Burr holes allow direct visualization of the dura, allowing for opening the dura mater directly to gain access to the pathology underneath. Burr holes can be used for both subdural and extradural procedures. I need some clarification on the proper billing of CPT 61154 - Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural.

Understanding the Context

Based on the description it appears that this one code covers one or more burr holes. Yet it says for bilateral to use the 50 modifier. I had a case... 61154 Implies Multiple Burr Holes the parietal region.

Simulatore di Burr-Holes → Simulkare

Image Gallery

Simulatore di Burr-Holes → Simulkare
Simulatore di Burr-Holes → Simulkare
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Key Insights

You report these services with code 61154 (Burr hole[s] with evacuation and/or drainage of hematoma, ext for this procedure. “Drainage of a single subacute or chronic subdural hematoma is typically accomplished throu Burr Holes – Percutaneous vs. Open Approach While it sounds like the approach should be open when a burr hole is mentioned, it would be coded as a percutaneous approach. I have an EVD question if on day 1 EVD is inserted through twist burr holes 61107 (montioning purposes) and 3 days later EVD is malfunctioning it's removed which is not coded (included in insertion)and a new EVD is inserted through the same burr holes as used in day 1. How would you code this Thank you Donna M.

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Final Thoughts

Schneider CPC . In this procedure, the provider drills burr holes in and may open the skull to access the brain below the tentorium to drain and relieve pressure from a hematoma on or under the dura. A hematoma can occur as a result of trauma, a medical procedure, or when a spontaneous bleeding into the brain tissue occurs from a stroke. Summary The provider performs anesthesia services for a patient undergoing intracranial procedures involving burr holes and possibly ventriculography. For clinical responsibility, terminology, tips and additional info start codify free trial. The Current Procedural Terminology (CPT ®) code 61154 as maintained by American Medical Association, is a medical procedural code under the range - Twist Drill, Burr Hole (s), or Trephine Procedures on the Skull, Meninges, and Brain.