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61592 Orbitocranial approach/skull

Surgery Global 90d

Also known as: combined approach, orbitocranial infratemporal

Combined orbitocranial and infratemporal approach for lateral skull base lesion requiring extended anterior-posterior exposure.

In Plain Language

Combined skull base approaches

Clinical Context

Used for lesions requiring simultaneous anterior and lateral skull base exposure. Particularly useful for large jugular foramen or lateral mass tumors.

RVU Breakdown

Work RVU42.00
Total RVU42.00

Est. Medicare Payment

$1,402.80

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 42.00, this code ranks in the 98th percentile among Surgery codes — 5.3x the median (8.00). The highest wRVU in this category is 106.19.

Specialties

NeurosurgerySkull Base Surgery

Frequently Asked Questions

What is CPT code 61592?

CPT 61592 (Orbitocranial approach/skull) is a Surgery code. Combined orbitocranial and infratemporal approach for lateral skull base lesion requiring extended anterior-posterior exposure.

What is the wRVU value for CPT 61592?

The work RVU for CPT 61592 is 42.00. This code is primarily used by Neurosurgery, Skull Base Surgery. It has a 90-day global period.

When is CPT 61592 used?

Used for lesions requiring simultaneous anterior and lateral skull base exposure. Particularly useful for large jugular foramen or lateral mass tumors.

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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.