Neurosurgery billing services play a critical role in the overall medical billing landscape, particularly for neurosurgery practices. Neurosurgery involves highly technical procedures with specific coding requirements. A small mistake in code selection can lead to claim denials and financial loss for the practice. Neurosurgery billing services offer a valuable solution for neurosurgery practices by streamlining the billing process, ensuring accurate coding and compliance, and ultimately improving the financial health of the practices.

Billing Care Solutions Services

Medical Billing & Coding:

Billing Care Solutions experts handle medical billing and coding specifically for neurosurgical procedures. This ensures accurate coding based on the latest CPT and ICD-10 codes, maximizing reimbursement for your practice.

Revenue Cycle Management (RCM):

Billing Care Solutions can streamline your entire revenue cycle, optimizing cash flow for your practice. This includes managing claims submission, tracking denials, and ensuring timely payments.

Account Receivable Management:

Billing Care Solutions can efficiently manage your accounts receivable to minimize outstanding balances. This includes sending statements, following up on unpaid claims, and working with patients to resolve any billing issues.

Provider Enrollment & Credentialing:

Billing Care Solutions can take the hassle out of provider enrollment and credentialing for your neurosurgeons. This ensures they are properly enrolled with all payers to receive reimbursements.

Eligibility & Benefit Verification:

Billing Care Solutions team can accurately verify patient eligibility and benefits before treatment. This helps avoid claim denials due to coverage issues.

Authorization and Referral Services:

Billing Care Solutions can handle the often-complex authorization and referral processes for neurosurgical procedures. This ensures you receive prior authorization from payers before treatment, reducing the risk of denials.

Business Intelligence Reporting Services:

Billing Care Solutions can provide actionable business intelligence reports that provide insights into your practice’s financial performance. This data can help you identify areas for improvement and make informed decisions about your practice.

Patient Support:

Billing Care Solutions offers dedicated patient support to ensure a smooth billing experience for your patients. This includes answering questions, explaining bills, and resolving any billing concerns they may have.

Coding System

Current Procedural Terminology (CPT codes):

These codes describe specific surgical procedures performed by neurosurgeons. The CPT code range for neurosurgery procedures typically falls within 01000 to 69999, with a specific range dedicated to neurosurgery itself. You can find the exact range by consulting the latest edition of the CPT coding manual.

International Classification of Diseases, Tenth Revision (ICD-10 codes):

These codes represent the diagnoses or medical conditions that necessitate the neurosurgical procedures. ICD-10 codes for neurological diagnoses are found in the range G00 to G99.

Modifiers

Level 1 Modifiers (CPT):

• -22 Increased Procedural Services: This modifier signifies that a neurosurgical procedure was significantly more complex than typically encountered. Documentation is crucial to justify using this modifier.
• -51 Multiple Procedures: Used when multiple, separate neurosurgical procedures are performed on the same day by the same surgeon.
• -59 Distinct Procedural Service: This modifier indicates a separate, unrelated procedure performed on the same day by the same surgeon.
• -62 Unusual Procedural Service: Used for uncommon procedures not included in the CPT codebook.
• -XU Unusual Service: For services that are extremely rare or not yet assigned a CPT code.

Level II Modifiers (HCPCS):

• -50 Bilateral Procedure: Indicates that a procedure performed on both sides of the body.
• -LT Assistant Surgeon: Identifies that an assistant surgeon participated in the neurosurgical procedure.
• -AA Co-Surgeon: Used when a co-surgeon, of equal skill level to the primary surgeon, participated in the surgery.
• -26 Separate Encounter: This modifier used for evaluation and management (E/M) services provided on the same day as a separate surgical procedure.
• -95 Telehealth Service: Indicates that a neurosurgical consultation or evaluation performed via telehealth.

In conclusion, partnering with Billing Care Solutions for your neurosurgical billing needs, you can benefit from Billing Care Solutions expertise, efficiency, and focus on patient support. This allows your practice to focus on what matters most – providing high-quality care to your patients

We specialize in Medical Billing and Coding and provide comprehensive support for your practice. For more information visit

For more details on billing softwares, visit