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The CPT® Code 61316 refers to the procedure of incision and subcutaneous placement of a cranial bone graft. This procedure is specifically performed when a cranial bone graft, which is typically removed during a craniectomy, is intended for future use in reconstructing a skull defect. The process involves creating a subcutaneous pocket, often referred to as subcutaneous banking, which is designed to preserve the viability of the bone graft. This is crucial as it allows the bone to remain suitable for autogenous grafting later on. The procedure begins with an incision made in the skin of the abdomen, where the subcutaneous pocket is fashioned. Once the pocket is created, the cranial bone flap, previously excised during the craniectomy, is carefully placed within this pocket. Finally, the skin and subcutaneous tissue are closed over the bone flap, ensuring that it is securely stored for potential future surgical use. This method not only aids in the preservation of the bone graft but also facilitates the planning of subsequent reconstructive procedures for the skull.
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The procedure described by CPT® Code 61316 is indicated in specific clinical scenarios where a cranial bone graft is removed during a craniectomy and requires preservation for future use. The following conditions may warrant this procedure:
The procedure for CPT® Code 61316 involves several critical steps to ensure the successful placement of the cranial bone graft in a subcutaneous pocket. The following procedural steps are outlined:
Post-procedure care for patients who have undergone the incision and subcutaneous placement of a cranial bone graft involves monitoring for any signs of complications, such as infection or improper healing of the incision site. Patients may be advised to follow specific wound care instructions to maintain the integrity of the surgical site. Additionally, the viability of the cranial bone flap should be assessed during follow-up visits, as it is intended for future use in reconstructive surgery. The timing and planning for the subsequent reconstructive procedure will depend on the patient's overall health and the specific clinical circumstances surrounding the initial craniectomy and graft placement.
| Short Descr | INC&SUBQ PLMT CRNL BONE GRF | Medium Descr | INCISION&SUBCUTANEOUS PLMT CRANIAL BONE GRAFT | Long Descr | Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) | Status Code | Active Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 161 - Other OR therapeutic procedures on bone |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 61304 | MPFS Status: Active Code APC C CPT Assistant Article Craniectomy or craniotomy, exploratory; supratentorial | 61312 | MPFS Status: Active Code APC C Physician Quality Reporting Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural | 61313 | MPFS Status: Active Code APC C Physician Quality Reporting Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral | 61322 | MPFS Status: Active Code APC C Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy | 61323 | MPFS Status: Active Code APC C Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy | 61340 | MPFS Status: Active Code APC C Subtemporal cranial decompression (pseudotumor cerebri, slit ventricle syndrome) | 61570 | MPFS Status: Active Code APC C Craniectomy or craniotomy; with excision of foreign body from brain | 61571 | MPFS Status: Active Code APC C Craniectomy or craniotomy; with treatment of penetrating wound of brain | 61680 | MPFS Status: Active Code APC C Surgery of intracranial arteriovenous malformation; supratentorial, simple | 61682 | MPFS Status: Active Code APC C Surgery of intracranial arteriovenous malformation; supratentorial, complex | 61684 | MPFS Status: Active Code APC C Surgery of intracranial arteriovenous malformation; infratentorial, simple | 61686 | MPFS Status: Active Code APC C Surgery of intracranial arteriovenous malformation; infratentorial, complex | 61690 | MPFS Status: Active Code APC C Surgery of intracranial arteriovenous malformation; dural, simple | 61692 | MPFS Status: Active Code APC C Surgery of intracranial arteriovenous malformation; dural, complex | 61697 | MPFS Status: Active Code APC C Physician Quality Reporting Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation | 61698 | MPFS Status: Active Code APC C Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation | 61700 | MPFS Status: Active Code APC C Physician Quality Reporting CPT Assistant Article Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation | 61702 | MPFS Status: Active Code APC C Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation | 61703 | MPFS Status: Active Code APC C Surgery of intracranial aneurysm, cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) | 61705 | MPFS Status: Active Code APC C Surgery of aneurysm, vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery | 69990 | Addon Code MPFS Status: Restricted APC N ASC N1 PUB 100 CPT Assistant Article 1Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure) |
| 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter |
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| 2025-01-01 | Changed | Short and Medium Descriptions changed. |
| 2013-01-01 | Changed | Medium Descriptor changed. |
| 2003-01-01 | Added | First appearance in code book in 2003. |
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