Is 61781 an add-on code?
CPT codes 61781-61783 are Add-on Codes (AOCs) describing computer-assisted navigational procedures of the cranium or spine.
What is the definition of an add-on code?
An add-on code (AOC) is a procedure code that describes a significant supplemental service commonly performed in addition to a primary procedure. Add-on codes are rarely eligible for payment unless they are reported with a valid primary procedure code on the same date of service.
What is the add-on code symbol for CPT codes?
In the CPT Manual an add-on code is designated by the symbol “+”. The code descriptor of an add-on code generally includes phrases such as “each additional” or “(List separately in addition to primary procedure).”
What are the primary codes for 61781?
Effective from January 1, 2011 the appropriate CPT codes for billing image guided FESS are +61781 – stereotactic computer assisted (navigational) procedure; cranial, intradural (list separately in addition to code for primary procedure) or +61782 – cranial, extradural (list separately in addition to code for primary …
Is 69990 an add on code?
CPT has designated code 69990 as an add-on code to report an operating microscope. 69990 should be reported (without modifier 51 appended) in addition to the code for the primary procedure performed.
How do you write an add-on code?
In the current year CPT Manual, an add-on code is designated by the symbol “+.” The code descriptor of an add-on code generally includes phrases such as “each additional” or “(List separately in addition to primary procedure).” This information will also be listed in Appendix D. There are three types of Add-on Codes.
Does an add-on code need a modifier?
These codes can’t be billed without a primary code, and the fee is already discounted as it is a secondary procedure. This is why add-on codes are “modifier 51 exempt” and, most of the time, you won’t need to use any modifiers with CPT add-on codes.
What modifier is used for add-on codes?
Combining CPT add-on codes and modifiers Another common modifier is modifier 51. This is frequently used to let insurers know which procedures were additional to the primary procedure. But CPT add-on codes, by definition, indicate which procedures are secondary.
Can CPT add-on codes be billed alone?
A. An add-on code is considered a “child” code that may not be reported on a claim alone. The add-on code must be directly accompanied by a “parent” code to which it is matched or assigned. b. Both the “parent”/primary procedure code and the add-on “child” code are to be submitted on the same claim (not split claims).
What is the CPT code for iliac crest bone graft?
If a morcellized autograft is obtained through a separate incision, such as the iliac bone crest, use CPT 20937 and 38220-59.
What does CPT code 61781 mean?
Codes 61781, 61782, and 61783 describe the target selection of a computerized device utilizing computed tomography (CT) or magnetic resonance imaging (MRI) intraoperative localization during brain, craniofacial, skull base, and spinal procedures.
When is an add-on code not eligible for payment?
An add-on code is never eligible for payment if it is the only procedure reported by a practitioner. Payment is limited to CPT codes 61781, 61782 and 61783 for any one or more of the following indications: ** Where there is clinical data to support its use.
What is an add-on code in CPT?
An add-on code is a HCPCS/CPT code that describes a service that is always performed in conjunction with another primary service. An add-on code is eligible for payment only if it is reported with an appropriate primary procedure performed by the same practitioner.
How do I identify an add-on code?
Add-on codes may be identified in three ways: The code is listed in this CR or subsequent ones as a Type I, Type II, or Type III add-on code. On the Medicare Physician Fee Schedule Database an add-on code generally has a global surgery period of “ZZZ”. In the CPT Manual an add-on code is designated by the symbol ” + “.