MSP Billing Codes

Specialty: Neurosurgery

Code Description Fee
3053 Craniotomy - neurosurgical component $685.59
3055 Craniotomy - microsurgical-resection-epilepsy-ga $2,474.42
3056 Craniotomy - resection - epilepsy/awake $3,249.23
3057 Craniotomy - cortical resection -epilepsy $2,149.49
3058 Hemispherectomy $2,235.64
3059 Craniotomy and microsurgical hemispherotomy $2,592.93
3066 Craniotomy-microsurgical resection-extra-axial $193.16
3094 Anterior decompressing craniovertebral junction $2,947.49
3095 Posterior decompression - no dural repair $1,549.63
3096 Posterior decompression - with dural repair $1,874.56

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3097 Posterior decompression - with 4th ventricular rep $2,124.50
3114 Craniotomy and microsurgical removal of tumour $2,909.46
3120 Neurosurgical fee for facial craniotomy reconstruction $1,347.34
3121 Cranioplasty $950.12
3122 Craniectomy for osteomyelitis or skull tumor $1,061.40
3123 Craniectomy osteomyelitis or tumor w/cranioplasty $1,493.23
3124 Linear craniectomy or craniotomy for cranial stenosis - 1st suture $1,032.86
3125 Bilateral craniectomies for cranial expansion or delayed treatment of synostosis (patient must be older than 1 year) $1,913.31
3126 Re-opening or removal of bone flap $693.26
3127 Linear craniectomy or craniotomy for cranial stenosis - additional sutures to a maximum of 3 - each extra $253.50
3128 Stereotactic biopsy for intracranial pathology via frame-based or frameless techniques $1,474.65
3129 Craniotomy for tumor $1,701.87
3130 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
3131 Transsphenoidal removal of pituitary tumour or hypophysectomy - one surgeon $2,022.48
3132 - two surgeons - neurosurgeon $2,019.98
3133 Craniotomy for removal of extra-axial brain tumour using operating microscope $2,909.46
3135 Craniotomy or laminectomy using operating microscope when procedure is prolonged more than 8 hours (to include operative report) $3,924.59
3136 Craniotomy for intracranial aneurysm or angioma $2,731.29
3137 Lateral canthal advancement or similar procedure for coronal synostosis - unilateral $1,195.69
3138 Unilateral stereotaxic intracranial procedures $1,195.69
3139 Implantation of stimulator $985.00
3140 Intra-cranial stimulating electrodes $2,450.00
3143 Lateral canthal - bilateral $1,280.35
3144 Corpus callosum - section of corpus callosum $2,255.16
3146 Morcellation of skull for craniosynostosis $1,745.53
3147 Cranial reconstruction for complex deformity in a child $2,480.37
3148 Forehead reconstruction/extra linear craniectomy $285.85
3189 Stereotactic localization during neurosurgery in association with craniotomy and spinal fusion/stabilization procedures extra $481.50
3222 Craniotomy lasting more than 12 hours $5,337.81
3235 Ntraoperative cortical localization ssep or stimulation studies g.a. (extra to craniotomy) $235.48
3236 Insertion of subdural strip electrodes - unilateral [epilepsy surgery, to include burrhole(s)] $1,099.02
3237 Removal of subdural strip electrodes - unilateral $471.01
3238 Cortical or deep brain localization with seep or stimulation in an awake patient (extra to craniotomy) $471.01
3239 Craniotomy and insertion of subdural grid electrodes with or without additional strip electrodes unilateral $1,465.22
3241 Re-opening of craniotomy for removal of subdural grid electrodes unilateral $789.19
3320 Removal of skull tumour without craniectomy $418.78
3340 Cervical - simple, single or multiple level (includes gallie fusion).. $541.49
3341 Cervical - segmental (includes c1-2 transarticular screws). $1,087.67
3347 Cervical - stabilization alone (with neurosurgeon). $504.14
3348 Cervical - with plates and discectomy $1,574.63
3349 Cervical - with plates and discectomy $1,769.22
3354 Cervical $2,836.82
3358 Cervical - orif $1,008.32
3362 Cervical - single level $625.53
3363 Cervical - two or more levels $807.58
3365 Vertebral body resection - cervical $1,633.84
3037 Removal of ventricular shunt (operation only) $288.15
3038 Stereotactic localiz w intracran shunt proc-extra $380.65
3141 Cerebral re-vascularization procedure with extracranial-intracranial anastomosis $2,222.19
3142 Application of silverstone clamps (operation only) $561.66
3274 Single channel nerual stimulator implant test prof $46.08
3275 Single channel neural stimulator implant test-tech $23.04
3276 Dual channel neural stimulator implant test -prof $69.11
3277 Dual channel neural stimulator implant test tech $46.08
3181 Shunt procedure for ventricular obstruction $1,011.31
3182 Revision-shunt/ventricular obstruction $1,011.31
3184 Lumbar peritoneal shunt for hydrocephalus $1,011.31
3188 Ventriculostomy or insertion of external ventricular drain (operation only) $339.44
3240 Implantation of totally implantable ventricular access device (e.g.: ommaya reservoir) - (operation only) $467.81
