANTERIOR - THORACOLUMBAR $945.21
58660 STABILIZATION; ANTERIOR, THORACOLUMBAR/INSTRUMENT $2,024.76
58670 DEFORMITY CORRECTION - THORACOLUMBAR $1,431.69
58675 DEFORMITY CORRECTION - THORACOLUMBAR/ANTERIOR INST $1,700.44
58680 DEFORMITY CORRECTION - CERVICAL $2,427.87
58685 OSTEOTOMY - THORACOLUMBAR- POSTERIOR $2,427.87
58690 DEFORMITY; INSTRUMENTATION/FUSION/POSTERIOR, ADULT $1,756.05
58695 DEFORMITY; INSTRUMENTATION/FUSION/POSTERIOR, CHILD $1,431.69
58710 APPLICATION OF HALO - C-SPINE FRACTURE/DISLOCATION $186.72
58715 CERVICAL SPINE - ORIF $1,000.81
58725 FRACTURE/DISLOCATION, THORACOLUMBAR SPINE/FIXATION $1,297.34
58726 THORACOLUMBAR SPINE; ORIF/FIXATION + DECOMPRESSION $1,566.07

Skull Base Procedures

Code Description Amount
02262 Translabyrinthine approach for neurosurgical access exposure, closure with microscope $2,429.48
02610 Middle cranial fossa approach without petrosectomy - for trauma, neoplasm resection, nerve section/decompression $1,423.90
02612 MIDDLE CRANIAL FOSSA APPROACH - PETROSECTOMY $1,929.76
02613 MIDDLE CRANIAL FOSSA APPROACH-– petrosectomy - procedure lasting longer than 8 hours $2,412.08
02614 Retrolabyrinthine approach for neurosurgical access - exposure, closure with microscope $2,206.00
02618 Repair of CSF leak following skull base approach with mastoid obliteration - to include exposure, dissection and closure with microscope $1,400.00
02622 INFRA-TEMPORAL FOSSA APPROACH TO SKULL BASE - Otolaryngology fee $2,224.40
02623 INFRA-TEMPORAL FOSSA APPROACH TO SKULL BASE - Otolaryngology fee for procedure lasting longer than 8 hours $2,582.14

Microsurgery

Code Description Amount
06210 MICRONEURAL SURGERY; NEUROLYSIS - EXTERNAL $288.08
06211 MICRONEURAL SURGERY; NEUROLYSIS - INTRANEURAL $438.94
06212 MICROFASCICULAR NEURORRAPHY - DIGITAL OR PALMAR $288.08
06213 MICROFASCICULAR NEURORRAPHY - MAJOR NERVE $614.93
06214 INTRAFASCICULAR NERVE GRAFT - DIGITAL OR PALMAR $533.59
06215 INTRAFASCICULAR NERVE GRAFT - MAJOR NERVE $1,600.00

Other

Code Description Amount
03145 CRANIOPLASTY USING AUTOLOGOUS BONE GRAFT $1,341.20
61381 Plastic Surgery portion $2,073.65