AMA Clarification of CPT 61795

The following is a duplication of a letter from the American Medical Association dated 7/2001 clarifying the use of CPT 61795.

July 16, 2001

Ms. Beth L. Roverts
Hogan & Hartson, LLP
555 13th Street NW
Washington, DC 20004

Dear Ms. Roberts:

This is written follow up to your July 10, 2001, e-mail inquiry related to the use of CPT TM code 61795 -- Stereotactic computer assisted volumetric (navigational) procedure, intracranial, extracranial, or spinal (List separately in addition to code for primary procedure). Specifically, when this procedure is performed in conjunction with various ENT, head, and neck procedures, including functional endoscopic sinus surgery (FESS).

Please be advised that I have forwarded your request for clarification by our CPT advisor representing otolaryngology, head and neck surgery, as well as two members of the CPT Editorial Panel, who represent neurosurgery and otolaryngology, head and neck surgery.

I have received the following consensus clarification based on the CPT 2000 revision of code 61795 to include the term "extracranial": CPT code 61795 was revised for CPT 2000 to specifically include a variety of 'extracranial' procedures. It is indeed appropriate to report 61795 when performed in conjunction with ENT, head, and neck procedures, including functional endoscopic sinus surgeries (FESS). For example, those procedures described by codes 31254-31256, 31267, 31276, 31288, 31290-31294, and 61548".

I hope this clarifies this CPT coding issue.


Grace M. Kotowicz

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