2025 CPT code 61107
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Nervous System Feed
Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device.
Modifiers may be applicable depending on the specific circumstances of the procedure. Refer to current CPT guidelines for appropriate modifier usage.
Medical necessity must be established for this procedure. The documentation should clearly support the need for the twist drill hole and the associated procedure (e.g., elevated intracranial pressure requiring monitoring, subdural hematoma requiring drainage, hydrocephalus necessitating CSF drainage).
The physician performs the procedure after the patient is prepped and anesthetized. This involves making a small scalp incision, using the twist drill to perforate the skull, and then using the created hole to perform the indicated procedure (aspiration, catheter placement, or device implantation).
In simple words: A small hole is made in the skull using a hand-twisted drill. This allows the doctor to access the brain to take fluid samples, place a drain, or insert a monitor to measure pressure inside the skull.
This procedure involves creating a hole or holes in the skull using a hand-operated twist drill. This allows access to the subdural, intracerebral, or ventricular areas for various purposes, including: * Removing fluid via aspiration. * Placing a drainage catheter. * Implanting pressure or other monitoring devices to measure intracranial pressure.
Example 1: A patient presents with suspected elevated intracranial pressure. A twist drill hole is made to insert a pressure recording device for continuous monitoring., A patient with a subdural hematoma requires drainage. A twist drill hole is created to facilitate the evacuation of the hematoma., A patient requires placement of a ventricular catheter for cerebrospinal fluid (CSF) drainage and monitoring. A twist drill hole is made to accommodate the catheter.
Documentation should include the reason for the procedure, the specific location of the twist drill hole(s), the type of device inserted (if any), the amount and character of any fluid aspirated, and any complications encountered.
- Specialties:Neurosurgery
- Place of Service:Inpatient Hospital, Outpatient Hospital