Reader Question:
Confirm Location for CSF Leak
Published on Mon Dec 24, 2012
Question: Our surgeon reopened the suboccipital region were there was a small pseudomeningocele in the inferior aspect of the opening. Then the facia and muscles were opened. The scalp flap was removed and there was a pinhole in the superior aspect on the right side where the CSF was coming under pressure. It was patched with Dura-Guard, then DuraSeal was applied. Can you please suggest an appropriate CPT® code? New York Subscriber Answer: It is unclear whether the dural repair occurred in the area of suboccipital craniectomy or perhaps in the area of the adjacent cervical dura (for example, in the treatment of a Chiari malformation). Assuming a cranial CSF leak with repair, 62100 (Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea) describes the performance of a craniotomy for repair of dural/CSF leak. If no additional bony removal is required to achieve the repair, it would be [...]
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