Medical Coding

Category - 60,000 Series

A physician performed craniotomy on a patient with a severe head trauma and intracerebral hematoma. Due to the patient’s condition the procedure was extremely difficult, requiring a significant amount of extra time and effort. What is the correct code for this procedure?
  1. 61315
  2. 61313
  3. 61313 -22
  4. 61315 -23
Explanation
Answer: C - The correct code for the procedure is 61313 (Craniectomy or Craniotomy for Evacuation of Hematoma, Supratentorial; Intracerebral) combined with modifier -22 to indicate that the procedure was an increased procedural service. Code 61315 is inappropriate because it is used for an infratentorial, intracerebellar hematoma.
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