61322 craniectomy/craniotomy dcmprv without lobec
Also known as: decompressive craniectomy, ICP reduction surgery
Craniotomy or craniectomy with decompression for reduction of intracranial pressure without lobectomy (partial brain removal).
In Plain Language
surgical opening to relieve pressure in brain
Clinical Context
Performed for severe traumatic brain injury with refractory intracranial hypertension, massive brain swelling, or acute ischemic stroke with malignant edema. Removes bone but preserves brain tissue.
RVU Breakdown
| Work RVU | 33.40 |
| Total RVU | 33.40 |
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 33.40, this code ranks in the 95th percentile among Surgery codes — 4.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61322?
CPT 61322 (craniectomy/craniotomy dcmprv without lobec) is a Surgery code. Craniotomy or craniectomy with decompression for reduction of intracranial pressure without lobectomy (partial brain removal).
What is the wRVU value for CPT 61322?
The work RVU for CPT 61322 is 33.40. This code is primarily used by neurosurgery, trauma surgery, stroke surgery. It has a 90-day global period.
When is CPT 61322 used?
Performed for severe traumatic brain injury with refractory intracranial hypertension, massive brain swelling, or acute ischemic stroke with malignant edema. Removes bone but preserves brain tissue.
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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.