| Official Description | Common Description | Procedure Codes | Possible Additional Codes | Explanations | Work RVU | Total RVU |
|---|---|---|---|---|---|---|
| Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation | Clipping of aneurysms that are less than 15 mm, without calcification of the aneurysm neck, without incorporation of normal vessels into the aneurysm neck, and/or a procedure not requiring temporary vessel occlusion, trapping or cardiopulmonary bypass | 61700 | +69990 | +69990 - use of microscope | 61700 - 50.62 +69990 - 3.46 | 61700 - 100.11 +69990 - 6.43 |
| Craniofacial approach; extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomv of base of anterior fossa | 61582 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61582 - 35.14 +61781 - 3.75 +69990-59 - 3.46 | 61582 - 87.66 +61781 - 6.96 +69990-59 - 6.43 | |
| Craniectomy or craniotomy, DRAINAGE of intracranial abscess; SUPRATENTORIAL | Craniotomy for DRAINAGE OF frontal sinus, epidural or brain abscess | 61320 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61320 - 27.42 +61781 - 3.75 +69990-59 - 3.46 | 61320 - 55.76 +61781 - 6.96 +69990-59 - 6.43 |
| Cranioplasty for skull defect; larger than 5 cm diameter | Cranioplasty > 5 CM | 62141 | +62148 | +62148 - Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) | 62141 - 16.07 +62148 - 2.00 | 62141 - 33.37 +62148 - 4.00 |
| Cranioplasty for skull defect; up to 5 cm diameter | Cranioplasty < 5 CM | 62140 | +62148 | +62148 - Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) | 62140 - 14.55 +62148 - 2.00 | 62140 - 30.22 +62148 - 4.00 |
| Craniectomy or Craniotomy and Evacuation of Intracerebral Hematoma, Supratentorial | 61313 | 61313 - 28.09 | 61313 - 58.17 | |||
| Surgery of intracranial arteriovenous malformation; supratentorial, simple | Craniotomy and Resection of Brain AVM | 61680 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61680 - 32.55 +61781 - 3.75 +69990-59 - 3.46 | 61680 - 66.33 +61781 - 6.96 +69990-59 - 6.43 |
| Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull | DO NOT USE THIS CODE FOR MENINGIOMA, CPA TUMOR, MIDLINE TUMOR; resection of cerebellar metastatic tumor | 61518 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61518 - 39.89 +61781 - 3.75 +69990-59 - 3.46 | 61518 - 80.88 +61781 - 6.96 +69990-59 - 6.43 |
| Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma | Posterior fossa craniotomy/craniectomy and excision of meningioma | 61519 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61519 - 43.43 +61781 - 3.75 +69990-59 - 3.46 | 61519 - 86.34 +61781 - 6.96 +69990-59 - 6.43 |
| Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial | Craniotomy and resection of meningioma | 61512 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61512 -37.14 +61781 - 3.75 +69990-59 - 3.46 | 61512 - 74.79 +61781 - 6.96 +69990-59 - 6.43 |
| Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma | Craniotomy and resection of brain tumor | 61510 | 61510 - 30.83 | 61510 - 61.66 | ||
| Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural | Posterior Fossa Subdural(SDH) or Epidural Hematoma(EDH) Evacuation | 61314 | 61314 - 25.90 | 61314 - 53.62 | ||
| Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy | 61323 | 61316 | 61323 - decompressive craniectomy with brain resection; +61316 - if bone flap placed in abdominal subcutaneous pocket; cannot bill separately for duraplasty or removal of intraparenchymal hematoma or contusion | 61323 - 35.06 61316 - 1.39 | 61323 - 70.75 61316 - 2.62 | |
| Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy | 61322 | 61316 | 61322 - decompressive craniectomy without brain resection; +61316 - if bone flap placed in abdominal subcutaneous pocket; cannot bill separately for duraplasty or removal of intraparenchymal hematoma or contusion | 61322 - 34.26 61316 - 1.39 | 61322 - 69.85 61316 - 2.62 | |
| Incision and subcutaneous placement of cranial bone graft (list separately in addition to code for primary procedure) | +61316 | +61316 - 1.39 | +61316 - 2.78 | |||
| Elevation of Complex Comminuted Depressed Skull Fracture, Extradural | 62005 | 62005 - 17.53 | 62005 - 36.92 | |||
