61323 craniectomy/craniotomy dcmprv with lobec
Also known as: decompressive craniectomy with lobectomy, temporal lobectomy for decompression
Craniotomy or craniectomy with decompression for intracranial pressure reduction with partial lobectomy (removal of portion of cerebral lobe).
In Plain Language
surgical opening with removal of part of brain for decompression
Clinical Context
Performed for decompression in setting of focal mass lesion or localized severe edema. Temporal lobe most commonly removed for decompression. Removes both bone and brain tissue for maximum effect.
RVU Breakdown
| Work RVU | 34.18 |
| Total RVU | 34.18 |
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 34.18, this code ranks in the 95th percentile among Surgery codes — 4.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61323?
CPT 61323 (craniectomy/craniotomy dcmprv with lobec) is a Surgery code. Craniotomy or craniectomy with decompression for intracranial pressure reduction with partial lobectomy (removal of portion of cerebral lobe).
What is the wRVU value for CPT 61323?
The work RVU for CPT 61323 is 34.18. This code is primarily used by neurosurgery, trauma surgery. It has a 90-day global period.
When is CPT 61323 used?
Performed for decompression in setting of focal mass lesion or localized severe edema. Temporal lobe most commonly removed for decompression. Removes both bone and brain tissue for maximum effect.
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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.