Medical Billing · Nationwide
Pediatric Epilepsy Surgery & Hemispherotomy Medical Billing Services
Stereo-electroencephalography (sEEG) robotic depth electrode implantation, subdural grid placement, anatomical/functional hemispherotomy, laser interstitial thermal therapy (LITT), and continuous video-EEG seizure mapping.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to pediatric epilepsy neurosurgeons, pediatric epileptologists, comprehensive epilepsy centers (NAEC Level 4), and pediatric neurosurgical teams across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical pediatric epilepsy surgery & hemispherotomy CPT range we work: 61760, 61781, 61533, 61534, 61536, 61543, 61736, 61737, 95700, 95716, 95724, 99214.
Why pediatric epilepsy surgery & hemispherotomy billing leaks revenue
Stereo-EEG (sEEG 61760) trajectory unit denials: Commercial payers auditing multi-trajectory robotic depth electrode implantations and disallowing per-electrode or multi-lead billing
Robotic stereotactic navigation add-on (+61781) unbundling: Clearinghouses rejecting cranial neuronavigation (+61781) when billed with depth electrode insertion (61760) or craniotomy for grid placement (61533)
Hemispherotomy (61543) downcoding clawbacks: Payers downgrading complete hemispherectomy/hemispherotomy to simple single-lobe cortical resection (61537) slashing over 35 RVUs
Continuous long-term video-EEG (95716-95724) technical component recoupments: Post-implant intracranial EEG monitoring units rejected due to overlapping inpatient ICU billing guidelines
How Aethera fixes it
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Free tools for your billing team
Use these any time — no login required.
Pediatric Epilepsy Surgery & Hemispherotomy billing FAQ
How is stereo-EEG (sEEG) depth electrode implantation coded under current CPT rules?
CPT code 61760 describes stereotactic implantation of depth electrodes. When robotic guidance systems (such as ROSA or StealthStation) are utilized for multiple trajectory stereotactic guidance, add-on code +61781 (computer-assisted stereotactic navigation, cranial) is reportable to capture the multi-planar registration and coordinate mapping, supported by operative logs documenting 10 to 18 distinct stereotactic entry trajectories.
What clinical criteria differentiate anatomical/functional hemispherotomy (61543) from lobectomy (61537)?
Hemispherotomy (CPT 61543) involves complete surgical disconnection of an entire cerebral hemisphere—including temporal lobectomy, amygdalohippocampectomy, frontal and parietal opercular disconnections, and transventricular corpus callosotomy. CPT 61537 only covers partial cortical resection or single lobectomy. Operative notes must detail ventricular entry, callosotomy completion, and circumferential hemispheric isolation to overturn downcoding.