61381 Plastic surgery portion $2,073.65
3080 Bilat orbital advancement-hypertelorism team-neurosurgery portion $2,235.25
3081 Unilateral orbital advancement-team proc-neurosurgery portion $2,073.65
3082 Bilateral orbital advancement-team proc-neurosurgery portion $2,773.64
61380 Plastic surgery portion $2,235.25
61382 Plastic surgery portion $2,773.64
6210 Microneural surgery; neurolysis - external $288.08
6211 Microneural surgery; neurolysis - intraneural $438.94
6212 Microfascicular neurorraphy - digital or palmar $288.08
6213 Microfascicular neurorraphy - major nerve $614.93
6214 Intrafascicular nerve graft - digital or palmar $533.59
6215 Intrafascicular nerve graft - major nerve $1,600.00
3207 Microsurgical removal of neoplasm/major peripheral nerve $815.19
750 Lumbar puncture in a patient 13 years of age and over $55.28
3065 Neurosurgical component of cranial facial resection for tumour of ethmoid, frontal sinus or orbit, as a combined procedure with ent $1,639.46
3100 Intra-operative ultrasound during neurosurgery $40.87
3211 Muscle biopsy $55.80
3216 Puncture of ventricular shunt for csf aspiration (operation only) $36.20
3217 Percutaneous ventricular puncture (operation only) $129.36
3221 Implantation of vagal nerve stimulator to include electrodes and stimulator $531.34
3223 Replacement of stimulator component of vagal nerve stimulator $221.49
3224 Neurosurgical component of microsurgical removal of cerebellar pontine angle tumour $1,885.07
3225 Removal of vagal nerve stimulator and electrodes $391.52
3227 Neurosurgical interpretation and written report of submitted x-ray films (including ct scan, mri) $59.43
3230 Repeat neurosurgery $3,892.38
3200 Secondary suture including transposition $575.24
3201 Secondary suture of major nerve $437.73
3205 Nerve graft $431.81
3145 Cranioplasty using autologous bone graft $1,341.20
3045 Brachial plexus exploration for neurolysis, primary repair or tumour removal $1,500.00
3046 Post traumatic delayed or repeat exploration in brachial plexus surgery, extra $550.00
3047 Ntraoperative diagnostic monitoring in brachial plexus surgery, extra $213.42
3048 Nerve graft done in addition to brachial plexus exploration, extra per graft $194.02
3049 Neurotization in brachial plexus surgery, extra $452.71
3196 Exploration, mobilization and transposition $281.48
3198 Neurectomy of major peripheral nerve $222.43
3204 Hypoglossal facial anastomosis $681.78
3005 Emergency visit - neurosurgery $112.94
3007 Visit, office, neurosurgery $47.16
3008 Visit, hospital, neurosurgery $29.63
3009 Visit, home, neurosurgery $54.82
3010 Consultation, neurosurgery $172.86
3011 Consultation, limited, neurosurgery $90.17
3101 Avulsion supra or intra-orbital nerve $225.93
3102 Decompression gasserian ganglion $1,195.79
3103 Preganglionic rhizotomy 5th nerve $1,037.96
3104 Percutaneous rhizotomy 5th nerve $1,024.33
3106 Posterior fossa exploration w/ rhizotomy 5th nerve $1,722.07
3232 Cranial nerve with graft/microsurgical anastomosis $733.22
3233 Cranial nerve without graft - microsurgical $449.18
3250 Microelectrode recording (mer) $3,127.23
3310 Telehealth consultation - neurosurgery $172.86
3312 Telehealth repeat/limited consult - neurosurgery $90.17
3315 Pre-operative assessment - neurosurgery $172.86
3317 Telehealth subsequent office visit - neurosurgery $47.16
3318 Telehealth subsequent hospital visit -neurosurgery $29.63
3108 Operative facet rhizotomy utilizing fluoroscopy or ct in an operating room environment under general anesthetic $450.00
3150 Laminectomy, 03153, 03155 for selective posterior rhizotomy $1,256.01
3151 Stereotaxic surgery $791.17
3152 Bischoff's or longitudinal myelotomy $936.10
3153 Laminectomy with drez lesion for pain $1,408.69
3156 Laminectomy for cervical disc - one level $2,003.94
3157 Laminectomy for cervical disc - multiple levels $2,204.84
3158 Laminectomy for lumbar disc - one level $670.94
3159 Laminectomy for lumbar disc - multiple levels $1,333.43
3163 Anterior cervical discectomy and fusion - one level $1,429.88
3164 Anterior cervical discectomy and fusion - multiple level $1,936.16
3165 Insertion of intracranial pressure monitoring device - operation only $296.11
3166 Removal of thoracic disc $2,349.45
3170 - in conjunction with orthopaedic surgeon (operation only) $649.23
3172 Fracture of spine with cord injury - open reduction and fusion $937.07
3173 - in conjunction with orthopaedic surgeon (operation only) $649.23
3174 Trans-thoracic or trans-abdominal removal of thoracic disc; team procedure - neurosurgeon $1,239.79
3175 Repair of meningocoele or encephalocoele $1,001.39
3176 Percutaneous cordotomy $984.04
3177 Cordotomy $791.17
3178 Operative microsurgical rhizotomy utilizing fluoroscopy or ct in an operating room environment under general anesthetic $932.43
