61458 Craniectomy sopl xpl/dcmpr crl nerve
Also known as: cranial nerve decompression, microvascular decompression, MVD surgery
Craniotomy or craniectomy with exploration and/or decompression of cranial nerves in the skull base region, typically for microvascular compression.
Clinical Context
Performed for trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia, or other cranial nerve compression syndromes. Microvascular decompression separates offending vessel from nerve.
RVU Breakdown
| Work RVU | 28.12 |
| Practice Expense RVU | 18.84 |
| Malpractice RVU | 11.83 |
| Total RVU | 58.79 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.