CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

Skull, Meninges, and Brain

Injection, Drainage, or Aspiration 61000 Subdural tap through fontanelle, or suture, infant, unilateral or bilateral 61020 Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir 61050 Cisternal or lateral cervical (C1-C2) puncture Twist Drill, Burr Hole(s), or Trephine 61105 Twist drill hole for subdural or ventricular puncture; not followed by other surgery 61106 followed by other surgery 61107 for implanting venticular catheter or pressure recording device 61108 for evacuation and/or drainage of subdural hematoma 61120 Burr hole(s) for ventricular puncture (including injection of gas, contrast media, dye, or radioactive material); not followed by other surgery 61130 followed by other surgery 61140 Burr hole(s) or trephine; w/ biopsy of brain or intracranial lesion 61150 w/ drainage of brain abscess or cyst 61154 Burr hole(s) w/ evacuation and/or drainage of hematoma, extradural or subdural 61156 Burr hole(s); w/ aspiration of hematoma or cyst, intracerebral 61250 Burr hole(s) or trephine, supratentorial 61253 Burr hole(s) or trephine, infratentorial, unilateral or bilateral 61304 Craniectomy or craniotomy, exploratory; supratentorial 61305 infratentorial (posterior fossa) 61312 Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural 61313 intracerebral 20 20 60 A A A 1200 1200 1500 1120 1120 3360 448 448 1344

100 105 200 250 150

B B B C B

3500 3500 4000 5000 3500

5600 5880 11200 14000 8400

2240 2352 4480 5600 3360

135 250 250 250 250 150 200 250 300 300 300

B C C C C B B C C C C

3500 5000 5000 5000 5000 3500 4000 5000 6000 6000 6000

7560 14000 14000 14000 14000 8400 11200 14000 16800 16800 16800

3024 5600 5600 5600 5600 3360 4480 5600 6720 6720 6720

1 of 18

CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee 350 350 300 350 300 350 350 350 250 350 C C C C C C C C C C 7000 7000 6000 7000 6000 7000 7000 7000 5000 7000

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

61314 Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdural 61315 intracerebellar 61320 Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial 61321 61330 61332 61333 61334 61340 61343 infratentorial Decompression of orbit only, transcranial approach Exploration of orbit (transcranial approach); w/ biopsy w/ removal of lesion w/ removal of foreign body Other cranial decompression (eg, subtemporal), supratentorial Craniectomy, suboccipital w/ cervical laminectomy for decompression of medulla and spinal cord, w or w/o dural graft (eg, Arnold-Chiari malformation) Other cranial decompression, posterior fossa Craniotomy for section of tentorium cerebelli Craniectomy, subtemporal, for section, compression, or decompression of sensory root of gasserian ganglion Craniectomy, suboccipital; for exploration or decompression of cranial nerves for section of one or more cranial nerves for medullary tractotomy for mesencephalic tractotomy or pedunculotomy Craniotomy for lobotomy, including cingulotomy Craniectomy; w/ excision of tumor or other bone lesion of skull for osteomyelitis Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma for excision of meningioma, supratentorial for excision of brain abscess, supratentorial for excision or fenestration of cyst, supratentorial Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except meningioma, cerebellopontine angle tumor, or midline tumor at base of skull

19600 19600 16800 19600 16800 19600 19600 19600 14000 19600

7840 7840 6720 7840 6720 7840 7840 7840 5600 7840

61345 61440 61450 61458 61460 61470 61480 61490 61500 61501 61510 61512 61514 61516 61518

300 300 350 350 400 400 400 300 400 250 400 500 350 350 525

C C C C C C C C C C C C C C D

6000 6000 7000 7000 8000 8000 8000 6000 8000 5000 8000 10000 7000 7000 10500

16800 16800 19600 19600 22400 22400 22400 16800 22400 14000 22400 28000 19600 19600

6720 6720 7840 7840 8960 8960 8960 6720 8960 5600 8960 11200 7840 7840 42000 16800

2 of 18

CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee 550 600 600 400 400 650 650 350 350 350 350 400 D D D C C D D C C C C C 11000 12000 12000 8000 8000 13000 13000 7000 7000 7000 7000 8000

