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The procedure described by CPT® Code 62192 involves the creation of a shunt that facilitates the drainage of excess cerebrospinal fluid (CSF) from the subarachnoid or subdural space in the brain to various terminus locations within the body, specifically the peritoneum, pleural cavity, or other designated sites. A shunt is a medical device that allows for the controlled flow of fluid from one area to another, and in this case, it is crucial for managing conditions that lead to the accumulation of CSF, which can cause increased intracranial pressure and other neurological complications. The procedure is performed through a series of surgical steps that include making incisions, creating access points, and placing catheters to ensure proper drainage. The shunt system is designed to maintain normal CSF levels, thereby alleviating symptoms associated with conditions such as hydrocephalus or other disorders that disrupt the natural flow of cerebrospinal fluid. The procedure is technically intricate, requiring careful manipulation of anatomical structures to ensure the shunt functions effectively and safely directs fluid to the appropriate site within the body.
© Copyright 2025 Coding Ahead. All rights reserved.
The creation of a shunt as described by CPT® Code 62192 is indicated for patients experiencing conditions that result in the accumulation of cerebrospinal fluid (CSF) in the subarachnoid or subdural spaces. These conditions may include:
The procedure for creating a shunt involves several detailed steps to ensure proper placement and functionality of the device. The following steps outline the process:
After the procedure, patients are typically monitored for any complications related to the shunt placement, such as infection, bleeding, or improper function of the shunt system. Follow-up imaging may be required to confirm the correct positioning of the catheter and to assess the drainage of CSF. Patients may also need to be educated on signs of shunt malfunction or infection, such as headaches, changes in consciousness, or fever, and instructed to seek immediate medical attention if these symptoms occur. Recovery time can vary based on individual patient factors and the complexity of the procedure, but careful post-operative care is essential to ensure optimal outcomes.
| Short Descr | ESTABLISH BRAIN CAVITY SHUNT | Medium Descr | CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH | Long Descr | Creation of shunt; subarachnoid/subdural-peritoneal, -pleural, other terminus | 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 | 2 - Insertion, replacement, or removal of extracranial ventricular shunt |
| 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). | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | 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. | 58 | Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78. | 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. | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 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.) | 79 | Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.) | 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 | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| Pre-1990 | Added | Code added. |
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