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.
In Plain Language
surgical opening to relieve nerve compression at skull base
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 |
| Total RVU | 28.12 |
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 28.12, this code ranks in the 91st percentile among Surgery codes — 3.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61458?
CPT 61458 (Craniectomy sopl xpl/dcmpr crl nerve) is a Surgery code. Craniotomy or craniectomy with exploration and/or decompression of cranial nerves in the skull base region, typically for microvascular compression.
What is the wRVU value for CPT 61458?
The work RVU for CPT 61458 is 28.12. This code is primarily used by neurosurgery, skull base surgery, functional neurosurgery. It has a 90-day global period.
When is CPT 61458 used?
Performed for trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia, or other cranial nerve compression syndromes. Microvascular decompression separates offending vessel from nerve.
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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.