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

61519 meningioma 61520 cerebellopontine angle tumor 61521 midline tumor at base of skull 61522 Craniectomy, infratentorial or posterior fossa; for excision of brain abscess 61524 for excision or fenestration of cyst, 61526 Craniectomy, bone flap craniotomy, transtemporal (mastoid) for excision of cerebellopontine angle tumor; 61530 combined w/ middle/posterior fossa craniotomy/ craniectomy 61531 Subdural implantation of strip electrodes through one or more burr or trephine hole(s) for long term seizure monitoring 61533 Craniotomy w/ elevation of bone flap; for subdural implantation of an electrode array, for long term seizure monitoring 61534 for excision of epileptogenic focus w/o electrocorticography during surgery 61535 for removal of epidural or subdural electrode array, w/o excision of cerebral tissue 61536 for excision of cerebral epileptogenic focus, w/ electrocorticography during surgery (includes removal of electrode array) 61538 61539 61541 61542 61543 61544 61545 61546 for lobectomy w/ electrocorticography during surgery, temporal lobe for lobectomy w/ electrocorticography during surgery, other than temporal lobe, partial or total for transection of corpus callosum for total hemispherectomy for partial or subtotal hemispherectomy for excision of coagulation of choroid plexus for excision of craniopharyngioma Craniotomy for hypophysectomy or excision of pituitary tumor, intracranial approach

44000 48000 48000 22400 22400 8960 8960 52000 52000 19600 19600 19600 19600 22400 7840 7840 7840 7840 8960

17600 19200 19200

20800 20800

350 350 350 550 500 350 500 500 500

C C C D C C C C C

7000 7000 7000 11000 10000 7000 10000 10000 10000

19600 19600 19600 28000 19600 28000 28000 28000

7840 7840 7840 44000 11200 7840 11200 11200 11200 17600

61548 Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonstereotactic

3 of 18

CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee 250 300 300 300 450 450 450 450 350 375 650 650 C C C C C C C C C C D D 5000 6000 6000 6000 9000 9000 9000 9000 7000 7500 13000 13000

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

61550 Craniectomy for craniosynostosis; single cranial suture 61552 multiple cranial sutures 61556 Craniotomy for craniosynostosis; frontal or parietal bone flap 61557 bifrontal bone flap 61558 Extensive craniectomy for multiple cranial suture craniosynostosis (eg, cloverleaf skull); not requiring bone grafts 61559 recontouring w/ multiple osteotomies and bone autografts (eg, barrelstave procedure) (includes obtaining grafts) 61563 Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); w/o optic nerve decompression 61564 w/ optic nerve decompression 61570 Craniectomy or craniotomy; w/ excision of foreign body from brain 61571 w/ treatment of penetrating wound of brain 61575 Transoral approach to skull base, brain stem or upper spinal cord for biopsy, decompression or excision of lesion; 61576 requiring splitting of tongue and/or mandible (including tracheostomy)

14000 16800 16800 16800 25200 25200 25200 25200 19600 21000

5600 6720 6720 6720 10080 10080 10080 10080 7840 8400 52000 52000 20800 20800

Surgery of Skull Base Approach Procedures Anterior Cranial Fossa 61580 Craniofacial approach to anterior cranial fossa; extradural, including lateral rhinotomy, ethmoidectomy, sphenoidectomy, w/o maxillectomy or orbital exenteration 61581 extradural, including lateral rhinotomy, orbital exenteration, ethmoidectomy, sphenoidectomy and maxillectomy 61582 extradural, including unilateral or bifrontal craniotomy, elevation of frontal lobe(s), osteotomy of base of anterior cranial fossa 61583 intradural, including unilateral or bifrontal craniotomy, elevation or resection of frontal lobe, osteotomy of base of anterior cranial fossa 61584 Orbitocranial approach to anterior cranial fossa, extradural, including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); w/o orbital exenteration 61585 w/ orbital exenteration

