CPT code 61700 is for a surgical procedure to treat a simple intracranial aneurysm using an intracranial approach in the carotid circulation.
CPT code 61700 is used to describe a surgical procedure involving the treatment of a simple intracranial aneurysm through an intracranial approach, specifically targeting the carotid circulation. This code is utilized by healthcare providers to document and bill for the surgical intervention aimed at addressing an aneurysm located within the brain's blood vessels that are part of the carotid artery system. The procedure involves accessing the aneurysm through the skull to perform necessary repairs or interventions to prevent complications such as rupture or bleeding.
For CPT code 61700, the following modifiers may be applicable depending on the specific circumstances of the procedure:
1. Modifier 22 - Increased Procedural Services: This modifier is used when the work required to perform the procedure is substantially greater than typically required. This could be due to unusual complexity or difficulty.
2. Modifier 51 - Multiple Procedures: If multiple procedures are performed during the same surgical session, this modifier is used to indicate that multiple surgeries were conducted.
3. Modifier 52 - Reduced Services: This modifier is applied when a service or procedure is partially reduced or eliminated at the physician's discretion.
4. Modifier 53 - Discontinued Procedure: Used when a procedure is started but discontinued due to extenuating circumstances or those that threaten the well-being of the patient.
5. Modifier 59 - Distinct Procedural Service: This modifier is used to indicate that a procedure or service was distinct or independent from other services performed on the same day.
6. Modifier 62 - Two Surgeons: If two surgeons are required to perform the procedure due to its complexity, this modifier is used to indicate the involvement of both surgeons.
7. Modifier 66 - Surgical Team: Applied when a team of surgeons is necessary to perform the procedure due to its complexity.
8. Modifier 76 - Repeat Procedure by Same Physician: Used when the same physician repeats the procedure on the same day.
9. Modifier 77 - Repeat Procedure by Another Physician: Used when a different physician repeats the procedure on the same day.
10. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: This is used when the patient requires a return to the operating room for a related procedure during the postoperative period.
11. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Used when an unrelated procedure is performed by the same physician during the postoperative period.
12. Modifier 80 - Assistant Surgeon: This modifier is used when an assistant surgeon is required to help perform the procedure.
13. Modifier 81 - Minimum Assistant Surgeon: Used when an assistant surgeon is required on a minimal basis.
14. Modifier 82 - Assistant Surgeon (when qualified resident surgeon not available): Used when an assistant surgeon is necessary because a qualified resident surgeon is not available.
15. Modifier 99 - Multiple Modifiers: When two or more modifiers are necessary to describe the service provided, this modifier is used to indicate multiple modifiers are applicable.
These modifiers should be used in accordance with the specific details of the procedure and the payer's guidelines to ensure accurate billing and reimbursement.
The CPT code 61700 is reimbursed by Medicare, but the reimbursement is subject to several factors.
The Medicare Physician Fee Schedule (MPFS) provides the payment rates for services covered under Medicare Part B, including surgical procedures like those represented by CPT code 61700.
However, the actual reimbursement can vary based on geographic location and other considerations, as determined by the local Medicare Administrative Contractor (MAC).
Each MAC is responsible for processing claims and setting specific payment policies within their jurisdiction, which can influence the final reimbursement amount for CPT code 61700.
Healthcare providers should consult the MPFS and their respective MAC for the most accurate and up-to-date reimbursement information.
Discover the power of MD Clarity's RevFind software to ensure you're receiving the full reimbursement you deserve. With the ability to read your contracts and detect underpayments down to the CPT code level, including CPT code 61700, RevFind provides unparalleled insight into individual payer discrepancies. Schedule a demo today to see how RevFind can enhance your revenue cycle management and secure your financial health.
Get paid in full by bringing clarity to your revenue cycle
Subscribe to the
Healthcare Clarified newsletter
Get the latest insights on RCM and healthcare policy in your inbox
