61690 Intracranial vessel surgery
Also known as: dural AV fistula repair, dural fistula surgery
Open surgical approach to intracranial blood vessel for repair or reconstruction of dural arteriovenous fistula.
In Plain Language
Surgery for abnormal brain artery-vein connection
Clinical Context
Surgical treatment for high-risk dural fistulas. May follow or complement endovascular therapy.
RVU Breakdown
| Work RVU | 30.56 |
| Total RVU | 30.56 |
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 30.56, this code ranks in the 93rd percentile among Surgery codes — 3.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 61690?
CPT 61690 (Intracranial vessel surgery) is a Surgery code. Open surgical approach to intracranial blood vessel for repair or reconstruction of dural arteriovenous fistula.
What is the wRVU value for CPT 61690?
The work RVU for CPT 61690 is 30.56. This code is primarily used by Neurosurgery, Neuro-vascular Surgery. It has a 90-day global period.
When is CPT 61690 used?
Surgical treatment for high-risk dural fistulas. May follow or complement endovascular therapy.
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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.