| Elevation of Depressed Skull Fracture, Intradural, Dural Repair, Debridement of Brain for Gunshot Wound to Head | 62010 | 62010 - 21.43 | 62010 - 44.87 | |||
| Elevation of Simple Depressed Skull Fracture, Extradural | 62000 | 62000 - 13.93 | 62000 - 28.02 | |||
| Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device | Intracranial Monitor Placement or Ventriculostomy with twist drill | 61107 | 61107 - 4.99 | 61107 - 9.27 | ||
| Open Treatment of Frontal Sinus Fracture with Exoneration of Frontal Sinus | 21343 | 21343 - 14.32 | 21343 - 34.98 | |||
| Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intraparenchymal | Posterior Fossa Cranitomoty or Craniectomy and Evacuation of Intracerebral Hematoma | 61315 | 61315 - 29.65 | 61315 - 60.77 | ||
| Resection or excision of neoplastic, vascular or infectious lesion, extradural | Craniotomy for mucocele | 61600 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61600 - 30.81 +61781 - 3.75 +69990-59 - 3.46 | 61600 - 61.42 +61781 - 6.96 +69990-59 - 6.43 |
| Resection or excision of neoplastic, vascular or infectious lesion, intradural, including dural repair, with or without graft | 61601 | 61601 - 31.14 | 61601 - 62.28 | |||
| Craniectomy; with excision of tumor or other bone lesion of skull | 61500 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61500 - 19.18 +61781 - 3.75 +69990-59 - 3.46 | 61500 - 38.44 +61781 - 6.96 +69990-59 - 6.43 | |
| Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural | Subdural(SDH) or Epidural Hematoma(EDH) Evacuation | 61312 | +RT and +LT for bilateral hematomas | 61312 - 30.17 | 61312 - 61.05 | |
| Ventriculostomy placement with burr hole | 61210 | 61210 - 5.83 | 61210 - 10.91 | |||
| Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach | TSA - Transphenoidal Adenectomy, pituitary tumor resection WITH endoscope | 62165 | 20926-51 62350-51 +61781 | Add -62 modifier if ENT surgeon was co-surgeon to 61548 only; do not add 69990 for microscope as you cannot bill for both endoscope and microscope; 20926-51 - fat graft; 62350-51 - lumbar drain; +61781 - neuronavigation | 62165 - 23.23 20926-51 - 5.79 62350-51 - 6.05 +61781 - 3.75 | 62165 - 44.88 20926-51 - 12.15 62350 -51 - 11.52 +61781 - 6.96 |
| Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic | TSA - Transphenoidal Adenectomy, pituitary tumor resection WITH microscope | 61548 | 20926-51 62350-51 +61781 | Add -62 modifier if ENT surgeon was co-surgeon to 61548 only; do not add +69990 for microscope as this is bundled into 61548; 20926-51 - fat graft; 62350-51 - lumbar drain; +61781 - neuronavigation | 61548 - 23.37 20926-51 - 5.79 62350-51 - 6.05 +61781 - 3.75 | 61548 - 46.04 20926-51 - 12.15 62350-51 - 11.52 +61781 - 6.96 |
| Craniotomy for hypophysectomy ·or excision of pituitary tumor, intracranial approach | 61546 | 61546 - 33.44 | 61546 - 66.88 | |||
| Removal of bone flap or prosthetic plate of skull | 62142 | 62142 - 11.83 | 62142 - 25.95 | |||
| Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneous flap (including galea, temporalis, frontalis or occipitalis muscle) | includes galea, temporalis muscle | 61619 | 61619 - 22.10 | 61619 - 41.69 | ||
| Third Venrticulostomy | 62200 | 62200 - 19.29 | 62200 - 39.68 | |||
| Aneurysm Clipping of Complex Aneurysm Carotid Circulation | Ophthalmic Artery Aneurysm | 61697 +69990 | 61697 - 63.40 +69990 - 3.46 | 61697 - 123.91 +69990 - 6.43 | ||
| Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial | Craniotomy for resection of cyst DO NOT USE THIS CODE FOR CEREBELLUM OR POSTERIOR FOSSA | 61516 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61516 - 26.58 +61781 - 3.75 +69990-59 - 3.46 | 61516 - 54.48 +61781 - 6.96 +69990-59 - 6.43 |
| Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor | Craniotomy/craniectomy and excision of cerebellopontine angle (CPA) tumor e.g., acoustic neuroma, vestibular schwannoma, meningioma | 61520 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61520 - 57.09 +61781 - 3.75 +69990-59 - 3.46 | 61520 - 110.4 +61781 - 6.96 +69990-59 - 6.43 |
