MSP Billing Codes

Specialty: Neurosurgery

Code	Description	Anes	Fee
Search a description within this chart
3053	Craniotomy - neurosurgical component	8	$685.59
3055	Craniotomy - microsurgical-resection-epilepsy-ga	8	$2,474.42
3056	Craniotomy - resection - epilepsy/awake	8	$3,249.23
3057	Craniotomy - cortical resection -epilepsy	8	$2,149.49
3058	Hemispherectomy	8	$2,235.64
3059	Craniotomy and microsurgical hemispherotomy	8	$2,592.93
3066	Craniotomy-microsurgical resection-extra-axial	0	$193.16
3094	Anterior decompressing craniovertebral junction	8	$2,947.49
3095	Posterior decompression - no dural repair	8	$1,549.63
3096	Posterior decompression - with dural repair	8	$1,874.56
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3097	Posterior decompression - with 4th ventricular rep	8	$2,124.50
3114	Craniotomy and microsurgical removal of tumour	8	$2,909.46
3120	Neurosurgical fee for facial craniotomy reconstruction	9	$1,347.34
3121	Cranioplasty	7	$950.12
3122	Craniectomy for osteomyelitis or skull tumor	7	$1,061.40
3123	Craniectomy osteomyelitis or tumor w/cranioplasty	7	$1,493.23
3124	Linear craniectomy or craniotomy for cranial stenosis - 1st suture	7	$1,032.86
3125	Bilateral craniectomies for cranial expansion or delayed treatment of synostosis (patient must be older than 1 year)	8	$1,913.31
3126	Re-opening or removal of bone flap	6	$693.26
3127	Linear craniectomy or craniotomy for cranial stenosis - additional sutures to a maximum of 3 - each extra	7	$253.50
3128	Stereotactic biopsy for intracranial pathology via frame-based or frameless techniques	7	$1,474.65
3129	Craniotomy for tumor	8	$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)	8	$4,490.32
3131	Transsphenoidal removal of pituitary tumour or hypophysectomy - one surgeon	8	$2,022.48
3132	- two surgeons - neurosurgeon	8	$2,019.98
3133	Craniotomy for removal of extra-axial brain tumour using operating microscope	8	$2,909.46
3135	Craniotomy or laminectomy using operating microscope when procedure is prolonged more than 8 hours (to include operative report)	9	$3,924.59
3136	Craniotomy for intracranial aneurysm or angioma	9	$2,731.29
3137	Lateral canthal advancement or similar procedure for coronal synostosis - unilateral	8	$1,195.69
3138	Unilateral stereotaxic intracranial procedures	7	$1,195.69
3139	Implantation of stimulator	3	$985.00
3140	Intra-cranial stimulating electrodes	7	$2,450.00
3143	Lateral canthal - bilateral	8	$1,280.35
3144	Corpus callosum - section of corpus callosum	8	$2,255.16
3146	Morcellation of skull for craniosynostosis	8	$1,745.53
3147	Cranial reconstruction for complex deformity in a child	8	$2,480.37
3148	Forehead reconstruction/extra linear craniectomy	0	$285.85
3189	Stereotactic localization during neurosurgery in association with craniotomy and spinal fusion/stabilization procedures extra	0	$481.50
3222	Craniotomy lasting more than 12 hours	9	$5,337.81
3235	Ntraoperative cortical localization ssep or stimulation studies g.a. (extra to craniotomy)	0	$235.48
3236	Insertion of subdural strip electrodes - unilateral [epilepsy surgery, to include burrhole(s)]	8	$1,099.02
3237	Removal of subdural strip electrodes - unilateral	6	$471.01
3238	Cortical or deep brain localization with seep or stimulation in an awake patient (extra to craniotomy)	0	$471.01
