This page addresses follow-up questions and additional information pertinent to our webinar
Nuances in Outpatient Neurosurgery Coding
** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.

Q: Which code or codes are assigned for replacement of the ventricular catheter and valve portion of a ventriculoperitoneal shunt?
A: Report codes 62225 and 62230 per CPT instruction when both the proximal (ventricular) catheter and valve in a VP shunt system are replaced. No modifiers are necessary with this code pairing.

Q: Is neurolysis always performed using surgical excision?
A: No neurolysis can also be performed using neurolytic chemicals to destroy the nerve tissue.

Q: What is the difference between allograft and an autograft?
A: An allograft is transplanted from one person to another. An autograft is harvested from the patient.

Q: What is the difference between a single strand and multiple strand neurorrhaphy?
A: In a multiple strand neurorrhaphy, more than one segment of nerve is used and the segments are anastomosed together. A single strand neurorrhaphy involves taking only a single segment of nerve graft.

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Meet the Presenter: Kristi Pollard, RHIT, CCS, CPC, CIRCC

Kristi is the Director of Coding Quality & Education with more than 25 years of industry experience; she is responsible for the development of web-based, instructor-led, and webinar training materials; conducting training in ICD-10-CM/PCS and CPT; and performing DRG and APC audits. Kristi has an extensive background in coding education and consulting and is a national speaker and published writer on topics related to ICD-10 and CPT coding and code-based reimbursement. She has designed and developed training programs for inpatient and outpatient hospital-based coding, with a focus on vascular interventional radiology, interventional cardiology, orthopedics, and obstetrics.