| Craniectomy for excision of brain tumor, infratentorial or posterior fossa; midline tumor at base of skull | Craniotomy/Craniectomy and excision of midline tumor at skull base e.g., glioma or of 4th ventricle, brainstem, pons | 61521 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61521 - 46.99 +61781 - 3.75 +69990-59 - 3.46 | 61521 - 93.32 +61781 - 6.96 +69990-59 - 6.43 |
| Craniectomy, INFRATENTORIAL or posterior fossa; for EXCISION of brain abscess | Craniotomy for epidural abscess or cerebellar abscess | 61522 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61522 - 31.54 +61781 - 3.75 +69990-59 - 3.46 | 61522 - 64.50 +61781 - 6.96 +69990-59 - 6.43 |
| Craniectomy, infratentorial or posterior fossa; for excision or fenestration of cyst | 61524 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61524 - 29.89 +61781 - 3.75 +69990-59 - 3.46 | 61524 - 61.17 +61781 - 6.96 +69990-59 - 6.43 | |
| Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor | Translabrynthine approach and acoustic neuroma, vestibular schwannoma, CP anlge meningioma resection | 61526 | +61781 +69990-59 +61618 | 61526 - 54.08 +61781 - 3.75 +69990-59 - 3.46 +61618 - 18.69 | 61526 - 108.16 +61781 - 6.96 +69990-59 - 6.43 +61618 - 37.73 | |
| Burr hole(s) or trephine; with biopsy of brain or intracranial lesion | Brain biopsy (no neuronavigation) | 61140 | Do not use +61781 for neuronavigation, if neuronavigation is used then 61750 or 61751 | 61140 - 17.23 | 61140 - 36.96 | |
| Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance | Biopsy with intraoperative CT or MRI | 61751 | 61751 - 18.79 | 61751 - 37.58 | ||
| Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; | Brain tumor or lesion biopsy with neuronavigation | 61750 | Do not use +61781 for neuronavigation as this code is bundled into 61750; Global period of 90 days | 61750 - 19.83 | 61750 - 41.32 | |
| Craniectomy or craniotomy, exploratory; supratentorial | 61304 | 61304 - 23.41 | 61304 - 47.97 | |||
| Craniectomy or craniotomy, exploratory; infratentorial (posterior fossa) | 61305 | 61305 - 28.64 | 61305 - 59.25 | |||
| Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter) | Spinal Tap, Lumbar Drain Placement | 62272 | 62272 - 1.35 | 62272 - 2.43 | ||
| Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation | Clipping of aneurysms that are larger than 15 mm, with calcification of the aneurysm neck, with incorporation of normal vessels into the aneurysm neck, and/or a procedure requiring temporary vessel occlusion, trapping or cardiopulmonary bypass | 61698 | +69990 | +69990 - use of microscope | 61698 - 69.63 +69990 - 3.46 | 61698 - 136.58 +69990 - 6.43 |
| Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation | Clipping of aneurysms that are less than 15 mm, without calcification of the aneurysm neck, without incorporation of normal vessels into the aneurysm neck, and/or a procedure not requiring temporary vessel occlusion, trapping or cardiopulmonary bypass | 61702 | +69990 | +69990 - use of microscope | 61702 - 60.04 +69990 - 3.46 | 61702 - 117.93 +69990 - 6.43 |
| Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less | Repair of scalp laceration | 12001 | 12001 - 0.84 | 12001 - 1.27 | ||
| Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm | Repair of scalp laceration | 12002 | 12002 - 1.14 | 12002 - 1.68 | ||
| Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm | Repair of scalp laceration | 12004 | 12004 - 1.44 | 12004 - 2.10 | ||
| Burr hole(s) or trephine; with drainage of brain abscess or cyst | Burr hole to drain intracranial abscess | 61150 | +61781 | +61781 - neuronavigation; 10 days global period | 61150 - 18.90 +61781 - 3.75 | 61150 - 39.76 +61781 - 6.96 |
| Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst | Subsequent tap through previously made burr hole to drain intracranial abscess | 61151 | 61151 - 13.49 | 61151 - 29.26 | ||
| Craniectomy, trephination, bone flap craniotomy; for EXCISION of brain abscess, SUPRATENTORIAL | Craniotomy for resection of brain abscess, subdural empyema | 61514 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61514 - 27.23 +61781 - 3.75 +69990-59 - 3.46 | 61514 - 55.79 +61781 - 6.96 +69990-59 - 6.43 |
| Craniofacial approach; intradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe, osteotomv of base of anterior fossa | 61583 | 61583 - 38.50 | 61583 - 84.41 | |||
