61586 Resection nasopharynx skull
Also known as: nasopharyngeal resection, sinonasal tumor resection
Endoscopic or open resection of nasopharyngeal or paranasal sinus tumor with intracranial extension via craniofacial approach.
In Plain Language
Nose and sinuses tumor surgery with brain access; Nasopharyngeal cancer surgery
Clinical Context
Performed for advanced nasopharyngeal carcinoma or sino-orbital tumors with intracranial involvement. Increasingly performed endoscopically.
RVU Breakdown
| Work RVU | 26.79 |
| Total RVU | 26.79 |
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 26.79, this code ranks in the 90th percentile among Surgery codes — 3.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61586?
CPT 61586 (Resection nasopharynx skull) is a Surgery code. Endoscopic or open resection of nasopharyngeal or paranasal sinus tumor with intracranial extension via craniofacial approach.
What is the wRVU value for CPT 61586?
The work RVU for CPT 61586 is 26.79. This code is primarily used by Neurosurgery, Otolaryngology. It has a 90-day global period.
When is CPT 61586 used?
Performed for advanced nasopharyngeal carcinoma or sino-orbital tumors with intracranial involvement. Increasingly performed endoscopically.
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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.