3239	Craniotomy and insertion of subdural grid electrodes with or without additional strip electrodes unilateral	7	$1,465.22
3241	Re-opening of craniotomy for removal of subdural grid electrodes unilateral	6	$789.19
3320	Removal of skull tumour without craniectomy	6	$418.78
3340	Cervical - simple, single or multiple level (includes gallie fusion)..	6	$541.49
3341	Cervical - segmental (includes c1-2 transarticular screws).	6	$1,087.67
3347	Cervical - stabilization alone (with neurosurgeon).	6	$504.14
3348	Cervical - with plates and discectomy	6	$1,574.63
3349	Cervical - with plates and discectomy	6	$1,769.22
3354	Cervical	6	$2,836.82
3358	Cervical - orif	7	$1,008.32
3362	Cervical - single level	6	$625.53
3363	Cervical - two or more levels	6	$807.58
3365	Vertebral body resection - cervical	6	$1,633.84
3037	Removal of ventricular shunt (operation only)	6	$288.15
3038	Stereotactic localiz w intracran shunt proc-extra	6	$380.65
3141	Cerebral re-vascularization procedure with extracranial-intracranial anastomosis	9	$2,222.19
3142	Application of silverstone clamps (operation only)	5	$561.66
3274	Single channel nerual stimulator implant test prof	0	$46.08
3275	Single channel neural stimulator implant test-tech	0	$23.04
3276	Dual channel neural stimulator implant test -prof	0	$69.11
3277	Dual channel neural stimulator implant test tech	0	$46.08
3181	Shunt procedure for ventricular obstruction	6	$1,011.31
3182	Revision-shunt/ventricular obstruction	6	$1,011.31
3184	Lumbar peritoneal shunt for hydrocephalus	5	$1,011.31
3188	Ventriculostomy or insertion of external ventricular drain (operation only)	6	$339.44
3240	Implantation of totally implantable ventricular access device (e.g.: ommaya reservoir) - (operation only)	6	$467.81
61381	Plastic surgery portion	8	$2,073.65
3080	Bilat orbital advancement-hypertelorism team-neurosurgery portion	8	$2,235.25
3081	Unilateral orbital advancement-team proc-neurosurgery portion	8	$2,073.65
3082	Bilateral orbital advancement-team proc-neurosurgery portion	8	$2,773.64
61380	Plastic surgery portion	8	$2,235.25
61382	Plastic surgery portion	8	$2,773.64
6210	Microneural surgery; neurolysis - external	2	$288.08
6211	Microneural surgery; neurolysis - intraneural	2	$438.94
6212	Microfascicular neurorraphy - digital or palmar	2	$288.08
6213	Microfascicular neurorraphy - major nerve	2	$614.93
6214	Intrafascicular nerve graft - digital or palmar	2	$533.59
6215	Intrafascicular nerve graft - major nerve	4	$1,600.00
3207	Microsurgical removal of neoplasm/major peripheral nerve	3	$815.19
750	Lumbar puncture in a patient 13 years of age and over	2	$55.28
3065	Neurosurgical component of cranial facial resection for tumour of ethmoid, frontal sinus or orbit, as a combined procedure with ent	7	$1,639.46
3100	Intra-operative ultrasound during neurosurgery	0	$40.87
3211	Muscle biopsy	2	$55.80
3216	Puncture of ventricular shunt for csf aspiration (operation only)	2	$36.20
3217	Percutaneous ventricular puncture (operation only)	2	$129.36
3221	Implantation of vagal nerve stimulator to include electrodes and stimulator	4	$531.34
3223	Replacement of stimulator component of vagal nerve stimulator	3	$221.49
3224	Neurosurgical component of microsurgical removal of cerebellar pontine angle tumour	8	$1,885.07
3225	Removal of vagal nerve stimulator and electrodes	4	$391.52