| Cranioplasty for skull defect with reparative brain surgery | Cranioplasty for skull defect with reparative brain surgery | 62145 | 62145 - 20.09 | 62145 - 41.47 | ||
| Ligation or biopsy, temporal artery | 37609 | 37609 - 3.05 | 37609 - 5.99 | |||
| Intrathecal Pain Pump Placement | 62362 +62350 +76000 | 62362 - Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming (10 days Global); +62350 - Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without laminectomy 10 days global period; +76000 - Fluoroscopy (separate procedure), up to one hour physician time, other than 71023 or 71034 (e.g., cardiac fluoroscopy) | 62362 - 5.60 +62350 - 6.05 +76000 - 0.17 | 62362 - 11.11 +62350 - 11.52 +76000 - 1.34 | ||
| Intrathecal Pain Pump Refill, Office | 95991 +62362 +A4220 +J2275 | 95991 - Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requiring skill of a physician or other qualified health care professional; +62362 - Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming 10 days global period; A4220 - Refill kit for implantable infusion pump; J2275 - Injection, morphine sulfate (preservative-free sterile solution), per 10 mg | 95991 - 0.77 +62362 - 5.60 +A4220 - 0 +J2275 - 0 | 95991 - 1.13 +62362 - 11.11 +A4220 - 0 +J2275 - 0 | ||
| Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage NA 2090.36 | Endoscopic biopsy of brain tumor | 62164 | 62164 - 29.43 | 62164 - 58.86 | ||
| Synovial Cyst Resection | 63267 69990 | 69990 - Use of microscope | 63267 - 19.45 69990 - 3.46 | 63267 - 39.92 69990 - 6.43 | ||
| Replacement of bone flap or prosthetic plate of skull | 62143 | 62143 - 14.15 | 62143 - 28.30 | |||
| Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (e.g., Arnold-Chiari malformation) | Chiari decompression surgery | 61343 | 61343 - 31.86 | 61343 - 63.72 | ||
| Treatment of superficial wound dehiscence; simple closure | 12020 | 12020 - 2.67 | 12020 - 5.34 | |||
| Treatment of superficial wound dehiscence; simple closure with packing | 12021 | 12021 - 1.89 | 12021 - 3.78 | |||
| Complex repair, scalp codes | 13120 | 13120 - 3.23 | 13120 - 6.46 | |||
| Complex repair, scalp codes | 13121 | 13121 - 4.00 | 13121 - 8.00 | |||
| Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (e.g., thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), without use of intraoperative microelectrode recording; first array | 61863 | 61863 - 20.71 | 61863 - 41.42 | |||
| Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (e.g., thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), without use of intraoperative microelectrode recording; each additional array (List separately in addition to primary procedure) | +61864 | +61864 - 4.49 | +61864 - 8.98 | |||
| Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (e.g., thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), with use of intraoperative microelectrode recording; first arra | 61867 | 61867 - 33.03 | 61867 - 66.06 | |||
| Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (e.g., thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), with use of intraoperative microelectrode recording; each additional array (List separately in addition to primary procedure) | +61868 | +61868 - 7.91 | +61868 - 15.82 | |||
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array | 61885 | 61885 - 6.05 | 61885 - 12.10 | |||
| Revision or removal of intracranial neurostimulator electrodes | 61880 | 61880 - 6.95 | 61880 - 13.90 | |||
| Revision or removal of cranial neurostimulator pulse generator or receiver | 61888 | 61888 - 5.23 | 61888 - 10.46 | |||
| Subdural implantation of strip electrodes through 1 or more burr or tre hine hole s for Ion -term seizure monitoring | 61531 | 61531 - 16.41 | 61531 - 32.82 | |||
| Craniotomy with elevation of bone flap; for subdural implantation of an electrode array, for Ion -term seizure monitoring | 61533 | 61533 - 21.46 | 61533 - 42.92 | |||
| Stereotactic implantation of depth electrodes into the cerebrum for longterm seizure monitorin | 61760 | 61760 - 22.39 | 61760 - 44.78 | |||
| Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array, without excision of cerebral tissue (separate procedure) | 61535 | 61535 - 13.15 | 61535 - 26.30 | |||
