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The CPT® Code 62005 refers to the procedure of elevating a depressed skull fracture that is classified as either compound or comminuted and is located extradurally. A depressed skull fracture occurs when a high-energy impact, typically from a blunt object, causes a portion of the skull to be displaced inward. This type of fracture can be either open, where there is a break in the skin, or closed, where the skin remains intact. Depressed skull fractures often lead to significant complications, including loss of consciousness and potential intracranial injuries such as epidural or subdural hematomas, as well as dural tearing. The procedure associated with CPT® Code 62005 specifically addresses the elevation of an open fracture or one that exhibits fragmentation of the bone. During this procedure, careful inspection and debridement of the skin are performed, and the fracture fragments are meticulously detached and treated to ensure the integrity of the dura mater, which is the outermost layer of the protective covering of the brain. This code is crucial for accurately documenting the surgical intervention required for complex skull fractures, ensuring proper coding and billing for the services rendered.
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The procedure associated with CPT® Code 62005 is indicated for patients presenting with a depressed skull fracture that is classified as compound or comminuted and is located extradurally. The following conditions may warrant this surgical intervention:
The procedure for CPT® Code 62005 involves several critical steps to ensure the proper elevation and management of the depressed skull fracture:
After the completion of the procedure, post-operative care is essential for recovery. The patient will be monitored for any signs of complications, such as infection or neurological deficits. Pain management will be provided as needed, and follow-up appointments will be scheduled to assess the healing process. The surgical site will require care to ensure proper healing, and any sutures or fixation devices will be evaluated for removal at a later date, depending on the individual patient's recovery progress.
| Short Descr | TREAT SKULL FRACTURE | Medium Descr | ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL | Long Descr | Elevation of depressed skull fracture; compound or comminuted, extradural | 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 | 1 | CCS Clinical Classification | 148 - Other fracture and dislocation procedure |
| 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). | 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. | 62 | Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate. | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| Pre-1990 | Added | Code added. |
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