CPT® Code 62000

1. Indications

The procedure described by CPT® Code 62000 is indicated for patients presenting with a depressed skull fracture that is closed and does not involve a dural tear. The following conditions may warrant this surgical intervention:

• Closed Depressed Skull Fracture A fracture where the skin remains intact at the site of injury, characterized by a portion of the skull being pushed inward.
• Loss of Consciousness Patients may experience a loss of consciousness due to the impact that caused the fracture, necessitating evaluation and potential surgical intervention.
• Intracranial Injuries The presence of associated intracranial injuries, such as hematomas, may require careful assessment to determine the need for elevation of the fracture.

2. Procedure

The procedure for elevating a depressed skull fracture as described by CPT® Code 62000 involves several critical steps:

• Incision A lazy-S or horseshoe-shaped incision is made over the area of the depressed skull fracture. This incision allows for adequate exposure of the underlying bone while minimizing damage to surrounding tissues.
• Bone Exposure Once the incision is made, the surgeon carefully dissects through the soft tissues to expose the depressed bone fragment. This step is crucial for visualizing the fracture and assessing the condition of the dura mater.
• Elevation of Bone The depressed area of the skull is then elevated using appropriate surgical instruments. The goal is to restore the normal contour of the skull while ensuring that the underlying dura is intact and free from injury.
• Inspection of Dura After elevating the bone, the surgeon inspects the area to confirm that the dura mater, which protects the brain, remains intact. This inspection is vital to prevent complications such as cerebrospinal fluid leaks or infection.

3. Post-Procedure

Following the elevation of the depressed skull fracture, post-procedure care is essential for optimal recovery. Patients are typically monitored for any signs of complications, such as infection or neurological deficits. Pain management is provided as needed, and the surgical site is kept clean and dry. Follow-up appointments are scheduled to assess healing and ensure that the skull is properly aligned. Patients may also be advised on activity restrictions to prevent further injury during the recovery period.