CPT^® 61618, Under Repair and/or Reconstruction of Surgical Defects of Skull Base Procedures

The Current Procedural Terminology (CPT^®) code 61618 as maintained by American Medical Association, is a medical procedural code under the range - Repair and/or Reconstruction of Surgical Defects of Skull Base Procedures.

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Summary

In this procedure, the provider repairs a leak of cerebrospinal fluid, CSF, in the dura mater using a dural graft. The leak follows a craniotomy, which is an incision into the skull for diagnostic or therapeutic purposes.

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billing cpt 62140 with 61524 cranioplasty

question concerning if cpt 62140 (cranioplasty) being billed with 61524 (crani) is correct?? Patient has surgery in Nov 2020 for VP Shunt Placement and a crani 2 years ago. I do not agree with 62140 ... [ Read More ]

Endoscopic repair of CSF leak post op

Neurosurgeon performed a CSF leak repair post-op to ENT septoplasty, ethmoidectomy, dilation of frontal and maxially sinus with endoscopic balloon As per Karen Zupko’s information she states 64999 f... [ Read More ]

Help coding this surgery

Procedures: 1. Fluorescein cerebrospinal fluid fistulography 2. Right fascia lata graft harvest 3. Transnasal transphenoidal exploration of CSF fistula and repair of defect diaphragma sellae. 4. Bilat... [ Read More ]

Mastoidectomy with temporalis fascia repair

I have a similar issue with coding as this is the first time I have coded for this surgery . My op note reads**** 1. canal wall down tympanomastoidectomy with repair of temporal bone defect and CSF ... [ Read More ]

Closing of the dura after a craniotomy

The doctor did an exploration of the previous craniotomy. Per op report, he found a large spinal fluid collection under the timporal fascia and because the dura consistency was very friable and not ab... [ 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 ]

Repair CSF leak with pedicled flap

I know this is a really old post but interesting because I am wondering the exact same thing, and sad to see there's no responses :( My ENT providers do the endoscopic pituitary resections as co-su... [ Read More ]

Help!

[b]62 modifier[/b] If the neurosurgeon feels that 61618 is the appropriate code to use, then both surgeons should use the same code with a -62 modifier on each of their codes. Hope that helps. F T... [ Read More ]

Help!

I'm not surehow tohandle this type of coding situation and need assistance:confused: Dr. A and Dr. B did a surgery on a patient together on 12/18. Dr. B performed procedure 61548 on this patient pri... [ Read More ]

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