63191 Incise spine accessory nerve
Also known as: spinal accessory nerve section, CN XI rhizotomy
Incision of the spinal accessory nerve. This procedure involves surgical division of the spinal accessory nerve (cranial nerve XI) for functional restoration or pain management.
In Plain Language
neck nerve cutting for pain or function
Clinical Context
Less commonly used, may be applied in specific pain syndromes or functional disorders affecting the spinal accessory nerve distribution.
RVU Breakdown
| Work RVU | 18.45 |
| Total RVU | 18.45 |
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 18.45, this code ranks in the 80th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 63191?
CPT 63191 (Incise spine accessory nerve) is a Surgery code. Incision of the spinal accessory nerve. This procedure involves surgical division of the spinal accessory nerve (cranial nerve XI) for functional restoration or pain management.
What is the wRVU value for CPT 63191?
The work RVU for CPT 63191 is 18.45. This code is primarily used by Neurosurgery, Otolaryngology. It has a 90-day global period.
When is CPT 63191 used?
Less commonly used, may be applied in specific pain syndromes or functional disorders affecting the spinal accessory nerve distribution.
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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.