Table 1 [=IMG1]: Codes to Identify Neuroimaging in ...

Table 1 [=IMG1]: Codes to Identify Neuroimaging in Administrative Claims

Imaging Modality Computerized Tomography (CT) of Brain/Head

Magnetic Resonance Imaging (MRI) of Brain/Head

Code Type Revenue (UB-92)

CPT ICD-9-CM Revenue (UB-92)

CPT ICD-9-CM

Codes 350, 351, 352, 353, 354, 355, 356, 357, 358, 359

70450, 70460, 70470, 70480, 70481,70482 87.03 610, 611, 612, 613, 614, 615, 616, 617, 618, 619

70551, 70552, 70553 88.91

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Table 2 [=IMG3]: ICD-9-CM Codes to Identify Headache

General Diagnosis Migraine

Headache syndromes

Other General Symptoms Complicated headache syndromes

Other Post-traumatic headache Acute pain due to trauma

Diagnosis Details

Migraine with aura Migraine without aura Variants of migraine, not elsewhere classified (abdominal migraine, cyclical vomiting, ophthalmoplegic migraine, periodic headache syndromes in child or adolescent) Hemiplegic migraine Menstrual migraine Persistent migraine aura w/o cerebral infarction Chronic migraine without aura Other forms of migraine Migraine, unspecified

Tension type headache Tension headache NOS/related to psych factors Cluster headaches/other trigeminal autonomic cephaligias Drug induced headache Hypnic headache Primary stabbing headache "Other"

Headache

Persistent migraine aura WITH cerebral infarction Hemicranius continua New daily persistent Primary thunderclap Other complicated

ICD-9-CM Code

346.0 346.1 346.2

346.3 346.4 346.5 346.7 346.8 346.9

339.1x 307.81 339.0x 339.3 339.81 339.85 339.89

784.0

346.6 339.41 339.42 339.43 339.44

339.2x 338.11

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Table 3 [=IMG2]: ICD-9-CM Codes to Identify Epilepsy and Recurrent Seizures

Diagnosis Category

Diagnosis Detail

Epilepsy and recurrent seizures

Generalized non-

Absences (atonic, typical), minor epilepsy, petit mal, pykno-epilepsy,

convulsive

seizures (akinetic, atonic)

Generalized convulsive

Epileptic seizures (clonic, tonic, myoclonic, tonic-clonic), grand mal,

major epilepsy

Petit mal status

Epileptic absence status

Grand mal status

Status epilepticus NOS

Localized-related (focal) Epilepsy (limbic system partial, psychomotor, psychosensory,

(partial) epilepsy and

temporal lobe), Epileptic automatism

epileptic syndromes with

complex partial seizures

Localized-related (focal) Epilepsy (Bravais-Jacksonian NOS, focal (motor) NOS, Jacksonian NOS,

(partial) epilepsy and

motor partial, partial NOS, sensory-induced, somatomotor,

epileptic syndromes with somatosensory, visceral, visual

simple partial seizures

Infantile spasms

Hypsarrhythmia, Lightning spasms, Salaam attacks

Epilepsia partialis

Kojevnikov's epilepsy

continua

Other forms of epilepsy Cursive [running] gelastic

and recurrent seizures

Epilepsy, unspecified

Epileptic convulsions, fits or seizures NOS, recurrent seizures NOS,

seizure disorder NOS

General Symptoms

Post-traumatic seizure

Other convulsions

ICD-9-CM Code 345.0 345.1 345.2 345.3 345.4

345.5

345.6 345.7 345.8 345.9

780.33 780.39

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Table 4 [=IMG9]: ICD-9-CM Codes to Identify Head Trauma and Intracranial Hemorrhage

