| Official Description | Common Description | Procedure Codes | Possible Additional Codes | Explanations | Work RVU | Total RVU |
|---|---|---|---|---|---|---|
| Spinal puncture, diagnostic, for drainage of cerebrospinal fluid (by needle) | Spinal tap, lumbar puncture, LP | 62270 | For diagnostic purposes | 62270 - 1.37 | 62270 - 2.25 | |
| Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device | Ventriculostomy; EVD; ICP monitor | 61107 | +61781 | +61781 - neuronavigation | 61107 - 4.99 +61781 - 3.75 | 61107 - 9.27 +61781 - 6.96 |
| Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s), pressure recording device, or other cerebral monitoring device (separate procedure) | Ommaya Reservoir placement | 61210 | +61781 | 61210 - Ventriculostomy, external ventricular drain (EVD) through burr hole; +61781 - neuronavigation | 61210 - 5.83 +61781 - 3.75 | 61210 - 10.91 +61781 - 6.96 |
| Puncture of shunt tubing or reservoir for aspiration or injection procedure Notes: (For radiological supervision and interpretation, use 75809) | Shunt Tap | 61070 | 61070 - 0.89 | 61070 - 1.66 | ||
| Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lata, adipose tissue, homologous or synthetic grafts) | 61618 | +62272 | 61618 - Repair of posterior fossa CSF leak; +62272 - lumbar drain placement | 61618 - 18.69 +62272 - 1.35 | 61618 - 37.73 +62272 - 2.43 | |
| Creation of shunt; ventriculo-peritoneal, -pleural, other terminus | New VP shunt placement | 62223 | +61781 +62160 | +61781 - neuronavigation; +62160 - use of endoscope | 62223 - 14.05 +61781 - 3.75 +62160 - 3.00 | 62223 - 30.54 +61781 - 6.96 +62160 - 5.63 |
| Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system | Partial VP shunt revision | 62230 | +61781 +62160 | 62230 - Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catether; +61781 - neuronavigation; +62160 - use of endoscope | 62230 - 11.43 +61781 - 3.75 +62160 - 3.00 | 62230 - 24.60 +61781 - 6.96 +62160 - 5.63 |
| Reprogramming of programmable cerebrospinal shunt | VP shunt reprogramming | 62252 | Shunt programming, add if programmable valve was programmed at the time of placement of valve | 62252 - 0.74 | 62252 - 2.46 | |
| Removal of complete cerebrospinal fluid shunt system; without replacement | VP shunt removal without replacement | 62256 | 62256 - VPS Removal without replacement | 62256 - 7.38 | 62256 - 17.51 | |
| Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation | VP shunt (VPS) removal with replacement, complete VP shunt revision | 62258 | +61781 +62160 | +61781 - neuronavigation; +62160 - use of endoscope | 62258 - 15.64 +61781 - 3.75 +62160 - 3.00 | 62258 - 32.75 +61781 - 6.96 +62160 - 5.63 |
| Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter) | Spinal tap, lumbar puncture, LP, lumbar drain placement | 62272 | For therapeutic purposes | Spinal Tap, Lumbar Drain Placement | 62272 - 1.35 | 62272 - 2.43 |
| Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space | 63173 | +62252 - cannot use this shunt valve programming code as it is bundled in 63173; | 63173 - 24.31 +62252 - 0.74 | 63173 - 50.06 +62252 - 2.46 | ||
| CSF Leak Repair Without Laminectomy | 63707 69990 | 63707 69990 | 63707 - 12.65 69990 - 3.46 | 63707 - 26.77 69990 - 6.43 | ||
| CSF Leak Repair With Laminectomy | 63709 69990 | 63709 69990 | 63709 - 15.65 69990 - 3.46 | 63709 - 32.02 69990 - 6.43 | ||
| Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectom | Lumboperitoneal shunt placement | 63741 | 63741 - 9.12 | 63741 - 19.69 | ||
| Replacement, irrigation or revision of lumbosubarachnoid shunt | Lumboperitoneal shunt revision | 63744 | 63744 - 8.94 | 63744 - 19.27 | ||
| Neuroendoscopy, intracranial; with excision of brain tumor, including placement of external ventricular catheter for drainage | Endoscopic biopsy of pineal tumor | 62164 | 62164 - 29.43 | 62164 - 58.86 | ||
| Removal of previously implanted intrathecal or epidural catheter | Removal of intrathecal catheter | 62355 | 10 days global period | 62355 - 3.55 | 62355 - 7.10 | |
| Unlisted code | 28999 | 28999 - 0.00 | 28999 - 0.00 | |||
| Removal of lumboperitoneal shunt without replacement | 63476 | 63476 - 0.00 | 63476 - 0.00 |