3179 - thoracic or general surgeon $470.49
3183 Microsurgical repair of meningomyelocele $1,754.52
3185 Postero-lateral microsurgical thoracic discectomy $1,915.56
3215 Insertion of spinal subarachnoid catheter (operation only) $46.62
3218 Replacement of spinal subarachnoid catheter access device with infusion pump for spinal subarachnoid infusion (operation only) $462.00
3219 Insertion of spinal subarachnoid device reservoir in paraspinal region (operation only) $391.54
3220 Insertion of spinal subarachnoid catheter access device-reservoir/pump in anterior chest wall or abdominal wall (operation only) $626.46
3231 Repair of spinal csf leak or pseudomeningocoele $698.96
3301 Laminotomy for insertion of spinal stimulator electrode for chronic pain (operation only) $472.93
3302 Percutaneous fluoroscopically controlled insertion of spinal stimulator electrode for chronic pain (operation only) $353.75
3303 Implantation of pulse generator or receiver for chronic pain stimulation (operation only) $605.71
3304 Implantation of spinal stimulator (complete system), to include implantation of pulse generator/receiver - using percutaneous electrode (operation only) $851.71
3305 - using laminotomy electrode (operation only) $951.90
3306 Revision of spinal/cranial stimulator pulse generator $605.71
3307 Removal of spinal/brain stimulator system $400.79
3168 Laminectomy for intradural spinal cord or extra-medullary tumour or vascular malformation by micro-surgical technique $2,213.98
3169 Fracture of spine without cord injury - open reduction and fusion $686.74
3361 Percutaneous discectomy $270.75
3367 Removal of spinal instrumentation $863.50
3368 Discogram (operation only) $92.97
3369 Abscess or hematoma, extraspinal, under ga (operation only). $186.72
3342 Thoracolumbar - without instrumentation $490.15
3343 Thoracolumbar - simple instrumentation (harrington or wires or screws, etc.). $774.90
3344 Thoracolumbar - segmental instrumentation and spinal fusion $1,251.05
3345 Thoracolumbar - segmental instrumentation and fusion with decompression - single level . $2,058.13
3346 Thoracolumbar - segmental instrumentation and fusion with decompression - multiple levels . $2,411.31
3350 Thoracolumbar - approach and stabilization alone (with neurosurgeon). $952.30
3351 Thoracolumbar - instrumentation with anterior release or vertebrectomy. $2,449.42
3352 Thoracolumbar $1,442.43
3353 Thoracolumbar - with anterior instrumentation and correction. $1,713.19
3355 Thoracolumbar spinal fusion $3,526.25
3356 Posterior instrumentation and fusion - adult $1,769.22
3357 Posterior instrumentation and fusion - pediatric $1,442.43
3359 Orif with segmental fixation alone. $1,307.07
3360 Orif with segmental fixation and decompression. $1,577.82
3370 Thoracolumbar spinal fusion (6+ hours) $50.79
3364 Thoracolumbar- includes decompression $1,442.43
3366 Thoracolumbar $1,904.58
3371 Posterior lumbar interspinous/interlaminar stabilization/instrumentation - single level $201.50
3372 Posterior lumbar interspinous/interlaminar stabilization/instrumentation - multiple level $403.00
3373 Thoracolumbar spinal fusion (6+ hours) - single level $403.00
3374 Thoracolumbar spinal fusion (6+ hours) - multiple level $604.50
3110 Elevation of depressed skull fracture in infant $142.29
3111 Skull fracture depressed simple $729.98
3112 Skull fracture depressed compound $1,177.67
3113 Cerebral laceration with skull fracture $1,867.71
3115 Exploration subdural space $914.11
3116 Abscess intra-cranial $1,719.76
3118 Craniotomy repair cfs leak $1,612.18
3119 Craniotomy, microvascular decompression $1,999.53
3030 Ventriculoscopy $840.73
3031 Ventriculoscopy, third ventriculostomy $1,324.72
3032 Ventriculoscopy/endoscopy biopsy /intraventricular $1,909.66
3033 Ventriculoscopic retrieval of foreign body $1,638.85
3034 Ventriculoscopy/fenestration of cyst or septum $1,475.45
3035 Ventriculoscopic resection /intraventricular tumor $2,576.95
3036 Ventricular shunt with ventriculoscopic guidance $1,074.87
3155 Laminectomy - for hematoma, tumour or vascular malformation $1,202.45
3160 Laminectomy for congenital spinal malformation or tethered spinal cord $2,027.87
3161 Laminectomy for localized spinal stenosis (two levels or less) $789.13
3162 Laminectomy for generalized spinal stenosis (more than two levels) $1,213.99
3167 Insertion of skull tongs (operation only) $126.29
3180 Multiple level laminectomy for cervical cord compression, three or more levels $1,430.75
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
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
58205 Injection/aspiration - facet joint $92.97
58210 Discogram $92.28
58250 Abscess/hematoma - extraspinal/ga $185.33

The information presented on this page is general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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