General Diagnosis Post-traumatic headache Concussion Fracture of skull

Concussion

Diagnosis Detail

With no loss of consciousness With brief loss of consciousness Closed w/o mention of intracranial injury Closed with cerebral laceration and contusion Closed with subarachnoid, subdural and extradural hemorrhage Closed with other and unspecified intracranial hemorrhage Closed with intracranial injury of other and unspecified nature Open w/o mention of intracranial injury Open with cerebral laceration and contusion Open with subarachnoid, subdural and extradural hemorrhage Open with other and unspecified intracranial hemorrhage Open with intracranial injury of other, unspecified nature Fracture of skull base Other, unqualified skull fracture Multiple fractures involving skull or face with other bones With loss of consciousness (LOC) 30min or less With LOC 31 minutes to 59 minutes With moderate LOC (1-24 hours) With prolonged LOC and return to pre-existing conscious level With prolonged LOC, without return to pre-existing conscious level With loss of consciousness of unspecified duration Concussion, unspecified Cerebral laceration and contusion Subarachnoid, subdural, extradural hemorrhage post injury Other/unspecified intracranial hemorrhage following injury Intracranial injury of other and unspecified nature Subarachnoid hemorrhage Intracerebral hemorrhage Other and unspecified intracranial hemorrhage Child abuse and neglect Observation and evaluation for ? abuse and neglect Late effect of fracture of skull and face bones Late effect of intracranial injury without mention of skull fracture

ICD-9-CM Code 339.2x 850.0 850.1 800.0 800.1 800.2 800.3 800.4 800.5 800.6 800.7 800.8 800.9 801.x 803.x 804.x 850.11 850.12 850.2 850.3 850.4 850.5 850.9 851.x 852.x 853.x 854.x 430 431 432.x 995.5x V71.81 905.0 907.0

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Table 5 [=IMG10]: CPT Codes to Identify Lumbar Puncture and Recent Neurosurgical Procedures

Procedure Spinal Tap Spinal puncture lumbar diagnostic Spinal tap Anesthesia for dx or therapeutic lumbar puncture Neurosurgery Transcatheter placement of extracranial cerebrovascular artery stent(s), percutaneous; initial vessel

Each additional vessel (list separately in addition to code for primary procedure) Transcatheter placement of extracranial cerebrovascular artery stent(s), percutaneous, radiological supervision and interpretation, each vessel

Anesthesia for intracranial procedures; not otherwise specified

Anesthesia for intracranial procedures; craniotomy or craniectomy for evacuation of hematoma

Anesthesia for intracranial procedures; subdural taps

Anesthesia for intracranial procedures; burr holes, including ventriculography Anesthesia for intracranial procedures; cranioplasty or elevation of depressed skull fracture, extradural (simple or compound)

Anesthesia for intracranial procedures; vascular procedures

Anesthesia for intracranial procedures; procedures in sitting position

Anesthesia for intracranial procedures; cerebrospinal fluid shunting procedures

Anesthesia for intracranial procedures; electrocoagulation of intracranial nerve Stereotactic placement of infusion catheter(s) in the brain for delivery of therapeutic agent(s), including computerized stereotactic planning and burr hole(s) Anesthesia for therapeutic interventional radiological procedures involving the arterial system; intracranial, intracardiac, or aortic Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intracranial Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; without injection Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment

Cisternal or lateral cervical (c1-c2) puncture; without injection (separate procedure) Cisternal or lateral cervical (c1-c2) puncture; with injection of medication or other substance for diagnosis or treatment (eg, c1-c2)

Puncture of shunt tubing or reservoir for aspiration or injection procedure

Twist drill hole for subdural or ventricular puncture

Twist drill hole for subdural or ventricular puncture; followed by other surgery Twist drill hole for subdural or ventricular puncture; for implanting ventricular catheter or pressure recording device Twist drill hole for subdural or ventricular puncture; for evacuation and/or drainage of subdural hematoma Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material); followed by other surgery

Burr hole(s) or trephine; with biopsy of brain or intracranial lesion Burr hole(s) or trephine; with drainage of brain abscess or cyst

Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst

CPT Code

62270 03.31 635

0005T 0006T 0007T 00210 00211 00212 00214 00215 00216 00218 00220 00222 0169T

01926

01933

61020

61026 61050 61055 61070 61105 61106 61107

61108

61130 61140 61150 61151

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