61616 resection/excise lesion skull
Also known as: complex reconstruction, lesion resection with flap
Complex resection of intracranial lesion with extensive bone reconstruction and potential flap reconstruction for defect coverage.
In Plain Language
Complex tumor removal with bone and tissue repair
Clinical Context
Performed for extensive skull base tumors requiring both osseous and soft tissue reconstruction for adequate coverage and protection.
RVU Breakdown
| Work RVU | 45.57 |
| Total RVU | 45.57 |
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 45.57, this code ranks in the 98th percentile among Surgery codes — 5.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61616?
CPT 61616 (resection/excise lesion skull) is a Surgery code. Complex resection of intracranial lesion with extensive bone reconstruction and potential flap reconstruction for defect coverage.
What is the wRVU value for CPT 61616?
The work RVU for CPT 61616 is 45.57. This code is primarily used by Neurosurgery, Surgical Oncology. It has a 90-day global period.
When is CPT 61616 used?
Performed for extensive skull base tumors requiring both osseous and soft tissue reconstruction for adequate coverage and protection.
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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.