2025 CPT code 61552
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Nervous System Surgery Feed
Cranial sutures reshaping for craniosynostosis affecting multiple sutures.
Modifiers 22 (increased procedural services), 51 (multiple procedures), and others may be applicable depending on the specific circumstances of the procedure.
Medical necessity is established by the presence of craniosynostosis causing significant head deformity, potential for increased intracranial pressure, and/or developmental delays.Surgical intervention is required to correct the deformity, alleviate pressure, and facilitate normal brain growth.
The surgeon performs the craniectomy, reshaping the skull bones, and sutures the scalp.
In simple words: The doctor makes an incision in the skull to reshape bones that have fused together too early, a condition called craniosynostosis. This allows the head to grow normally.
This procedure involves a surgical incision into the skull over multiple affected cranial sutures (fibrous tissues connecting skull bones). The surgeon reshapes the skull bones to achieve an anatomically correct position, allowing for normal skull growth.The scalp layers are sutured, and the wound is dressed.
Example 1: A 6-month-old infant presents with sagittal and coronal craniosynostosis.The surgeon performs a craniectomy to reshape the affected skull bones., A 1-year-old child with bicoronal and metopic craniosynostosis undergoes a craniectomy to correct the skull shape and alleviate pressure on the brain., A 2-year-old patient with multiple suture involvement requires a complex craniectomy for craniosynostosis repair; the procedure includes bone resection and reshaping of multiple cranial sutures.
Preoperative imaging (CT scan or MRI), operative report detailing sutures addressed, bone resection amount and techniques, and postoperative imaging.
** This code is for multiple cranial sutures. For single suture craniosynostosis, use CPT code 61550.Always refer to the most current CPT manual for the most up-to-date information.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: TC modifier may apply depending on the involvement of the assistant surgeon. Consult local Medicare Administrative Contractor (MAC) guidelines for clarification.
- Specialties:Neurosurgery, Plastic Surgery, Pediatric Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center