3227	Neurosurgical interpretation and written report of submitted x-ray films (including ct scan, mri)	0	$59.43
3230	Repeat neurosurgery	0	$3,892.38
3200	Secondary suture including transposition	3	$575.24
3201	Secondary suture of major nerve	3	$437.73
3205	Nerve graft	3	$431.81
3145	Cranioplasty using autologous bone graft	7	$1,341.20
3045	Brachial plexus exploration for neurolysis, primary repair or tumour removal	3	$1,500.00
3046	Post traumatic delayed or repeat exploration in brachial plexus surgery, extra	3	$550.00
3047	Ntraoperative diagnostic monitoring in brachial plexus surgery, extra	0	$213.42
3048	Nerve graft done in addition to brachial plexus exploration, extra per graft	0	$194.02
3049	Neurotization in brachial plexus surgery, extra	0	$452.71
3196	Exploration, mobilization and transposition	2	$281.48
3198	Neurectomy of major peripheral nerve	2	$222.43
3204	Hypoglossal facial anastomosis	4	$681.78
3005	Emergency visit - neurosurgery	0	$112.94
3007	Visit, office, neurosurgery	0	$47.16
3008	Visit, hospital, neurosurgery	0	$29.63
3009	Visit, home, neurosurgery	0	$54.82
3010	Consultation, neurosurgery	0	$172.86
3011	Consultation, limited, neurosurgery	0	$90.17
3101	Avulsion supra or intra-orbital nerve	3	$225.93
3102	Decompression gasserian ganglion	8	$1,195.79
3103	Preganglionic rhizotomy 5th nerve	3	$1,037.96
3104	Percutaneous rhizotomy 5th nerve	3	$1,024.33
3106	Posterior fossa exploration w/ rhizotomy 5th nerve	8	$1,722.07
3232	Cranial nerve with graft/microsurgical anastomosis	0	$733.22
3233	Cranial nerve without graft - microsurgical	0	$449.18
3250	Microelectrode recording (mer)	0	$3,127.23
3310	Telehealth consultation - neurosurgery	0	$172.86
3312	Telehealth repeat/limited consult - neurosurgery	0	$90.17
3315	Pre-operative assessment - neurosurgery	0	$172.86
3317	Telehealth subsequent office visit - neurosurgery	0	$47.16
3318	Telehealth subsequent hospital visit -neurosurgery	0	$29.63
3108	Operative facet rhizotomy utilizing fluoroscopy or ct in an operating room environment under general anesthetic	4	$450.00
3150	Laminectomy, 03153, 03155 for selective posterior rhizotomy	5	$1,256.01
3151	Stereotaxic surgery	5	$791.17
3152	Bischoff's or longitudinal myelotomy	5	$936.10
3153	Laminectomy with drez lesion for pain	6	$1,408.69
3156	Laminectomy for cervical disc - one level	6	$2,003.94
3157	Laminectomy for cervical disc - multiple levels	6	$2,204.84
3158	Laminectomy for lumbar disc - one level	5	$670.94
3159	Laminectomy for lumbar disc - multiple levels	5	$1,333.43
3163	Anterior cervical discectomy and fusion - one level	6	$1,429.88
3164	Anterior cervical discectomy and fusion - multiple level	6	$1,936.16
3165	Insertion of intracranial pressure monitoring device - operation only	6	$296.11
3166	Removal of thoracic disc	8	$2,349.45
3170	- in conjunction with orthopaedic surgeon (operation only)	0	$649.23
3172	Fracture of spine with cord injury - open reduction and fusion	7	$937.07
3173	- in conjunction with orthopaedic surgeon (operation only)	0	$649.23
3174	Trans-thoracic or trans-abdominal removal of thoracic disc; team procedure - neurosurgeon	8	$1,239.79
3175	Repair of meningocoele or encephalocoele	6	$1,001.39
3176	Percutaneous cordotomy	4	$984.04
3177	Cordotomy	5	$791.17
3178	Operative microsurgical rhizotomy utilizing fluoroscopy or ct in an operating room environment under general anesthetic	5	$932.43