500

10000

28000

11200

500 500 500

C C C

10000 10000 10000

28000 28000 28000

11200 11200 11200

500

10000

28000

11200

500

10000

28000

11200

4 of 18

CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee 500 C 10000

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

61586 Bicoronal, transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa w/ or w/o internal fixation, w/o bone graft Middle Cranial Fossa 61590 Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space, infratemporal and midline skull base, nasopharynx), w/ or w/o disarticulation of the mandible, including parotidectomy, craniotomy, decompression and/or mobilization of the facial nerve and/or 61591 Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus, petrous ape tentorium, cavernous sinus, parasellar area, infratemporal fossa) inlcuding mastoidectomy, resection of sigmoid sinus, w/ or w/o decompression and/or mobilization of contents of auditory canal or petrous carotid artery 61592 Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery, clivus, basilar artery or petrous apex) including osteotomy of zygoma, craniotomy, extra- or intradural elevation of temporal lobe Posterior Cranial Fossa 61595 Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, including mastoidectomy, decompression of sigmoid sinus and/or facial nerve, w/ or w/o mobilization 61596 Transcochlear approach to posterior cranial fossa, jugular foramen or midline skull base, including labyrinthectomy, decompression, w/ or w/o mobilization of facial nerve and/or petrous carotid artery 61597 Transcondylar (far lateral) approach to posterior cranial fossa, jugular foramen or midline skull base, including occiptal condylectomy, mastoidectomy, resection of C1-C3 vertebral body(s), decompression of vertebral artery, w/ or w/o mobilization 61598 Transpetrosal approach to posterior cranial fossa, clivus or framen magnum, including ligation of superior petrosal sinus and/or sigmoid sinus

28000

11200

600

12000

48000

19200

600

12000

48000

19200

550

11000

44000

17600

600

12000

48000

19200

600

12000

48000

19200

600

12000

48000

19200

600

12000

48000

19200

Definite Procedures Base of Anterior Cranial Fossa

5 of 18

CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee 550 550 D D 11000 11000

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

61600 Resection or excision of neoplastic, vascular or infectious lesion of base of anterior cranial fossa; extradural 61601 intradural, including dural repair, w/ or w/o graft Base of Middle Cranial Fossa 61605 Resection or excision of neoplastic, vascular or infectious lesion of infratemporal fossa, parapharyngeal space, petrous apex; extradural 61606 intradural, including dural repair, w/ or w/o graft 61607 Resection or excision of neoplastic, vascular or infectious lesion of parasellar area, cavernous sinus, clivus or midline skull base; extradural 61608 intradural, including dural repair, w/ or w/o graft 61609 Transection or ligation, carotid artery in cavernous sinus; w/o repair 61610 w/ repair by anastomosis or graft 61611 Transection or ligation , carotid artery in petrous canal; w/o repair 61612 w/ repair by anastomosis or graft 61613 Obliteration of carotid aneurysm, arteriovenous malformation, or carotidcavernous fistula by dissection w/in cavernous sinus Base of Posterior Cranial Fossa 61615 Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cranial fossa, jugular foramen, foramen magnum, or CI-C3 vertebral bodies; extradural 61616 intradural, including dural repair, w/ or w/o graft

44000 44000

17600 17600

600

12000

48000

19200

600 600

D D

12000 12000

48000 48000

19200 19200

600 600 600 500 600 600

D D D C D D

12000 12000 12000 10000 12000 12000

28000

11200

48000 48000 48000 40000 48000 48000

19200 19200 19200 16000 19200 19200

600

12000

48000

19200

600

12000

48000

19200

Repair and / or Reconstruction of Surgical Defects of Skull Base 61618 Secondary repair of dura for CSF leak, anterior, middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg, pericranium, fascia, tensor fascia lata, adipose tissue, homologous or synthetic grafts)

550

11000

44000

17600

6 of 18

CODE
61619

DESCRIPTIVE TERMS
by local or regionalized vascularized pedicle flap or myocutaneous flap (including galea,temporalis, frontalis or occipitalis muscle)

Ceiling Case RVU for OR Type Fee 500 C 10000

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

28000

11200

Surgery for Aneurym, Arteriovenous Malformation or Vascular Disease 61624 Transcatheter oclussion or embolization (eg, for tumor destruction, to 600 achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; central nervous system (intracranial, spinal cord) 61626 non-central nervous system, head or neck (extracranial, brachiocephalic branch) 61680 Surgery of intracranial arteriovenous malformation; supratentorial, simple 61682 supratentorial, complex 61684 infratentorial, simple 61686 infratentorial, complex 61690 dural, simple 61692 dural, complex 61700 Surgery of intracranial aneurysm, intracranial approach; carotid circulation 61702 vertebral-basilar circulation 61703 Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) 61705 Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery 61708 by intracranial electrothrombosis 61710 by intra-arterial embolization, injection procedure or balloon catheter 61711 Anastomosis, arterial, extracranial-intracranial (eg, middle cerebral/cortical) arteries 400 500 600 500 600 400 500 600 650 150

