Neurosurgery Coding Alert

Your surgeon may adopt a transcranial approach to the orbit to approach tumors located in the orbital apex and/or optic canal. The transcranial approach may also be used for tumors that involve both the orbit and adjacent intracranial areas. Your surgeon can adopt any of the transcranial approaches, i.e. fronto-orbital, fronto temporo-orbital, subfrontal, or pterional approaches.

For limited lesions, your surgeon may do a small frontal or frontotemporal craniotomy, with removal of the orbital roof and/or lateral wall of the orbit.

For larger tumors, your surgeon may adopt an orbitofrontal or orbitozygomatic approach along with the elevation of the orbital rim with the bone flap.