Complete Treatment Plan – Cranial – Coding for Clinicians

Common Description	Possible Combinations	Procedure Codes	Possible Additional Codes	Explanations	Work RVU	Total RVU
Cranioplasty for greater than 5 cm		62141			62141 - 16.07	62141 - 33.37
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
Brain tumor or lesion biopsy with neuronavigation		61750	Do not use +61781 for neuronavigation as this code is bundled into 61750	Use this code if Brainlab, Stealth, or other neuronavigation was used; Global period of 90 days	61750 - 19.83	61750 - 41.32
Craniotomy and Resection of Brain Arterio-Venous Malformation (AVM)		61680 +61781 +69990-59			61680 - 32.55 +61781 - 3.75 +69990-59 - 3.46	61680 - 66.33 +61781 - 6.96 +69990-59 - 6.43
Brain tumor or lesion biopsy with neuronavigation and with intraoperative CT of MRI		61751	Do not use +61781 for neuronavigation as this code is bundled into 61751		61751 - 18.79	61751 - 40.52
Craniotomy and resection of brain tumor (supratentorial)	Awake craniotomy and resection of right frontal glioma	61510 61781 69990-59		+61781 - neuronavigation; +69990-59 - microscope	61510 - 30.83 61781 - 3.75 69990-59 - 3.46	61510 - 64.04 61781 - 6.96 69990-59 - 6.43
Craniotomy/craniectomy and excision of tumor of posterior fossa or cerebellum e.g., glioma or metastatic brain tumor DO NOT USE THIS CODE FOR MENINGIOMA, CPA TUMOR, MIDLINE TUMOR		61518 +61781 +69990		+61781 - neuronavigation; +69990-59 - microscope	61518 - 39.89 +61781 - 3.75 +69990 - 3.46	61518 - 80.88 +61781 - 6.96 +69990 - 6.43
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)	Repair of CSF Leak - Skull Base Craniotomy	61618			61618 - 18.69	61618 - 37.73