SCS trial aborted - billing?

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MD87

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Post fusion case. Terrible spondylosis. Tried both sides, two levels on each side. Lead kept diving deep in spite of my best attempts even though came in a great angle. No wet tap.
Can I bill anything? 80 minutes of sweat. Feels like I should!
 
63650 with a 53 modifier I believe
Document that you accessed the space and drove the lead array but couldn't position it properly. Make sure it's clear this was due to patient factors and not equipment malfunction. But you oughta get something for it, although they won't cover equipment/hardware.
 
Document that you accessed the space and drove the lead array but couldn't position it properly. Make sure it's clear this was due to patient factors and not equipment malfunction. But you oughta get something for it, although they won't cover equipment/hardware.

Should I bill two units if I have bilateral images saved?
 
You have to specify the percentage of the procedure completed clearly in your note. That's how much you would get reimbursed.

So like "90% of procedure completed. Leads placed epidural space but could not advance to appropriate dorsal placement"

or something like that.
 
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We’ve all been there.

Thanks. Had not done one in a while and so was very deflating… Fortunately, I already had another one booked for today which was very straightforward and went great, so feeling less moody today haha. I teach residents and always tell them “everything is easy, until it isn’t”… yesterday was a good example.
 
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