| cfor excision of epileptogenic focus without electrocorticography during surgery | 61534 | 61534 - 23.01 | 61534 - 46.02 | |||
| Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery | 61537 | 61537 - 36.45 | 61537 - 72.90 | |||
| Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, without electrocorticography during surgery | 61540 | 61540 - 31.43 | 61540 - 62.86 | |||
| Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus, with electrocorticography during surgery (includes removal of electrode array) | 61536 | 61536 - 37.72 | 61536 - 75.44 | |||
| Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography during surgery | 61538 | 61538 - 39.45 | 61538 - 78.90 | |||
| Craniotomy with elevation of bone flap; for lobectomy, other than temporal lobe, partial or total, with electrocorticography during surgery | 61539 | 61539 - 34.28 | 61539 - 68.56 | |||
| Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) | +62160 | 62160 - 3.00 | 62160 - 6.00 | |||
| Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cysts (including placement, replacement, or removal of ventricular catheter) | 62161 | 62161 - 21.23 | 62161 - 42.46 | |||
| Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst | 62162 | 62162 - 26.80 | 62162 - 53.60 | |||
| Neuroendoscopy, intracranial; with retrieval of foreign body | 62163 | 62163 - 16.53 | 62163 - 33.06 | |||
| Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage | 62164 | 62164 - 29.43 | 62164 - 58.86 | |||
| Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach | 62165 | 62165 - 23.23 | 62165 - 46.46 | |||
| Ventriculocisternostomy, third ventricle; stereotactic, neuroendoscopic method | 62201 | 62201 - 16.04 | 62201 - 32.08 | |||
| Craniofacial approach; extradural, including lateral rhinotomy, ethmoidectomy sphenoidectomy, without maxillary or orbital exenteration; | 61580 | 61580 - 34.51 | 61580 - 69.02 | |||
| Craniofacial approach; extradural with maxillectomy and/or orbital exenteration | 61581 | 61581 - 39.13 | 61581 - 78.26 | |||
| Orbitocranial approach, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s), without orbital exenteration | 61584 | 61584 - 37.70 | 61584 - 75.40 | |||
| Orbitocranial approach, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s), with orbital exenteration | 61585 | 61585 - 42.57 | 61585 - 85.14 | |||
| Bicoronal, transzygomatic approach and/or Le Fort I osteotomy, with or without internal fixation, without bone graft | 61586 | 61586 - 27.48 | 61586 - 54.96 | |||
| Infratemporal pre-auricular approach (parapharyngeal space, infratemporal and midline skull base, nasopharynx), with or without disarticulation of the mandible, including parotidectomy, craniotomy, decompression and/or mobilization of the facial nerve and/or petrous carotid artery | 61590 | 61590 - 47.04 | 61590 - 94.08 | |||
| lnfratemporal post-auricular approach (internal auditory meatus, petrous apex, tentorium, cavernous sinus, parasellar area, infratemporal fossa) including mastoidectomy, resection of sigmoid sinus, with or without decompression and/or mobilization of contents of auditory canal or petrous carotid artery | 61591 | 61591 - 47.02 | 61591 - 94.04 | |||
| Orbitocranial zygomatic approach (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural elevation of temporal lobe | 61592 | 61592 - 43.08 | 61592 - 86.16 | |||
| Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, paraph,aryngeal space, petrous apex; extradural | 61605 | 61605 - 32.57 | 61605 - 65.14 | |||
| Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, paraph,aryngeal space, petrous apex; intradural, including dural repair, with or without graft | 61606 | 61606 - 42.05 | 61606 - 84.10 | |||
| Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural | 61607 | 61607 - 40.93 | 61607 - 81.86 | |||
| Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; intradural, including dural repair, with or without graft | 61608 | 61608 - 45.54 | 61608 - 91.08 | |||
| Transtemporal approach jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, with or without mobilization | 61595 | 61595 - 33.74 | 61595 - 67.48 | |||
