© Copyright 2025 American Medical Association. All rights reserved.
The procedure described by CPT® Code 61563 involves the surgical excision of a benign tumor located in the cranial bone, which may include conditions such as fibrous dysplasia. This operation is performed both intra- and extracranially, meaning that the surgeon accesses the tumor from both inside the skull and from the outside, depending on the tumor's location and size. The primary goal of this procedure is to remove the tumor while preserving surrounding structures and minimizing damage to the cranial bone. It is important to note that this specific code is used when the excision does not involve decompression of the optic nerve. If optic nerve decompression is required during the procedure, CPT® Code 61564 should be utilized instead. This distinction is crucial for accurate coding and billing, as it reflects the complexity and extent of the surgical intervention performed.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure associated with CPT® Code 61563 is indicated for the removal of benign tumors of the cranial bone. These tumors may present with various symptoms or conditions that necessitate surgical intervention. The following are explicitly provided indications for this procedure:
The procedure for CPT® Code 61563 involves several critical steps to ensure the safe and effective removal of the benign tumor from the cranial bone. The following procedural steps are outlined:
Post-procedure care following the excision of a benign tumor of the cranial bone is essential for optimal recovery. Patients are typically monitored in a recovery area until they are stable. Common post-operative considerations include managing pain with prescribed medications, monitoring for any signs of infection at the surgical site, and ensuring proper wound care. Patients may also be advised to limit physical activity for a specified period to promote healing. Follow-up appointments are crucial to assess recovery progress and to address any complications that may arise. The expected recovery time can vary based on individual factors and the extent of the surgery performed.
| Short Descr | EXCISION OF SKULL TUMOR | Medium Descr | EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN | Long Descr | Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); without optic nerve decompression | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard 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) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | 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 | 2 | CCS Clinical Classification | 9 - Other OR therapeutic nervous system procedures |
This is a primary code that can be used with these additional add-on codes.
| 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) |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 1991-01-01 | Added | First appearance in code book in 1991. |
Get instant expert-level medical coding assistance.