61585 Orbitocranial approach/skull
Also known as: extended orbitocranial approach
Extended orbitocranial approach with anterior and posterior orbital compartment exposure for complex lesion resection.
In Plain Language
Extensive eye socket and brain surgery
Clinical Context
Used for large orbital tumors or lesions requiring full orbital exposure combined with intracranial resection. High morbidity procedure.
RVU Breakdown
| Work RVU | 41.51 |
| Total RVU | 41.51 |
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 41.51, this code ranks in the 97th percentile among Surgery codes — 5.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61585?
CPT 61585 (Orbitocranial approach/skull) is a Surgery code. Extended orbitocranial approach with anterior and posterior orbital compartment exposure for complex lesion resection.
What is the wRVU value for CPT 61585?
The work RVU for CPT 61585 is 41.51. This code is primarily used by Neurosurgery, Orbital Surgery. It has a 90-day global period.
When is CPT 61585 used?
Used for large orbital tumors or lesions requiring full orbital exposure combined with intracranial resection. High morbidity procedure.
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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.