CPT® Code 62115

1. Indications

The procedure associated with CPT® Code 62115 is indicated for patients presenting with craniomegaly, particularly when this condition is a result of treated hydrocephalus. The following conditions may warrant this surgical intervention:

• Craniomegaly The presence of an abnormally large skull, which can lead to various complications, including increased intracranial pressure and neurological deficits.
• Treated Hydrocephalus A condition where cerebrospinal fluid accumulates in the brain's ventricles, leading to skull enlargement. This procedure is performed after appropriate treatment of hydrocephalus to address the resultant skull size.

2. Procedure

The surgical procedure for CPT® Code 62115 involves several critical steps to effectively reduce the size of the craniomegalic skull. Each step is designed to ensure the safety and efficacy of the intervention:

• Step 1: Anesthesia Administration The procedure begins with the administration of appropriate anesthesia to ensure the patient is comfortable and pain-free throughout the surgery. This may involve general anesthesia, allowing the patient to be completely unconscious during the operation.
• Step 2: Surgical Incision The surgeon makes a precise incision in the scalp to access the underlying skull. The location and length of the incision are determined based on the specific areas of the skull that require reduction.
• Step 3: Bone Manipulation Once the skull is exposed, the surgeon carefully manipulates the bones of the skull to reduce the spaces between them. This may involve repositioning or reshaping the bones to achieve a more normal skull contour.
• Step 4: Closure of Incision After the desired reduction is achieved, the surgeon closes the incision in the scalp using sutures or staples. This step is crucial for ensuring proper healing and minimizing scarring.

3. Post-Procedure

Following the procedure coded as CPT® 62115, patients typically require monitoring in a recovery area to ensure they are stable and to manage any immediate postoperative concerns. Post-procedure care may include pain management, monitoring for signs of infection, and ensuring that the patient is able to resume normal activities as they recover. The expected recovery time can vary based on individual patient factors, but patients are generally advised to follow up with their healthcare provider for ongoing assessment and to address any complications that may arise. Additionally, instructions regarding activity restrictions and wound care will be provided to promote optimal healing.