Neurosurgery Billing That Pays What You Earn
Neurosurgery billing involves some of the highest-value and highest-complexity procedure codes in medicine: craniotomy for tumor or aneurysm, spinal fusion with implant billing, spinal cord stimulator implantation, and intracranial endoscopy. Spinal surgery coding is particularly complex — anterior vs. posterior approach, number of levels fused, interbody cage billing, and add-on decompression codes must all be correctly applied. 360Solutions provides neurosurgery billing specialists who capture the full value of complex spinal and cranial procedures while managing implant cost billing and prior auth for device-intensive cases.
Where Neurosurgery Practices Lose Revenue
These are the coding and billing pitfalls that cost neurosurgery practices the most — and where our specialised billers add the most value.
Spinal Fusion Level Coding
Spinal fusion codes (22612-22634 for posterior; 22551-22558 for ACDF) are primary codes for the first level with add-on codes for each additional level. Anterior vs. posterior vs. lateral approaches each have distinct code sets. Missing levels or wrong approach codes lose thousands per case.
Interbody Device Billing
Interbody cages, allograft spacers, and bone morphogenetic protein (BMP) are separately billable implants in device-intensive spinal procedures. BMP is one of the most expensive separately billable biologics — and one most commonly missed in spinal billing.
Decompression Add-On Coding
Laminectomy and decompression codes (63001-63056) are add-ons to fusion procedures when performed at the same levels. The bundle edits between decompression and fusion codes require careful modifier application. Missing decompression add-ons costs significant revenue on combined procedures.
Craniotomy & Skull Base Coding
Craniotomy codes (61304-61576) vary by location (frontal, temporal, posterior fossa), lesion type (neoplastic, vascular, inflammatory), and surgical approach. Brain tumor craniotomy, aneurysm clipping, and AVM resection each have specific code requirements based on the operative report details.
High-Risk CPT Groups
Code ranges payers audit most aggressively in Neurosurgery.
Common Denial Patterns
Knowing these before submission is the difference between a 60% and a 96% first-pass rate.
Fusion level count does not match the operative report description of levels treated
BMP (bone morphogenetic protein) implant not billed when documented in operative report
Decompression add-on code omitted when performed at same level as fusion
Anterior and posterior approach both billed without documentation of staged vs. same-session
Craniotomy approach code does not match operative report documentation of anatomic region
Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.
Request Free Audit →How 360Solutions Works for Neurosurgery Practices
Free 2-Week Billing Audit
We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.
Specialty Coder Assignment
You are paired with a coder trained specifically in neurosurgery coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.
Parallel Billing Transition
We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.
Live KPI Dashboard
Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.
Weekly Account Manager Call
Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.
Questions From Neurosurgery Practices
Start With a Free,
No-Obligation Audit
Two weeks, no contract. A certified neurosurgery billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.