CPT® Code 61558

1. Indications

The procedure described by CPT® Code 61558 is indicated for the treatment of multiple cranial suture craniosynostosis, particularly in cases where the condition leads to significant cranial deformities such as a cloverleaf skull. This surgical intervention is necessary when the premature closure of cranial sutures results in increased intracranial pressure, impaired brain development, and abnormal head shape. The procedure is performed to correct these issues and to prevent further complications associated with craniosynostosis.

2. Procedure

The surgical procedure for CPT® Code 61558 involves several critical steps to effectively address craniosynostosis. First, the surgeon marks the incision lines on the scalp, ensuring precise alignment with the areas of the skull that require intervention. Following this, an incision is made in the skin, and scalp flaps are created to provide complete exposure of the skull's surface. This exposure is essential for the subsequent steps of the procedure. Next, the surgeon marks the specific bone cuts on the skull, which will guide the removal of the affected bone segments. Burr holes are then drilled along the planned craniectomy lines to facilitate the cutting of the bone. These burr holes serve as entry points for the craniotome or saw, which is used to connect the holes and create the necessary openings in the skull. Once the bone cuts are made, the surgeon carefully removes the wedges or pieces of bone that have been identified for excision. After removal, these bone segments are reshaped and reoriented to achieve the best possible cosmetic outcome. Finally, the reconfigured bones are secured in place using miniplates and screws, ensuring stability and proper alignment. The procedure concludes with the closure of the incisions in layers, promoting optimal healing and recovery.

3. Post-Procedure

After the extensive craniectomy procedure, patients typically require careful monitoring in a postoperative setting to assess for any complications. Expected recovery may involve managing pain and monitoring for signs of infection at the incision sites. Patients may also need to be observed for any neurological changes due to the nature of the surgery. Follow-up appointments are essential to evaluate the healing process and the cosmetic results of the surgery. Additional considerations may include guidance on activity restrictions during the recovery period to ensure proper healing and to prevent any undue stress on the surgical site.