3179	- thoracic or general surgeon	8	$470.49
3183	Microsurgical repair of meningomyelocele	6	$1,754.52
3185	Postero-lateral microsurgical thoracic discectomy	8	$1,915.56
3215	Insertion of spinal subarachnoid catheter (operation only)	2	$46.62
3218	Replacement of spinal subarachnoid catheter access device with infusion pump for spinal subarachnoid infusion (operation only)	3	$462.00
3219	Insertion of spinal subarachnoid device reservoir in paraspinal region (operation only)	3	$391.54
3220	Insertion of spinal subarachnoid catheter access device-reservoir/pump in anterior chest wall or abdominal wall (operation only)	3	$626.46
3231	Repair of spinal csf leak or pseudomeningocoele	5	$698.96
3301	Laminotomy for insertion of spinal stimulator electrode for chronic pain (operation only)	5	$472.93
3302	Percutaneous fluoroscopically controlled insertion of spinal stimulator electrode for chronic pain (operation only)	2	$353.75
3303	Implantation of pulse generator or receiver for chronic pain stimulation (operation only)	3	$605.71
3304	Implantation of spinal stimulator (complete system), to include implantation of pulse generator/receiver - using percutaneous electrode (operation only)	3	$851.71
3305	- using laminotomy electrode (operation only)	5	$951.90
3306	Revision of spinal/cranial stimulator pulse generator	3	$605.71
3307	Removal of spinal/brain stimulator system	3	$400.79
3168	Laminectomy for intradural spinal cord or extra-medullary tumour or vascular malformation by micro-surgical technique	7	$2,213.98
3169	Fracture of spine without cord injury - open reduction and fusion	7	$686.74
3361	Percutaneous discectomy	3	$270.75
3367	Removal of spinal instrumentation	5	$863.50
3368	Discogram (operation only)	2	$92.97
3369	Abscess or hematoma, extraspinal, under ga (operation only).	4	$186.72
3342	Thoracolumbar - without instrumentation	5	$490.15
3343	Thoracolumbar - simple instrumentation (harrington or wires or screws, etc.).	7	$774.90
3344	Thoracolumbar - segmental instrumentation and spinal fusion	7	$1,251.05
3345	Thoracolumbar - segmental instrumentation and fusion with decompression - single level .	7	$2,058.13
3346	Thoracolumbar - segmental instrumentation and fusion with decompression - multiple levels .	7	$2,411.31
3350	Thoracolumbar - approach and stabilization alone (with neurosurgeon).	8	$952.30
3351	Thoracolumbar - instrumentation with anterior release or vertebrectomy.	8	$2,449.42
3352	Thoracolumbar	8	$1,442.43
3353	Thoracolumbar - with anterior instrumentation and correction.	8	$1,713.19
3355	Thoracolumbar spinal fusion	7	$3,526.25
3356	Posterior instrumentation and fusion - adult	7	$1,769.22
3357	Posterior instrumentation and fusion - pediatric	7	$1,442.43
3359	Orif with segmental fixation alone.	7	$1,307.07
3360	Orif with segmental fixation and decompression.	7	$1,577.82
3370	Thoracolumbar spinal fusion (6+ hours)	0	$50.79
3364	Thoracolumbar- includes decompression	8	$1,442.43
3366	Thoracolumbar	8	$1,904.58
3371	Posterior lumbar interspinous/interlaminar stabilization/instrumentation - single level	0	$201.50
3372	Posterior lumbar interspinous/interlaminar stabilization/instrumentation - multiple level	0	$403.00
3373	Thoracolumbar spinal fusion (6+ hours) - single level	0	$403.00
3374	Thoracolumbar spinal fusion (6+ hours) - multiple level	0	$604.50