12000

48000

19200

C C C C D C C D D B

8000 10000 12000 10000 12000 8000 10000 12000 13000 3500

22400 28000

8960 11200 48000 19200 19200

28000 22400 28000

11200 48000 8960 11200 48000 52000 12000 19200 20800 4800

8400

3360

600 250 500 550 550

D C C D D

12000 5000 10000 11000 11000 14000 28000 5600 11200

48000

19200

44000 44000

17600 17600

61712 Microdissection, intracranial or spinal procedure (list separately in addition to code for primary procedure)

7 of 18

CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

Stereotaxis 61720 Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus 61735 subcortical structure(s) other than globus pallidus or thalamus 61750 Stereotactic biopsy, aspiration, or excision,including burr hole(s), for intracranial lesion; 61751 w/ computerized axial tomography 61760 Stereotactic implantation of depth electrodes into the cerebrum for long term seizure monitoring 61770 Stereotactic localization , any method, including burr hole(s), w/ insertion of catheter(s) for brachytherapy 61790 Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical, radiofrequency); gasserian ganglion 61791 trigeminal medullary tract 61793 Stereotactic radiosurgery (particle beam,gamma ray or linear accelerator) 61795 Stereotactic computer assisted volumetric intracranial procedure Neurostimulators (Intracranial) 61850 Twist drill or burr hole(s) for implantation of neurostimulator electrodes; cortical 61855 subcortical 61860 Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral; cortical 61865 subcortical 61870 Craniectomy for implantation of neurostimulator electrodes, cerebellar; cortical 61875 subcortical 61885 Incision and subcutaneous placement of cranial neurostimulator pulse generator or receiver, direct inductive coupling

550

11000

44000

17600

500 500 500 500 200 250

C C C C B C

10000 10000 10000 10000 4000 5000

28000 28000 28000 28000 11200 14000

11200 11200 11200 11200 4480 5600

250 500 500

C C C

5000 10000 10000

14000 28000 28000

5600 11200 11200

350 550 450 300 450 550 250

C D C C C D C

7000 11000 9000 6000 9000 11000 5000

19600

7840 44000 17600

25200 16800 25200

10080 6720 10080 44000 17600

14000

5600

8 of 18

CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee 200 250 300 600 250 300 350 450 400 200 200 200 200 350 350 400 B C C D C C C C C B B B B C C C 4000 5000 6000 12000 5000 6000 7000 9000 8000 4000 4000 4000 4000 7000 7000 8000

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

Repair 62000 Elevation of depressed skull fracture; simple, extradural 62005 compound or comminuted, extradural 62010 w/ repair of dura and /or debridement of brain 62100 Craniotomy for repair of dural /CSF leak, including surgery for rhinorrhea/otorrhea 62115 Reduction of craniomegalic skull (eg, treated hydrocephalus); not requiring bone grafts or cranioplasty 62116 w/ simple cranioplasty 62117 requiring craniotomy and reconstruction w/ or w/o bone graft (includes obtaining grafts) 62120 Repair of encephalocele, skull vault, including cranioplasty 62121 Craniotomy for repair of encephalocele , skull base 62140 Cranioplasty for skull defect; up to 5 cm diameter 62141 larger than 5 cm diameter 62142 Removal of bone flap or prosthetic plate of skull 62143 Replacement of bone flap or prosthetic plate of skull 62145 Cranioplasty for skull defect w/ reparative brain surgery 62146 Cranioplasty w/ autograft (includes obtaining bone grafts); up to 5 cm diameter 62147 larger than 5 cm diameter CSF Shunt 62160 Neuroendoscopy, intracranial, for placement or replacement of ventricular catheter and attachment to shunt system or external drainage 62161 Neuroendoscopy, intracranial; with dissection of adhesions, fenestration of septum pellucidum or intraventricular cyst (including placement, replacement or removal of ventricular catheter) with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage with retrieval of foreign body

