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Quick reference guide for CPT codes for Cranial Procedure.

1 Official Description Common Description Procedure Codes Possible Additional Codes Explanations Work RVU Total RVU
2 Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation   61700 +69990 - use of microscope 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 - 50.62; 

+69990 - 3.46

61700 - 100.11; 

+69990 - 6.43

3 Bicoronal or Unilateral Frontal Craniotomy for Extradural Craniofacial Approach to Anterior Cranial Fossa   61582 +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

4 Craniotomy and Evacuation Cerebellar Hematoma   61315     61315 - 29.65 61315 - 60.77
5 Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial   61320 +61781 - neuronavigation; +69990-59 - microscope Craniotomy for frontal sinus, epidural or brain abscess

61320 - 27.42; 

+61781 - 3.75; 

+69990-59 - 3.46

61320 - 55.76; 

+61781 - 6.96; 

+69990-59 - 6.43

6 Cranioplasty for skull defect; larger than 5 cm diameter   62141   Cranioplasty > 5 CM 62141 - 16.07 62141 - 33.37
7 Cranioplasty for skull defect; up to 5 cm diameter   62140   Cranioplasty < 5 CM 62140 - 14.55 62140 - 30.22
8 Craniotomy and Evacuation of Intracerebral Hematoma, Supratentorial   61313     61313 - 28.09 61313 - 58.17
9 Craniotomy and Resection of Brain AVM   61680  +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

10 Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull   61518 +61781 - neuronavigation; +69990-59 - microscope Craniotomy/craniectomy and excision of tumor of posterior fossa e.g., glioma or metastatic brain tumor DO NOT USE THIS CODE FOR MENINGIOMA, CPA TUMOR, MIDLINE TUMOR

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   61519 +61781 - neuronavigation; +69990-59 - microscope Posterior fossa craniotomy/craniectomy and excision of meningioma

61519 - 43.43; 

+61781 - 3.75; 

+69990-59 - 3.46

61519 - 86.34; 

+61781 - 6.96; 

+69990-59 - 6.43

12 Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma   61510 +61781 - neuronavigation; +69990-59 - microscope Craniotomy and removal of tumor e.g. glioma, metastatic brain tumor of frontal, temporal, parietal, and/or occipital lobe, ventricles, pineal gland, colloid cyst, thalamus; DO NOT USE THIS CODE FOR MENINGIOMA

61510 - 30.83; 

+61781 - 3.75; 

+69990-59 - 3.46

61510 - 64.04; 

+61781 - 6.96; 

+69990-59 - 6.43

13 Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial   61512  +61781 - neuronavigation; +69990-59 - microscope Craniotomy and removal of meningioma of frontal, temporal, parietal, and/or occipital lobe, ventricles

61512 -37.14 ;

+61781 - 3.75; 

+69990-59 - 3.46

61512 - 74.79;

+61781 - 6.96; 

+69990-59 - 6.43

14 Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural   61314   Posterior Fossa Subdural or Epidural Hematoma Evacuation 61314 - 25.90 61314 - 53.62
15 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

16 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

17 Elevation of Complex Comminuted Depressed Skull Fracture, Extradural   62005     62005 - 17.53 62005 - 36.92
18 Elevation of Depressed Skull Fracture, Intradural, Dural Repair, Debridement of Brain for Gunshot Wound to Head   62010     62010 - 21.43 62010 - 44.87
19 Elevation of Simple Depressed Skull Fracture, Extradural   62000     62000 - 13.93 62000 - 28.02
20 Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device   +61107   Intracranial Monitor Placement or Ventriculostomy with twist drill +61107 - 4.99 +61107 - 9.27
21 Open Treatment of Frontal Sinus Fracture with Exoneration of Frontal Sinus   21343     21343 - 14.32 21343 - 34.98
22 Posterior Fossa Craniectomy and Evacuation of Hematoma   61315   Add +61210 if burr hole and ventriculostomy is done

61315 - 29.65; 

+61210 - 5.83

61315 - 60.77; 

+61210 - 10.91

24 Resection of Neoplactic, Vascular or Infection Lesion of Base of Anterior Cranial Fossa, Extradural   61600 +61781 - neuronavigation; +69990-59 - microscope Craniotomy for mucocele; +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

25 Skull Lesion Biopsy   61500 +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

26 Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural   61312 +RT and +LT for bilateral hematomas Subdural or Epidural Hematoma Evacuation 61312 - 30.17 61312 - 61.05
28 Ventriculostomy placement with burr hole   +61210     +61210 - 5.83 +61210 - 10.91
29 Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-sphenoidal approach   62165 20926-51, 62272 62165 - Endoscopic TSA - (Transphenoidal Adenectomy); 20926-51 - fat graft; 62272 - lumbar drain placement; +61781 - neuronavigation; use -62 modifier for co-surgeon if ENT surgeon did the approach but only on code 62165 and any other code performed by ENT surgeon 

