61314 craniectomy/craniotomy ittl xdrl/sdrl
Also known as: posterior fossa extradural decompression, infratentorial decompression, craniotomy subtemporal
Craniotomy or craniectomy with exploration and/or decompression of extradural infratentorial (outside dura in posterior fossa) space.
In Plain Language
surgical opening for decompression of lower back of skull
Clinical Context
Performed for posterior fossa epidural hematoma, extradural mass effect, or decompression of infratentorial pathology. Less common than supratentorial extradural decompression.
RVU Breakdown
| Work RVU | 25.25 |
| Total RVU | 25.25 |
Est. Medicare Payment
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 25.25, this code ranks in the 89th percentile among Surgery codes — 3.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61314?
CPT 61314 (craniectomy/craniotomy ittl xdrl/sdrl) is a Surgery code. Craniotomy or craniectomy with exploration and/or decompression of extradural infratentorial (outside dura in posterior fossa) space.
What is the wRVU value for CPT 61314?
The work RVU for CPT 61314 is 25.25. This code is primarily used by neurosurgery. It has a 90-day global period.
When is CPT 61314 used?
Performed for posterior fossa epidural hematoma, extradural mass effect, or decompression of infratentorial pathology. Less common than supratentorial extradural decompression.
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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.