11200 14000 16800

4480 5600 6720 48000 19200

14000 16800 19600 25200 22400 11200 11200 11200 11200 19600 19600 22400

5600 6720 7840 10080 8960 4480 4480 4480 4480 7840 7840 8960

250

5000

14000

5600

300

6000

16800

6720

62162 62163

300 300

C C

6000 6000

16800 16800

6720 6720

9 of 18

CODE
62165 62464 62180 62190 62192 62200 62201 62220 62223 62230

DESCRIPTIVE TERMS
with excision of pituitary tumor, transnasal or transphenoidal approach with excision of brain tumor, including placement of external ventricular catheter for drainage Ventriculocisternostomy (Torkildsen type operation) Creation of shunt; subarachnoid/subdural-atrial, -jugular, -auricular subarachnoid/subdural-peritonial, -pleural, other terminus Ventriculocisternostomy, third ventricle; stereotactic method Creation of shunt; ventriculo-atrial, -jugular,-auricular ventriculo-peritonial,-pleural, other terminus Replacement or revision of CSF (VP) shunt, obstructed valve, or distal catheter in shunt system

Ceiling Case RVU for OR Type Fee 300 300 250 150 150 250 300 200 200 150 C C C B B C C B B B 6000 6000 5000 3500 3500 5000 6000 4000 4000 3500

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

16800 16800 14000 8400 8400 14000 16800 11200 11200 8400

6720 6720 5600 3360 3360 5600 6720 4480 4480 3360

Spine and Spinal Cord

Injection, Drainage or Aspiration 62268 Percutaneous aspiration, spinal cord cyst or syrinx 62269 Biopsy of spinal cord, percutaneous needle 62270 Spinal puncture, lumbar, diagnostic 62272 Spinal puncture , therapeutic, for drainage of spinal fluid (by needle or catheter) 62287 Aspiration procedure, percutaneous, of nucleus pulposus of intervertebral disk, any method, single or multiple levels, lumbar 75 75 20 15 150 A A A A B 1500 1500 1200 1200 3500 4200 4200 1120 840 8400 1680 1680 448 336 3360

Catheter Implantation 62350 Implantation, revision or repositioning of intrathecal or epidural catheter, for implantable reservoir or implantable infusion pump; w/o laminectomy 62351 w/ laminectomy

100

3500

5600

2240

250

5000

14000

5600

Reservior/ Pump Implantation

10 of 18

CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee 50 100 150 A B B 1500 3500 3500

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

62360 Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir 62361 non-programmable pump 62362 programmable pump, including preparation of pump, w/ or w/o programming

2800 5600 8400

1120 2240 3360

Posterior Extradural Laminotomy or Laminectomy for Exploration/ Decompression of Neural Elements 63001 Laminectomy w/ exploration and/or decompression of spinal cord and/or 400 C 8000 cauda equina, w/o facetectomy, foraminotomy or diskectomy, (eg, spinal stenosis), one or two vertebral segments; cervical 63003 thoracic 63005 lumbar,except for spondylolisthesis 63011 sacral 63012 Laminectomy w/ removal of abnormal facets and/or pars inter-articularis w/ decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure) 63015 Laminectomy w/ exploration and/or decompression of spinal cord and/or cauda equina, w/o facetectomy, foraminotomy or diskectomy, (eg, spinal stenosis) , more than 2 vertebral segments; cervical 63016 thoracic 63017 lumbar 63020 Laminotomy (hemilaminectomy), w/ decompression of nerve root (s), including partial facetectomy , foraminotomy and/or excision of herniated intervertebral disk; one interspace, cervical 63030 one interspace,lumbar 63040 Laminotomy (hemilaminectomy), w/ decompression of nerve root (s), including partial facetectomy , foraminotomy and/or excision or herniated intervertebral disk; re-exploration; cervical 63042 lumbar 350 250 250 350 C C C C 7000 5000 5000 7000

22400

8960

19600 14000 14000 19600

7840 5600 5600 7840

400

8000

22400

8960

350 300 400

C C C

7000 6000 8000

19600 16800 22400

7840 6720 8960

300 350

C C

6000 7000

16800 19600

6720 7840

300

6000

16800

6720

11 of 18

CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee C 8000

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

63045 Laminectomy, facetectomy and foraminotomy (unilateral or bilateral w/ 400 decompression of spinal cord cauda equina and/or nerve root(s), ( eg, spinal or lateral recess stenosis), single vertebral segment; cervical 63046 63047 thoracic lumbar 350 300

