NSA · Federal IDR
Neurosurgery NSA IDR
Neurosurgery produces some of the highest per case IDR dispute amounts in the federal system. Kronos Revenue was built by Dr. John M. Abrahams, a board certified practicing neurosurgeon. Download the NSA IDR checklist before your first filing.
- Surgeon founded
- HIPAA compliant · BAA on request
- One claim per CPT at federal IDR
Neurosurgical CPT coding involves add on codes, intraoperative procedure codes, and staged billing structures. A generalist who batches CPT 61510 with 61517 into one IDR submission has created an unfiled claim for the chemotherapy implantation.
Common Neurosurgery CPT codes in NSA IDR
Cranial
61510 craniotomy excision of brain tumor · 61512 excision of meningioma · 61518 intracranial abscess · 61520 posterior fossa tumor removal · 61576 skull base lesion
Spinal (neurosurgical)
63030 lumbar discectomy one level · 63047 lumbar laminectomy · 63048 laminectomy each additional segment · 63055 transpedicular decompression · 63081 vertebral corpectomy anterior one level
Typical claim range: $5,000 to $25,000 per CPT for major cranial procedures.
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Neurosurgery NSA IDR questions
- Which surgical specialties does Kronos Revenue support for NSA IDR?
- We support orthopedic, neurosurgery, spine, plastic, anesthesia, and general surgery practices. Every federal IDR submission is one claim per CPT, specialty coded by RCM specialists trained on your procedure set.
- Why does specialty coding matter at federal IDR?
- Arbiters expect operative detail and correct CPT separation. Generalist attorneys batch codes, which violates federal IDR rules and loses awards your practice earned. We file each eligible CPT individually.
- Can Kronos handle high value neurosurgery and spine claims?
- Yes. Kronos was founded by a board certified neurosurgeon. Complex cranial, spine, and instrumentation claims receive the clinical depth IDR requires, not boilerplate attorney letters.
- What is a typical claim range by specialty?
- Ranges vary by CPT and market. Orthopedic claims often fall between $2,000 and $8,000 per CPT; neurosurgery and spine claims can run higher. We confirm estimates on your free case review using real EOBs.
- How do I get a free NSA IDR review for my specialty?
- Submit the case review form or call (914) 705 6830. Share sample EOBs and your specialty mix. We respond within one business day with what you could recover versus your current attorney or biller.
References
- CMS Federal IDR Q1/Q2 2025 Public Use File (January 21, 2026)
- Georgetown University CHIR · Health Affairs webinar, March 2026
- Brookings Institution NSA Arbitration Databook · April 2026
- ACR — Providers prevail in vast majority of IDR claims · January 29, 2026
- Zelis — NSA IDR eligibility challenges · March 2026
- No Surprises Act: Public Law 116-260, Division BB, Title I
- Federal IDR regulations: 45 CFR Part 149
- CMS No Surprises Act overview
- Federal IDRE portal
Explore more on Kronos Revenue
Get a free IDR review for your neurosurgery practice
- Surgeon founded
- HIPAA compliant · BAA on request
- One claim per CPT at federal IDR