61582 Craniofacial approach skull
Also known as: craniofacial extradural approach, endonasal combination
Craniofacial approach combined with extradural dissection and intrasinusal tumor management for anterior skull base pathology.
In Plain Language
Skull base surgery with sinus approach; Combined nasal and brain surgery
Clinical Context
Used for anterior skull base tumors (pituitary tumors with suprasellar extension, sinonasal malignancies with intracranial involvement).
RVU Breakdown
| Work RVU | 34.26 |
| Total RVU | 34.26 |
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 34.26, 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 61582?
CPT 61582 (Craniofacial approach skull) is a Surgery code. Craniofacial approach combined with extradural dissection and intrasinusal tumor management for anterior skull base pathology.
What is the wRVU value for CPT 61582?
The work RVU for CPT 61582 is 34.26. This code is primarily used by Neurosurgery, Otolaryngology. It has a 90-day global period.
When is CPT 61582 used?
Used for anterior skull base tumors (pituitary tumors with suprasellar extension, sinonasal malignancies with intracranial involvement).
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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.