22400

8960

C C

7000 6000

19600 16800

7840 6720

Transpedicular or Costovertebral Approach for Posterolateral Extradural Exploration/ 63055 Transpedicular approach w/ decompression of spinal cord, equina and/ or 350 nerve root(s) (eg, herniated intervetebral disk), single segment; thoracic 63056 lumbar 63064 Costovertebral approach w/ decompression of spinal cord or nerve root(s), (eg, herniated intervertebral disk), thoracic; single segment Anterior or Anterolateral Approach for Extradural Exploration/Decompression 63075 Diskectomy, anterior, w/ decompression of spinal cord and/ or nerve root(s), including osteophytectomy; cervical, single interspace 63077 thoracic, single interspace 63081 Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach w/ decompression of spinal cord and/ or nerve root(s); cervical, single segment 63085 Vertebral corpectomy (vertebral body resection), partial or complete, transthoracic approach w/ decompression of spinal cord and/ or nerve root(s); thoracic, single segment 63087 Vertebral corpectomy (vertebral body resection), partial or complete, combined thoracolumbar approach w/ decompression of spinal cord, cauda equina or nerve root(s), lower thoracic or lumbar; single segment 63090 Vertebral corpectomy (vertebral body resection), partial or complete, transperitoneal or retroperitoneal approach w/ decompression of spinal cord, cauda equina or nerve root(s), lower thoracic, lumbar, or sacral; single segment 300 350

7000

19600

7840

C C

6000 7000

16800 19600

6720 7840

400

8000

22400

8960

250 400

C C

5000 8000

14000 22400

5600 8960

350

7000

19600

7840

300

6000

16800

6720

350

7000

19600

7840

12 of 18

CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

Incision 63170 Laminectomy w/ myelotomy (eg, Bischof or DREZ type), cervical thoracic, or thoracolumbar 63172 Laminectomy w/ drainage of intramedullary cyst/ syrinx; to subarachnoid space 63173 to peritoneal space 63180 Laminectomy and section of dentate ligaments, w/ or w/o dural graft, cervical; one of two segments 63182 more than two segments 63185 Laminectomy w/ rhizotomy; one or two segments 63190 more than two segments 63191 Laminectomy w/ section of spinal accessory nerve 63194 Laminectomy w/ cordotomy, w/ section of one spinothalamic tract, one stage ; cervical 63195 thoracic 63196 Laminectomy w/ cordotomy w/ section of both spinothalamic tracts, one stage; cervical 63197 thoracic 63198 Laminectomy w/ cordotomy w/ section of both spinothalamic tracts, two stages w/in 14 days; cervical 63199 thoracic 63200 Laminectomy, w/ release of tethered spinal cord, lumbar

450 350 400 400 400 350 350 430 400 350 400 350 400 350 330

C C C C C C C C C C C C C C C

9000 7000 8000 8000 8000 7000 7000 8600 8000 7000 8000 7000 8000 7000 6600

25200 19600 22400 22400 22400 19600 19600 24080 22400 19600 22400 19600 22400 19600 18480

10080 7840 8960 8960 8960 7840 7840 9632 8960 7840 8960 7840 8960 7840 7392

Excision by Laminectomy of Lesion Other Than Herniated Disk 63250 Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical 63251 thoracic 63252 thoracolumbar 63265 Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm; extradural; cervical 63266 thoracic 63267 lumbar

400 350 300 400 350 300

C C C C C C

8000 7000 6000 8000 7000 6000

22400 19600 16800 22400 19600 16800

8960 7840 6720 8960 7840 6720

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CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee 250 400 350 300 250 400 350 300 250 450 400 350 300 450 400 350 300 C C C C C C C C C C C C C C C C C 5000 8000 7000 6000 5000 8000 7000 6000 5000 9000 8000 7000 6000 9000 8000 7000 6000

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

63268 sacral 63270 Laminectomy for excision of intraspinal lesion other than neoplasm; intradural; cervical 63271 thoracic 63272 lumbar 63273 sacral 63275 Laminectomy for biopsy/ excision of intraspinal neoplasm; extradural, cervical 63276 extradural, thoracic 63277 extradural, lumbar 63278 extradural, sacral 63280 intradural, extramedullary, cervical 63281 intradural, extramedullarry, thoracic 63282 intradural, extramedullary, lumbar 63283 intradural, sacral 63285 intradural, intramedullary, cervical 63286 intradural, intramedullary, thoracic 63287 intradural, intramedullary, thoracolumbar 63290 combined extradural-intradural lesion, any level Excision, Anterior or Anterolateral Approach, Intraspinal Lesion 63300 Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; extradural, cervical 63301 63302 63303 63304 63305 63306 63307 extradural, thoracic by transthoracic approach extradural, thoracic by thoracolumbar approach extradural, lumbar or sacral by transperitoneal or retroperitoneal approach intradural, cervical intradural, thoracic by transthoracic approach intradural, thoracic by thoracolumbar approach intradural, lumbar or sacral by transperitoneal or retroperitoneal approach

