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Quick reference guide for CPT codes for CSF Related procedures.

2Official DescriptionCommon DescriptionProcedure CodesPossible Additional CodesExplanations of CodesWork RVUTotal RVU
2 Lumboperitoneal Shunt   63741   63741 63741 - 9.12 63741 - 19.69
3 Lumbar Drain Placement w/o Laminectomy   62350   62350 62350 - 6.05 62350 - 11.52
4 Lumbar Puncture or Drain   62365   62365 62365 - 3.93 62365 - 8.60
5 CSF Leak Repair With Laminectomy   63709; 69990   63709; 69990

63709 - 15.65; 

69990 - 3.46

63709 - 32.02; 

69990 - 6.43

6

Creation of shunt; ventriculo-peritoneal, -pleural, other terminus
Notes:
(For intracranial neuroendoscopic ventricular catheter placement, use 62160)

New VP shunt placement

62223  +61781

+62252 - CANNOT USE THIS SHUNT VALVE PROGRAMMING CODE AT TIME OF PLACEMENT OF VP SHUNT

62223 - 14.05;

+61781 - 3.75

62223 - 30.54;

+61781 - 6.96

7

Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system
Notes:
(For intracranial neuroendoscopic ventricular catheter placement, use 62160)

  62230  +62252

62230 - Replacement or revision of cerebrospinal

fluid shunt, obstructed valve, or distal catether;

+62252 - add if programmable valve was used

and programmed at the time of placement of valve

 

62230 - 11.43; 

+62252 - 0.74

62230 - 24.60; 

+62252 - 2.46

8

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 - neuronavigation   +61107 - 4.99 +61107 - 9.27
9 Removal of complete cerebrospinal fluid shunt system; without replacement VP shunt removal without replacement 62256 +61210 - ventriculostomy through burr hole VPS Removal without replacement

62256 - 7.38;

+61210 - 5.83

62256 - 17.51;

+61210 - 10.91

10 Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation VP shunt removal with replacement 62258 61781 - neuronavigation; 62160 - use of endoscope

62258; 62160; +62252 - add if programmable valve

was used and programmed at the time of placement

of valve

62258 - 15.64; 

62160 - 3.00; 

61781 - 3.75

62258 - 32.75; 

62160 - 5.63; 

61781 - 6.96

11 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

12

Burr hole(s); for implanting ventricular catheter,

reservoir, EEG electrode(s), pressure recording

device, or other cerebral monitoring device (separate procedure)

  +61210 +61781 - neuronavigation Ventriculostomy, external ventricular drain (EVD) through burr hole  

+61210 - 5.83;

+61781 - 3.75

+61210 - 10.91;

+61781 - 6.96

13 Ommaya Reservoir Placement, Cranial - COMPLETE TREATMENT PLAN   61210; 61215 +61781 61210 - burr hole and ventriculostomy; 61215 - Ommaya reservoir placement; +61781 - neuronavigation

61210 - 5.83; 

61215 - 5.85; 

+61781 - 3.75

61210 - 10.91; 

61215 - 14.86; 

+61781 - 6.96

14 Reprogramming of programmable cerebrospinal shunt VP shunt reprogramming 62252  

 

62252 - 0.74 62252 - 2.46
15

Puncture of shunt tubing or reservoir for aspiration or injection procedure
Notes:
(For radiological supervision and interpretation, use 75809)

  61070   Shunt Tap 61070 - 0.89 61070 - 1.66
16 Ommaya Reservoir Placement, Lumbar   62350   62350 62350 - 6.05 62350 - 11.52
17 Lumboperitoneal Shunt Revision   63744   63744 63744 - 8.94 63744 - 19.27
20 Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)   62272   Spinal Tap, Lumbar Drain Placement 62272 - 1.35 62272 - 2.43
21 Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space   63173  62252

63173; +62252 - add if programmable valve was used and programmed at the time of placement of valve

63173 - 24.31; 

+62252 - 0.74

63173 - 50.06; 

+62252 - 2.46

22 VPS Complete Revision   62258; 61781   62258; +61781 - Neuronavigation

62258 - 15.64; 

61781 - 3.75

62258 - 32.75; 

61781 - 6.96

23 CSF Leak Repair Without Laminectomy   63707; 69990   63707; 69990

63707 - 12,65;

69990 - 3.46

63707 - 26.77; 

69990 - 6.43

  Reprogramming of programmable cerebrospinal shunt   +62252  

Shunt programming, add if programmable valve was programmed at the time of placement of valve

+62252 - 0.74

+62252 - 2.46

  Spinal puncture, lumbar, diagnostic, modifier 53 (Discontinued procedure) 62270       62270 - 1.37

62270 - 2.25