| Transcochlear approach, jugular foramen or midline skull base, including labyrinthectomy, decompression, with or without mobilization of facial nerve and/or petrous carotid artery | 61596 | 61596 - 39.43 | 61596 - 78.86 | |||
| Transcondylar (far lateral) approach, jugular foramen or midline skull base, including occipital condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompression of vertebral artery, with or without mobilization | 61597 | 61597 - 40.82 | 61597 - 81.64 | |||
| Transpetrosal approach, clivus or foramen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus | 61598 | 61598 - 36.53 | 61598 - 35.77 | |||
| Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; extradural | 61615 | 61615 - 46.74 | 61615 - 13.93 | |||
| Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or C1-C3 vertebral bodies; intradural, including dural repair, with or without graft | 61616 | 61616 - 46.74 | 61616 - 93.48 | |||
| Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 simple cranial lesion | 61796 | 61796 - 13.93 | 61796 - 27.86 | |||
| Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, simple (List separately in addition to code for primary procedure | +61797 | +61797 - 3.48 | +61797 - 6.96 | |||
| Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); 1 complex cranial lesion | 61798 | 61798 - 19.85 | 61798 - 39.70 | |||
| Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); each additional cranial lesion, complex (List separately in addition to code for primary procedure | +61799 | +61799 - 4.81 | +61799 - 9.62 | |||
| Application of stereotactic head frame for stereotactic radiosurgery (List separately in addition to code for primary procedure.) (Use 61800 in conjunction with 61796, 61798.) | 61800 | 61800 - 2.25 | 61800 - 4.50 | |||
| Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch | 64600 | 64600 - 3.49 | 64600 - 6.98 | |||
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale | 64605 | 64605 - 5.65 | 64605 - 11.30 | |||
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring | 64610 | 64610 - 7.20 | 64610 - 14.4 | |||
| Creation of Iesion by stereotactic method, percutaneous, by neurolytic agent (eg, al cohol, thermal, electrical, radiofrequency); gasserian QanQlion | 61790 | 61790 - 11.60 | 61790 - 23.20 | |||
| Creation of Iesion by stereotactic method, percutaneous, by neurolytic agent (eg, al cohol, thermal, electrical, radiofrequency); trigeminal medullary tract | 61791 | 61791 - 15.41 | 61791 - 30.82 | |||
| Craniectomy, suboccipital; for exploration or decompression of cranial nerves | 61458 | 61458 - 28.84 | 61458 - 57.68 | |||
| Craniectomy, suboccipital; for section of 1 or more cranial nerves | 61460 | 61460 - 30.24 | 61460 - 60.48 | |||
| Incision for implantation of cranial nerve (e.g., vagus nerve) neurostimulator electrode array and pulse generator. (Do not report 64568 in con·unction with 61885, 61886, 64570.) | 64568 | 64568 - 9.00 | 64568 - 18.00 | |||
| Revision or replacement of cranial nerve (e.g., vagus nerve neurostimulator electrode array, including connection to existing pulse generator) | 64569 | 64569 - 11.00 | 64569 - 22.00 | |||
| Removal of cranial nerve (e.g. vagus nerve) neurostimulator electrode array and pulse generator | 64570 | 64570 - 9.10 | 64570 - 18.20 | |||
| Creation of shunt; ventriculo-peritoneal, -pleural, other terminus | 62223 | 62223 - 14.05 | 62223 - 28.10 | |||
| Replacement or irrigation, ventricular catheter | 62225 | 62225 - 6.19 | 62225 - 12.38 | |||
| Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system | Partial VP shunt revision | 62230 | 62230 - 11.43 | 62230 - 22.86 | ||
| Removal of complete cerebrospinal fluid shunt system ; without replacement | 62256 | 62256 - 7.38 | 62256 - 14.76 | |||
| Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation | complete VP shunt revision | 62258 | 62258 - 15.64 | 62258 - 31.28 | ||
| Reprogramming of a programmable cerebrospinal fluid shunt | 62252 | 62252 - 0.74 | 62252 - 1.48 | |||
| Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single | I&D simple | 10060 | 10060 - 1.22 | 10060 - 2.44 | ||
| Incision and drainage of hematoma, seroma or fluid collection | I&D of hematoma, seroma or fluid collection | 10140 | 10140 - 1.58 | 10140 - 3.16 | ||
