How To Use CPT Code 61519

CPT 61519 describes the procedure of craniectomy for excision of a brain tumor located in the infratentorial or posterior fossa, specifically meningioma. This article will cover the official description, procedure details, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 61519?

CPT 61519 is used to describe the surgical procedure of craniectomy for the removal of a brain tumor located in the infratentorial or posterior fossa. This code specifically applies to the excision of meningioma, which is a tumor that develops in the meninges, the connective tissue layers covering the brain.

2. Official Description

The official description of CPT code 61519 is: ‘Craniectomy for excision of brain tumor, infratentorial or posterior fossa; meningioma.’

3. Procedure

1. The patient is prepared and anesthetized for the procedure.
2. The surgeon makes an incision in the scalp above the area where the tumor is located.
3. A circular portion of the skull bone is removed to provide access to the tumor.
4. The surgeon excises the meningioma, ensuring complete removal.
5. Any excess fluid or blood is drained using a drain.
6. The layers of dural tissue are sutured together.
7. The bone flap is reattached to its original position using plates, wires, or sutures.
8. The wound is covered with a sterile dressing.

4. Qualifying circumstances

CPT 61519 is used when a patient requires a craniectomy for the excision of a meningioma located in the infratentorial or posterior fossa. The procedure is performed by a qualified healthcare professional, typically a neurosurgeon, and is necessary to remove the tumor and alleviate symptoms or prevent further complications.

5. When to use CPT code 61519

CPT code 61519 should be used when a craniectomy is performed specifically for the excision of a meningioma located in the infratentorial or posterior fossa. It is important to accurately document the location and type of tumor to support the use of this code.

6. Documentation requirements

To support a claim for CPT 61519, the following documentation is required:

• Diagnosis of meningioma
• Location of the tumor in the infratentorial or posterior fossa
• Description of the procedure performed, including the specific steps taken
• Details of any complications or additional procedures performed
• Signature of the performing healthcare professional

7. Billing guidelines

When billing for CPT 61519, ensure that the procedure performed is a craniectomy for the excision of a meningioma located in the infratentorial or posterior fossa. It is important to follow the specific documentation requirements and guidelines provided by the payer to ensure accurate and timely reimbursement.

8. Historical information

CPT 61519 was added to the Current Procedural Terminology system on January 1, 1990. The code was later added to the Inpatient Only (IPO) list for Medicare in 2017.

9. Examples

1. A neurosurgeon performs a craniectomy to excise a meningioma located in the infratentorial region of the brain.
2. A patient undergoes a craniectomy for the removal of a posterior fossa meningioma by a skilled neurosurgeon.
3. A neurosurgical team performs a craniectomy to excise a meningioma in the infratentorial region, ensuring complete removal of the tumor.
4. A patient with a diagnosed meningioma undergoes a craniectomy procedure to remove the tumor located in the posterior fossa.
5. A neurosurgeon performs a craniectomy for the excision of a meningioma in the infratentorial region, followed by the reattachment of the bone flap.
6. A patient undergoes a craniectomy procedure to remove a meningioma located in the posterior fossa, resulting in successful tumor removal.
7. A skilled neurosurgeon performs a craniectomy for the excision of a meningioma in the infratentorial region, ensuring minimal damage to surrounding brain tissue.
8. A patient with a meningioma in the posterior fossa undergoes a craniectomy procedure, resulting in complete tumor removal and relief of symptoms.
9. A neurosurgical team performs a craniectomy to excise a meningioma located in the infratentorial region, followed by meticulous closure of the surgical site.
10. A patient undergoes a craniectomy for the removal of a posterior fossa meningioma, resulting in successful tumor excision and improved prognosis.