Neurosurgery Coding Alert

Reader Question:

Do Not Report Laminectomy With 61343

Question: What is the correct CPT® code for a revision of craniectomy? The patient has a previous surgery for a brain tumor and is presenting with progressive occipital neuralgia associated with trigger point area related to a protruding mesh cranioplasty defect?

Mississippi Subscriber

Answer Your scenario does not specify exactly what was done. It seems that the previously placed cranioplasty in the craniectomy defect was revised. In this circumstance, you may report code 62143 (Replacement of bone flap or prosthetic plate of skull).

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