3110	Elevation of depressed skull fracture in infant	6	$142.29
3111	Skull fracture depressed simple	5	$729.98
3112	Skull fracture depressed compound	6	$1,177.67
3113	Cerebral laceration with skull fracture	8	$1,867.71
3115	Exploration subdural space	6	$914.11
3116	Abscess intra-cranial	8	$1,719.76
3118	Craniotomy repair cfs leak	8	$1,612.18
3119	Craniotomy, microvascular decompression	8	$1,999.53
3030	Ventriculoscopy	6	$840.73
3031	Ventriculoscopy, third ventriculostomy	6	$1,324.72
3032	Ventriculoscopy/endoscopy biopsy /intraventricular	6	$1,909.66
3033	Ventriculoscopic retrieval of foreign body	6	$1,638.85
3034	Ventriculoscopy/fenestration of cyst or septum	6	$1,475.45
3035	Ventriculoscopic resection /intraventricular tumor	6	$2,576.95
3036	Ventricular shunt with ventriculoscopic guidance	6	$1,074.87
3155	Laminectomy - for hematoma, tumour or vascular malformation	6	$1,202.45
3160	Laminectomy for congenital spinal malformation or tethered spinal cord	5	$2,027.87
3161	Laminectomy for localized spinal stenosis (two levels or less)	5	$789.13
3162	Laminectomy for generalized spinal stenosis (more than two levels)	5	$1,213.99
3167	Insertion of skull tongs (operation only)	4	$126.29
3180	Multiple level laminectomy for cervical cord compression, three or more levels	6	$1,430.75
11830	Needle biopsy - soft tissue/bone - thoracic spine, under ga	2	$214.73
11831	Needle biopsy - soft tissue/bone - lumbar spine, under ga	2	$186.72
11845	Biopsy, with ga	3	$242.74
58305	Discectomy	3	$268.73
58370	Discectomy - cervical, single level	6	$620.87
58375	Discectomy - cervical - >2 levels	6	$801.57
58376	Discectomy - thoracolumbar	8	$1,431.69
58385	Vertebral body resection - cervical	6	$1,621.68
58386	Vertebral body resection - thoracolumbar	8	$1,890.40
58410	Spinal instrumentation - removal	5	$509.68
58605	Stabilization - posterior - cervical	6	$537.46
58610	Stabilization - segmental - cervical	6	$1,079.57
58615	Stabilization thoracolumbar/without instrumentatio	5	$486.50
58620	Stabilization thoracolumbar/simple instrumentation	7	$769.13
58625	Stabilization - thoracolumbar/segmental instrument	7	$1,241.74
58630	Stabilization thoracolumbar, fusion/decompression	7	$1,566.07
58635	Thoracolumbar fusion/decompression/multiple levels	7	$1,834.81
58640	Stabilization - anterior: cervical	6	$500.39
58645	Stabilization - cervical - plates/discectomy	6	$982.27
58650	Stabilization - cervical - plates/vertebrectomy	6	$1,756.05
58655	Stabilization - anterior - thoracolumbar	8	$945.21
58660	Stabilization; anterior, thoracolumbar/instrument	8	$2,024.76
58670	Deformity correction - thoracolumbar	8	$1,431.69
58675	Deformity correction - thoracolumbar/anterior inst	8	$1,700.44
58680	Deformity correction - cervical	6	$2,427.87
58685	Osteotomy - thoracolumbar- posterior	7	$2,427.87
58690	Deformity; instrumentation/fusion/posterior, adult	7	$1,756.05
58695	Deformity; instrumentation/fusion/posterior, child	7	$1,431.69
58710	Application of halo - c-spine fracture/dislocation	4	$186.72
58715	Cervical spine - orif	7	$1,000.81
58725	Fracture/dislocation, thoracolumbar spine/fixation	7	$1,297.34
58726	Thoracolumbar spine; orif/fixation + decompression	7	$1,566.07
58205	Injection/aspiration - facet joint	2	$92.97
58210	Discogram	2	$92.28
58250	Abscess/hematoma - extraspinal/ga	4	$185.33

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