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The procedure described by CPT® Code 62162 involves a neuroendoscopic approach to address intracranial colloid cysts. This minimally invasive technique begins with a small incision in the scalp, allowing access to the skull, where a burr hole is created. This burr hole serves as the entry point for the neuroendoscope, a specialized instrument that provides visualization of the brain's internal structures. The procedure is designed to treat conditions such as colloid cysts, which can obstruct cerebrospinal fluid (CSF) flow and lead to increased intracranial pressure. During the procedure, the neuroendoscope is carefully navigated through the brain's ventricular system, allowing the surgeon to inspect the area for any adhesions or cysts that may be present. If a colloid cyst is identified, the cyst wall is opened, and its contents are evacuated using a suction catheter. The attachment points of the cyst are then coagulated to prevent bleeding, and the cyst is excised. Additionally, if necessary, an external ventricular catheter is placed for drainage, ensuring that CSF can flow freely and reducing the risk of complications associated with cyst obstruction. This procedure is critical for alleviating symptoms related to increased intracranial pressure and restoring normal CSF circulation.
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The neuroendoscopic procedure described by CPT® Code 62162 is indicated for the treatment of specific intracranial conditions, particularly:
The procedure involves several critical steps to ensure effective treatment of the colloid cyst and restoration of cerebrospinal fluid flow:
Post-procedure care involves monitoring the patient for any signs of complications, such as infection or bleeding. The patient may require imaging studies to assess the success of the procedure and ensure that cerebrospinal fluid is flowing properly. Follow-up appointments are essential to evaluate the patient's recovery and to manage any ongoing symptoms. If an external ventricular catheter has been placed, care must be taken to monitor its function and to prevent any obstruction or infection at the catheter site. The overall recovery time may vary depending on the individual patient's condition and the extent of the procedure performed.
| Short Descr | REMOVE COLLOID CYST W/SCOPE | Medium Descr | NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG | Long Descr | Neuroendoscopy, intracranial; with fenestration or excision of colloid cyst, including placement of external ventricular catheter for drainage | 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 | 1 - Incision and excision of CNS |
| 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). | 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. | 78 | Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 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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| 2003-01-01 | Added | First appearance in code book in 2003. |
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