14000 22400 19600 16800 14000 22400 19600 16800 14000 25200 22400 19600 16800 25200 22400 19600 16800

5600 8960 7840 6720 5600 8960 7840 6720 5600 10080 8960 7840 6720 10080 8960 7840 6720

400

8000

22400

8960

350 350 350 400 350 350 350

C C C C C C C

7000 7000 7000 8000 7000 7000 7000

19600 19600 19600 22400 19600 19600 19600

7840 7840 7840 8960 7840 7840 7840

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CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee 200 B 4000

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

Stereotaxis 63600 Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/ or recording) 63610 Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery 63615 Stereotactic biopsy, aspiration, or excision of lesion, spinal cord Neurostimulators (Spinal) 63650 Percutaneous implantation of neurostimulator electrodes; epidural 63655 Laminectomy for implantation of neurostimulator electrodes; epidural 63685 Incision and subscutaneous placement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling Repair 63700 63702 63704 63706 63707 63709 63710

11200

4480

200 225

B C

4000 4500

11200 12600

4480 5040

30 300 130

A C B

1200 6000 3500

1680 16800 7280

672 6720 2912

Repair of meningocele; less than 5 cm diameter larger than 5 diameter Repair of myelomeningocele; less than 5 cm diameter larger than 5 diameter Repair of dural/ CSF leak, not requiring laminectomy Repair of dural/ CSF leak or pseudomeningocele, w/ laminectomy Dural graft, spinal

200 220 250 300 200 300 300

B C C C B C C

4000 4400 5000 6000 4000 6000 6000

11200 12320 14000 16800 11200 16800 16800

4480 4928 5600 6720 4480 6720 6720

Shunt, Spinal CSF 63740 Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; including laminectomy 63741 percutaneous, not requiring laminectomy

200 150

B B

4000 3500

11200 8400

4480 3360

Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System

Neuroplasty (Exploration, Neurolysis or Nerve Decompression) 64702 Neuroplasty; digital, one or both, same digit 80 A 1500 4480 1792

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CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee 80 100 120 120 120 250 100 100 100 100 100 200 A B B B B C B B B B B B 1500 3500 3500 3500 3500 5000 3500 3500 3500 3500 3500 4000

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

64704 nerve of hand or foot 64708 Neuroplasty, major peripheral nerve, arm or leg; other than specified 64712 sciatic nerve 64713 brachial plexus 64714 lumbar plexus 64716 Neuroplasty and/or transposition; cranial nerve (specify) 64718 ulnar nerve at elbow 64719 ulnar nerve at wrist 64721 median nerve at carpal tunnel 64722 Decompression; unspecified nerve(s) (specify) 64726 plantar digital nerve 64727 Internal neurolysis, requiring use of operating microscope (list separately in addition to code for neuroplasty) (Neuroplasty inlcudes external neurolysis)

4480 5600 6720 6720 6720 14000 5600 5600 5600 5600 5600 11200

1792 2240 2688 2688 2688 5600 2240 2240 2240 2240 2240 4480

Transection or Avulsion 64732 Transection or avulsion of; supraorbital nerve 64734 infraorbital nerve 64736 mental nerve 64738 inferior alveolar nerve by osteotomy 64740 lingual nerve 64742 facial nerve, differential or complete 64744 greater occipital nerve 64746 phrenic nerve 64752 vagus nerve (vagotomy), transthoracic 64755 vagi limited to proximal stomach (selective proximal vagotomy, proximal gastric vagotomy, parietal cell vagotomy, supra- or highly selective vagotomy) 64760 vagus nerve (vagotomy), abdominal 64761 pudendal nerve 64763 Transection or avulsion of obturator nerve, extrapelvic, w/ or w/o adductor 64766 Transection or avulsion of obturator nerve, intrapelvic, w/ or w/o adductor 64771 Transection or avulsion of other cranial nerve, intradural