62165 - 23.23;

20926-51 - No RVU;

62272 - 1.35; 

+61781 - 3.75;

62165 - 44.88;

20926-51 - No RVU;

62272 - 2.43; 

+61781 - 6.96;

30 TSA - Transphenoidal Adenectomy   61548 +61781 - neuronavigation; +69990-59 - microscope Add +61781 if neuronavigation was used; add 20926-51 for fat graft if done; use -62 modifier if ENT surgeon was co-surgeon 61548 - 23.37 61548 - 46.04
31 Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion; with computed tomography and/or magnetic resonance guidance   61751   Add +61781 for neuronavigation

61751 - 18.79; 

+61781 - 3.75

61751 - 40.52; 

+61781 - 6.96

32 Removal of bone flap or skull which includes I & D, culture and clean out   62142     62142 - 11.83 62142 - 25.95
33 Secondary repair of dura for CSF leak, anterior, middle or posterior cranial fossa with free tissue or synthetic graft   61618   includes pericranium, adipose tissue, synthetic graft 61618 - 18.69 61618 - 37.73
34 Secondary repair of dura for CSF leak, anterior, middle or posterior cranial fossa with vascularized graft   61619   includes galea, temporalis muscle 61619 - 22.10 61619 - 41.69
35 Third Venrticulostomy   62200     62200 - 19.29 62200 - 39.68
  Aneurysm Clipping of Complex Aneurysm Carotid Circulation    61697; +69990   Ophthalmic Artery Aneurysm

61697 - 63.40;

+69990 - 3.46

61697 - 123.91;

+69990 - 6.43

  Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, supratentorial   61516  +61781 - neuronavigation; +69990-59 - microscope Craniotomy for resection of cyst DO NOT USE THIS CODE FOR CEREBELLUM OR POSTERIOR FOSSA

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   61520 +61781 - neuronavigation; +69990-59 - microscope Craniotomy/craniectomy and excision of cerebellopontine angle (CPA) tumor e.g., acoustic neuroma, vestibular schwannoma, meningioma

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   61521 +61781 - neuronavigation; +69990-59 - microscope

Craniotomy/Craniectomy and excision of midline tumor at skull base e.g., glioma or of 4th ventricle, brainstem, pons

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   61522 +61781 - neuronavigation; +69990-59 - microscope Craniotomy for epidural abscess or cerebellar abscess

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 - neuronavigation; +69990-59 - microscope  

61524 - 29.89

+61781 - 3.75; 

+69990-59 - 3.46

61524 - 61.17; 

+61781 - 6.96; 

+69990-59 - 6.43

 

Burr hole(s) or trephine with biopsy of brain or intracranial lesion

  61140 +61781 - neuronavigation Burr hole and brain tumor biopsy

61140 - 17.23

+61781 - 3.75

61140 - 36.96; 

+61781 - 6.96

  Stereotactic biopsy, aspiration, or excision, including burr hole(s), for intracranial lesion;   61750     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)   62272   Spinal Tap, Lumbar Drain Placement 62272 - 1.35 62272 - 2.43
  Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation   61698 +69990 - use of microscope 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 - 69.63; 

+69990 - 3.46

61698 - 136.58; 

+69990 - 6.43

  Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation   61702 +69990 - use of microscope 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 - 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   12001   Repair of scalp laceration 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   12002   Repair of scalp laceration 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   12004   Repair of scalp laceration 12004 - 1.44 12004 - 2.10
  Burr hole(s) or trephine; with drainage of brain abscess or cyst   61150 +61781 - neuronavigation Burr hole to drain intracranial abscess

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   61151   Subsequent tap through previously made burr hole to drain intracranial abscess 61151 - 13.49 61151 - 29.26
  Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratentorial   61514 +61781 - neuronavigation; +69990-59 - microscope Craniotomy for resection of brain abscess

61514 - 27.23

+61781 - 3.75; 

+69990-59 - 3.46

61514 - 55.79

+61781 - 6.96;

+69990-59 - 6.43 

  Craniofacial approach to anterior cranial fossa; intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa   61583     61583 - 38.50

61583 - 84.41

  Cranioplasty for skull defect with reparative brain surgery   62145   Cranioplasty for skull defect with reparative brain surgery 62145 - 20.09

62145 - 41.47