CPT^® 61597, Under Posterior Cranial Fossa Skull Base Procedures

The Current Procedural Terminology (CPT^®) code 61597 as maintained by American Medical Association, is a medical procedural code under the range - Posterior Cranial Fossa Skull Base Procedures.

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Summary

The provider accesses the posterior cranial fossa, jugular foramen, or midline skull base using a far lateral transcondylar approach. If needed, the surgeon also removes a portion of the occipital condyle, the mastoid bone, and part of the C1 to C3 vertebrae and/or decompresses the vertebral artery and moves it, if necessary, to access the cerebellum. The selection of a particular approach will depend on the location and size of the lesion. Report other surgeries, repairs or reconstructions separately.

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NCCI Edit 36226 & 69990; 2 different physicians, 2 different OP sessions, same day

[b]NCCI Edit 36226 & 69990; 2 different physicians, 2 different OP sessions, same day[/b] Our neurosurgeon performed a crainotomy for a resection of an AVM 61597, 61702 & 69990. The neuroendovascula... [ Read More ]

Endoscopic resection of pineal lesion

Would it ever be appropriate to report 61597, 62164, 62140 and 62148 for endoscopic resection of a pineal lesion? There are no bundling issues, however, I feel that that seems like a bit much for the... [ Read More ]

Skull Base Surgery

I'm hoping this will be an easy question, without need of an op report. Pt had previously had a "Resection or excision of neoplastic, vascular or infectious lesion of base of posterior...", reported ... [ Read More ]

Neurosurgery Question

Is there a CPT code for a procedure similar to the description of CPT 61597 except for the approach and that the resection was performed on C3-C5. Decompression of vertebral artery was performed as w... [ Read More ]

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