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Answered 2013-01-22 02:26:34

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Which is the appropriate way for a general surgeon to submit charges for this--62223-62 (Creation of shunt; ventriculo-peritoneal, -pleural, other terminus) , or 49324 (Laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, permanent)?

The description of 62223 in Coder's Desk Reference is not especially helpful. I know what my inclination would be, but I'd like a really concise explanation that I can show to other people. I have never been able to find a satisfactory answer to this question.

KPollockVentriculoperitoneal shunt placementPosted:

Aug 3 2010, 9:17 PMCPT 62223 includes placing the ventricular (brain) portion as well as the peritoneal (abdomen) catheter of the shunt. So if two different surgeons perform different parts of the same CPT code, as in the scenario you suggest, then each reports 62223-62.

Kim Pollock, RN, MBA, CPC KarenZupko & Associates, Inc. www.karenzupko.comWhich is the appropriate way for a general surgeon to submit charges for this--62223-62 (Creation of shunt; ventriculo-peritoneal, -pleural, other terminus) , or 49324 (Laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, permanent)?

The description of 62223 in Coder's Desk Reference is not especially helpful. I know what my inclination would be, but I'd like a really concise explanation that I can show to other people. I have never been able to find a satisfactory answer to this question.

KPollockVentriculoperitoneal shunt placementPosted:

Aug 3 2010, 9:17 PMCPT 62223 includes placing the ventricular (brain) portion as well as the peritoneal (abdomen) catheter of the shunt. So if two different surgeons perform different parts of the same CPT code, as in the scenario you suggest, then each reports 62223-62.

Kim Pollock, RN, MBA, CPC KarenZupko & Associates, Inc. www.karenzupko.com

Which is the appropriate way for a general surgeon to submit charges for this--62223-62 (Creation of shunt; ventriculo-peritoneal, -pleural, other terminus) , or 49324 (Laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, permanent)?

The description of 62223 in Coder's Desk Reference is not especially helpful. I know what my inclination would be, but I'd like a really concise explanation that I can show to other people. I have never been able to find a satisfactory answer to this question.

Posted:

Aug 3 2010, 9:17 PM CPT 62223 includes placing the ventricular (brain) portion as well as the peritoneal (abdomen) catheter of the shunt. So if two different surgeons perform different parts of the same CPT code, as in the scenario you suggest, then each reports 62223-62.

Kim Pollock, RN, MBA, CPC KarenZupko & Associates, Inc. www.karenzupko.com

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What is the cpt code for insertion of a cerebrospinal fluid ventriculoperitoneal shunt for hydrocephalus?

62223


How is Dandy-Walker syndrome treated?

The primary treatment for DWM and associated hydrocephalus is the placement of a ventriculoperitoneal (VP) shunt


What is a ventriculoperitoneal shunt?

When a shunt drains to the abdomen


Why would a mass in the third ventricle cause hydrocephalus?

I happen to have hydrocephalus :/ and that mass could cause a blockage, requirring insertion of a shunt by neurosurgeons.


What is the cpt code for a ventriculoperitoneal shunt?

62192


What is the cpt code for revision of ventriculoperitoneal shunt?

62223


What does a ventricular shunt relieve?

A ventricular shunt relieves hydrocephalus


What is the icd 9 code for status post ventriculoperitoneal shunt?

V45.2


How long does a shunt last?

It depends. Most Ventriculoperitoneal ( VP for short) shunts may be implanted for life for the treatment of hydrocephalus ( excessive cerebral spinal fluid, or CSF, build up in the brain ). The type of shunt and the health problem it is treating will ultimately determine the length of implantation.


What condition does a ventricular shunt treat?

hydrocephalus


What is a ventricular shunt used for?

Ventricular shunt relieves hydrocephalus, a condition in which the ventricles are enlarged.


What are the nursing interventions to hydrocephalus?

Hydrocephalus is usually the result of another medical problem within the skull. Medical interventions of hydrocephalus usually include a surgical shunt or medication or both.


What is it called when a child has value shunt caused of water in the brain?

The shunt used for a person who has hydrocephalus ("water on the brain") is not called a "value shunt". It is usually called a "ventriculo-peritoneal shunt" or "VP shunt" for short. Sometimes a "ventriculo-atrial shunt" or "VA shunt" is used instead.


What is the prognosis for patients with hydrocephalus?

Those with hydrocephalus at birth do better than those with later onset due to meningitis. For individuals with normal pressure hydrocephalus, approximately half will benefit by the installation of a shunt.


Nursing interventions associated with hydrocephalus?

Sometimes no intervention is necessary, but a shunt, medication, or both is usually prescribed.


Can any one answer this pleasee To treat this disease often a shunt system is made during surgery?

hydrocephalus


Adult Hydrocephalus will I die?

We will all die eventually, whether or not we have hydrocephalus. With treatment, people with hydrocephalus can go on to live normal lives. That's not to say you won't have shunt failures and setbacks. Keep a positive attitude and find a great neurosurgeon.


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62180


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surgical installation of a shunt. A shunt is a tube connecting the ventricles of the brain to an alternative drainage site, usually the abdominal cavity


What is the treatment for non-communicating hydrocephalus?

In some cases of non-communicating hydrocephalus, a direct connection can be made between one of the ventricles and the subarachnoid space, allowing drainage without a shunt.


What is called when a child has value shunt caused of water in the brain?

The condition where you need a shunt because of abnormal build up of cerebrospinal fluid on the brain is called hydrocephalus (or commonly water on the brain).


What is the treatment of hydrocephalus?

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Can a person suffering from hydrocephalus without shunt travel by air?

Probably with M.D. approval, however if the cabin were to somehow depressurize it could be a problem.


What are the normal results for a ventricular shunt operation?

Of patients with normal pressure hydrocephalus who are treated with shunting, 25-80% experience long-term improvement.


Ventriculoperitoneal shunt - series?

Normal anatomyThe cerebrospinal fluid (CSF) bathes the brain and spinal cord. Most of the CSF is in the ventricles of the brain, which are large cavities within the brain which produce and reabsorb the CSF.IndicationsIn hydrocephalus, the ventricles of the brain become enlarged with cerebrospinal fluid. This condition causes the brain tissue to become compressed against the skull, thus causing serious neurological problems. Shunting, called ventriculoperitoneal shunting, is necessary to drain the excess fluid and relieve the pressure in the brain. This should be done as soon as hydrocephalus is recognized to give the child the best possible neurological outlook.IncisionThis procedure is performed in the operating room under general anesthesia. A flap is cut in the scalp and a small hole is drilled in the skull.ProcedureA small catheter is passed into a ventricle of the brain. A pump is attached to the catheter to keep the fluid away from the brain. Another catheter is attached to the pump and tunneled under the skin, behind the ear, down the neck and chest and into the peritoneal cavity (abdominal cavity). The CSF is absorbed in the peritoneal cavity.AftercareVentriculoperitoneal shunting is often crucial for preventing serious brain damage in children with hydrocephalus. Common problems associated with VP shunts include shunt malfunction and shunt infection. Shunts are generally left in place for many years if they function without problems.Reviewed ByReview Date: 11/22/2010Kevin Sheth, MD, Department of Neurology, University of Maryland School of Medicine, Baltimore, MD. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.


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