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61312 craniectomy/craniotomy sttl xdrl/sdrl

Surgery Global 90d

Also known as: extradural decompression, epidural decompression, craniotomy evacuation

Craniotomy or craniectomy with exploration and/or decompression of extradural (outside dura mater) supratentorial space for management of mass lesions or elevated intracranial pressure.

In Plain Language

surgical opening for decompression of swelling outside brain lining

Clinical Context

Performed for epidural hematoma evacuation, decompression from brain swelling or mass effect, or management of increased intracranial pressure. Provides decompression while preserving dural integrity when possible.

RVU Breakdown

Work RVU29.42
Total RVU29.42

Est. Medicare Payment

$982.63

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 29.42, this code ranks in the 92nd percentile among Surgery codes — 3.7x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

neurosurgerytrauma surgery

Frequently Asked Questions

What is CPT code 61312?

CPT 61312 (craniectomy/craniotomy sttl xdrl/sdrl) is a Surgery code. Craniotomy or craniectomy with exploration and/or decompression of extradural (outside dura mater) supratentorial space for management of mass lesions or elevated intracranial pressure.

What is the wRVU value for CPT 61312?

The work RVU for CPT 61312 is 29.42. This code is primarily used by neurosurgery, trauma surgery. It has a 90-day global period.

When is CPT 61312 used?

Performed for epidural hematoma evacuation, decompression from brain swelling or mass effect, or management of increased intracranial pressure. Provides decompression while preserving dural integrity when possible.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.