| Incision and drainage, complex, postoperative wound infection | I&D complex; wound revision | 10180 | 10180 - 2.30 | 10180 - 4.60 | ||
| Treatment of superficial wound dehiscence; simple closure | Treatment of superficial would dehiscence simple | 12020 | 12020 - 2.67 | 12020 - 5.34 | ||
| Treatment of superficial wound dehiscence; with packing | 12021 | 12021 - 1.89 | 12021 - 3.78 | |||
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm | Complex repair,scalp codes | 13120 | 13120 - 3.23 | 13120 - 6.46 | ||
| Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm | Complex repair,scalp codes | 13121 | 13121 - 4.00 | 13121 - 8.00 | ||
| Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure) | Complex repair,scalp codes | 13122 | 13122 - 1.44 | 13122 - 2.88 | ||
| Craniotomy/Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor | Retrosigmoid approach and acoustic neuroma, vestibular schwannoma, CP anlge meningioma resection | 61250 | +20926 | +20926 - fat graft | 61250 - 11.49 +61618 - 18.69 | 61250 - 22.98 +61618 - 37.73 |
| Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) | 20660 | 20660 - 4.00 | 20660 - 8.00 | |||
| Unlisted code | 28999 | 28999 - 0.00 | 28999 - 0.00 | |||
| Craniectomy or craniotomy, DRAINAGE of intracranial abscess; INFRATENTORIAL | 61321 | +61781 +69990-59 | +61781 - neuronavigation; +69990-59 - microscope | 61321 - 30.53 +61781 - 3.75 +69990-59 - 0.00 | 61321 - 61.06 +61781 - 7.50 +69990-59 - 0.00 | |
| Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural | Burr hole for drainage of subdural hematomas | 61154 | ICD-10 Diagnosis Code: M46.1X, Sacroiliac joint disorder/dysfunction; 90 days Global period | 61154 - 17.07 | 61154 - 34.14 | |
| Craniectomy or craniotomy; with excision of foreign body from brain | 61570 | 61570 - 26.51 | 61570 - 53.02 | |||
| Injection, baclofen, 50mcg, for intrathecal trial | JO476 | 8563s Screening trial, 70257-562-55, 5x1 ml, 50mcg/ml, 5 | JO476 - 0 | JO476 - 0 | ||
| Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion | 61450 | 61450 - 27.69 | 61450 - 55.38 | |||
| Craniectomy; for osteomyelitis | 61501 | 61501 - 16.35 | 61501 - 32.7 | |||
| Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) | 61517 | 61517 - 1.38 | 61517 - 2.76 | |||
| Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy | 61530 | 61530 - 45.56 | 61530 - 91.12 | |||
| Craniotomy with elevation of bone flap; for transection of corpus callosum | 61541 | 61541 - 30.94 | 61541 - 61.88 | |||
| Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy | 61543 | 61543 - 31.31 | 61543 - 62.62 | |||
| Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus | 61544 | 61544 - 27.36 | 61544 - 54.72 | |||
| Craniotomy with elevation of bone flap; for excision of craniopharyngioma | 61545 | 61545 - 46.43 | 61545 - 92.86 | |||
| Craniectomy for craniosynostosis; single cranial suture | 61550 | 61550 - 15.59 | 61550 - 31.18 | |||
| Craniectomy for craniosynostosis; multiple cranial sutures | 61552 | 61552 - 20.40 | 61552 - 40.8 | |||
| Craniotomy for craniosynostosis; frontal or parietal bone flap | 61556 | 61556 - 24.09 | 61556 - 48.18 | |||
| Craniotomy for craniosynostosis; bifrontal bone flap | 61557 | 61557 - 23.31 | 61557 - 46.62 | |||
| Extensive craniectomy for multiple cranial suture craniosynostosis (e.g., cloverleaf skull); not requiring bone grafts | 61558 | 61558 - 26.50 | 61558 - 53.00 | |||
| Extensive craniectomy for multiple cranial suture craniosynostosis (e.g., cloverleaf skull); recontouring with multiple osteotomies and bone autografts (e.g., barrel-stave procedure) (includes obtaining grafts) | 61559 | 61559 - 34.02 | 61559 - 68.04 | |||
| Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy | 61566 | 61566 - 32.45 | 61566 - 64.9 | |||
| Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery | 61567 | 61567 - 37.00 | 61567 - 74.00 | |||
| Craniectomy or craniotomy; with treatment of penetrating wound of brain | 61571 | 61571 - 28.42 | 61571 - 56.84 | |||
| Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; | 61575 | 61575 - 36.56 | 61575 - 73.12 | |||
| Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) | 61576 | 61576 - 55.31 | 61576 - 110.62 |
