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2025 CPT code 62220

Creation of a ventriculo-atrial, -jugular, or -auricular shunt.

For injection procedure for cerebral angiography, see 36100-36218. For injection procedure for ventriculography, see 61026, 61120. For injection procedure for pneumoencephalography, use 61055.

Modifiers may be applicable to this code, such as 22 (Increased Procedural Services), 51 (Multiple Procedures), or others as appropriate to the circumstances.

Medical necessity for 62220 is established by the presence of a condition requiring CSF diversion, such as hydrocephalus. Supporting documentation should clearly demonstrate the clinical signs, symptoms, and diagnostic findings that justify the procedure.

The surgeon makes an incision in the scalp, exposes the skull, and drills a burr hole to access the brain.A shunt is inserted into the ventricles and positioned to drain CSF to the chosen drainage site. The shunt may be sutured in place, and the scalp is closed in layers.

IMPORTANT:(For intracranial neuroendoscopic ventricular catheter placement, use 62160)

In simple words: The surgeon creates a small tube called a shunt that drains extra fluid from the brain. This tube is placed inside the head and connected to another part of the body like the heart or a large vein in the neck, allowing the fluid to drain safely. This helps treat conditions where too much fluid builds up in the brain.

This procedure involves creating a shunt (tube) to drain excess cerebrospinal fluid (CSF) from the ventricles of the brain. The shunt is placed into the ventricles and connected to a drainage site, such as the atria of the heart, jugular veins, or auricular processes.This procedure is often used to treat conditions like hydrocephalus, where the ventricles enlarge with excess CSF. An endoscope may be used during this procedure.

Example 1: A pediatric patient presents with congenital hydrocephalus, requiring shunt placement to manage the increased intracranial pressure., An adult patient develops hydrocephalus following a traumatic brain injury, necessitating a ventriculoperitoneal shunt to drain excess CSF., A patient with normal pressure hydrocephalus undergoes shunt placement to alleviate symptoms such as gait disturbance, dementia, and urinary incontinence.

Documentation should include the reason for the procedure (e.g. diagnosis of hydrocephalus), the type of shunt used, the location of shunt placement and the drainage site, operative details, and any complications encountered.

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