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CPT® 61322, Under Craniectomy or Craniotomy Procedures

The Current Procedural Terminology (CPT®) code 61322 as maintained by American Medical Association, is a medical procedural code under the range - Craniectomy or Craniotomy Procedures.

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Summary

The provider removes a part of the skull to treat raised intracranial pressure, or ICP, by allowing the swelling brain room to expand. The procedure may also include duraplasty, or reconstruction or expansion of the dura using a synthetic graft, or part of the patient’s pericranium, a membrane that covers the surface of the skull. The procedure excludes the removal of a related hematoma due to conditions such as a closed head injury, and there is no dissection to the lobes of the brain in this service.

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Have a question about CPT Code 61322 ? Start a discussion here
Craniectomy w/Ventriculostomy Catheter Placement
I'm hoping for some guidance. We have 3 opinions as to how to bill this procedure(s). Pre-op Dx: bilateral acute subdural hematoma with brain compression, left parietotemporal skull base fractures wi... [ Read More ]
Can't clear an edit; 61322 & 61313 done on the same day
Physician billing; Physician billed a 61322 - CPT® Code in category: (Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evac... [ Read More ]
Suboccipital Craniectomy
Intraparenchymal hematoma...I swear this is the bane of my existence. There isn't a code that really covers this. My docs say that 61322/61323 are what they're doing based on the procedure description... [ Read More ]
Neurosurgery - I have never coded
Julie, I havent been able to find anything that references how much you have to remove for it to be considered a lobectomy but in the scenario you described, I would tend to agree with you, I would p... [ Read More ]
Neurosurgery - I have never coded
I am starting to code for a group of Neurosurgeons and could use some help along the way as well. I am going to attend the AANS Coding Course in Orlando in November. I hope this helps answer some of... [ Read More ]
Bone flap placement in abdomen
[QUOTE="rlcohen76, post: 118262, member: 30370"]Can you provide the source of the information provided 61316. The 2010 coders desk reference has a completely different description of that procedure. ... [ Read More ]
Pediatric Neurosurgery Coding Question
[b]No 50 modifier[/b] NOT my area of expertise, but this is what I came up with ... First ... 61322 does NOT take a 50 modifier Second, if your documentation shows the surgeon was working on a com... [ Read More ]
Pediatric Neurosurgery Coding Question
Hi I was wondering if someone could help with a claim denial for coding. My physician performed a Right & Left frontal Parietal xpansile Craniotomy (61322) 50 modifier and also did a Barrel Stave Ost... [ Read More ]
Nuero-surgery
[COLOR="Blue"]So far I have 61322, 61322-50, 62225-51 and my last is the one on "creation of subcutaneous cavity in abd wall with implatation of cranial bone flaps" which I have not found a code for. ... [ Read More ]
Nuero-surgery
[B]Look at 61316[/B]...This is an "add on" code. What code did you select for "Bilateral decompressive craniectomy with stellate opening of the dura"? 61322? The retrieval of the grafts will be 6214... [ Read More ]
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