50 50 50 50 50 80 50 80 110 110

A A A A A A A A B B

1500 1500 1500 1500 1500 1500 1500 1500 3500 3500

2800 2800 2800 2800 2800 4480 2800 4480 6160 6160

1120 1120 1120 1120 1120 1792 1120 1792 2464 2464

100 50 100 100 250

B A B B C

3500 1500 3500 3500 5000

5600 2800 5600 5600 14000

2240 1120 2240 2240 5600

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CODE

DESCRIPTIVE TERMS

Ceiling Case RVU for OR Type Fee 200 B 4000

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

64772 Transection or avulsion of other spinal nerve, extradural Excision Somatic Nerves 64774 Excision of neuroma; cutaneous nerve, surgically identifiable 64776 digital nerve, one or both, same digit 64782 hand or foot, except digital nerve 64784 major peripheral nerve, except sciatic 64786 sciatic nerve 64788 Excision of neurofibroma or neurolemmoma; cutaneous nerve 64790 major peripheral nerve 64792 extensive (including malignant type) 64795 Biopsy of nerve Sympathetic Nerves 64802 Sympathectomy, cervical 64804 Sympathectomy, cervicothoracic 64809 Sympathectomy, thoracolumbar 64818 Sympathectomy, lumbar 64820 Sympathectomy, digital arteries, w/ magnification, each digit

11200

4480

30 30 30 30 50 30 30 50 30

A A A A A A A A A

1200 1200 1200 1200 1500 1200 1200 1500 1200

1680 1680 1680 1680 2800 1680 1680 2800 1680

672 672 672 672 1120 672 672 1120 672

100 100 100 100 80

B B B B A

3500 3500 3500 3500 1500

5600 5600 5600 5600 4480

2240 2240 2240 2240 1792

Neurorrhaphy 64830 Microdissection and/or microrepair of nerve (list separately in addition to code for nerve repair) 64831 Suture of digital nerve, hand or foot; one nerve 64832 each additional digital nerve 64834 Suture of one nerve, hand or foot; common sensory nerve 64835 median motor thenar 64836 ulnar motor 64837 Suture of each additional nerve, hand or foot 64840 Suture of posterior tibial nerve 64856 Suture of major peripheral nerve, arm or leg, except sciatic; including 120 100 30 100 100 100 30 100 120 B B A B B B A B B 3500 3500 1200 3500 3500 3500 1200 3500 3500 6720 5600 1680 5600 5600 5600 1680 5600 6720 2688 2240 672 2240 2240 2240 672 2240 2688

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CODE
64857 64858 64859 64861 64862 64864 64865 64866 64868 64870

DESCRIPTIVE TERMS
w/o transposition Suture of sciatic nerve Suture of each additional major peripheral nerve Suture of; brachial plexus lumbar plexus Suture of facial nerve; extracranial infratemporal, w/ or w/o grafting Anastomosis; facial-spinal accessory facial-hypoglossal facial-phrenic

Ceiling Case RVU for OR Type Fee 100 100 30 120 120 120 120 150 150 150 B B A B B B B B B B 3500 3500 1200 3500 3500 3500 3500 3500 3500 3500

RVU 500 and below

IPM 9/12 Reqt. Specialist's PF (RUV x 56) Anesthesia PF (Baseline PF x .56)- Fellows

RVU > 500

Specialist's PF (RVU x 80) Anesthesia PF (Specialists PF x .40)

5600 5600 1680 6720 6720 6720 6720 8400 8400 8400

2240 2240 672 2688 2688 2688 2688 3360 3360 3360

Neurorrhaphy w/ Nerve Graft 64885 Nerve graft (includes obtaining graft), head or neck; up to 4cm in length 64886 more than 4 cm length 64890 Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm 64891 more than 4 cm length 64892 Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length 64893 more than 4 cm length 64895 Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length 64896 more than 4 cm length 64897 Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length 64898 more than 4 cm length 64901 Nerve graft, each additional nerve; single strand 64902 multiple strands (cable) 64905 Nerve pedicle transfer; first stage 64907 second stage

150 170 200 200 150 170 180 200 150 170 30 30 120 120

B B B B B B B B B B A A B B

3500 3500 4000 4000 3500 3500 3600 4000 3500 3500 1200 1200 3500 3500

8400 9520 11200 11200 8400 9520 10080 11200 8400 9520 1680 1680 6720 6720

3360 3808 4480 4480 3360 3808 4032 4480 3360 3808 672 672 2688 2688

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