2025 CPT code 62225
(Active) Effective Date: N/A Revision Date: N/A Surgery - Cerebrospinal Fluid (CSF) Shunt Procedures Surgical Procedures on the Nervous System Feed
Replacement or irrigation of a ventricular catheter.
Modifiers may be applicable depending on the circumstances, such as modifier 59 for a distinct procedural service or other appropriate modifiers based on the specific scenario.
Medical necessity is established when there is clear documentation of impaired CSF drainage due to catheter malfunction or infection. The procedure is aimed at restoring normal CSF flow and reducing the risk of complications like hydrocephalus.
The neurosurgeon or qualified physician is responsible for performing the procedure, which involves accessing the ventricular catheter, irrigating or replacing it, and ensuring proper closure of the surgical site.
- Surgical Procedures on the Nervous System
- Surgical Procedures on the Nervous System > Cerebrospinal Fluid (CSF) Shunt Procedures
In simple words: The doctor replaces or cleans a tube already in place to drain fluid from the brain.This might involve making a small hole in the skull to reach the tube. The doctor might use a small camera to see better.
This CPT code encompasses the surgical replacement or irrigation of a pre-existing ventricular catheter used for cerebrospinal fluid (CSF) drainage.The procedure may involve creating a burr hole in the skull, incising the dura mater and cortex to access the catheter. The surgeon may use a neuroendoscope to aid visualization. The catheter is either irrigated to clear a blockage or removed and replaced with a new catheter. Hemostasis is achieved, and the incision is closed.Use of a neuroendoscope is reported separately using code 62160.
Example 1: A patient with a ventricular catheter experiences a blockage, leading to increased intracranial pressure. The surgeon performs a replacement procedure., A patient's ventricular catheter becomes infected. The surgeon removes the infected catheter and replaces it with a new sterile one., During a routine check-up, the doctor notes signs of catheter malfunction.They perform a minor irrigation to restore function.
* Preoperative diagnosis and rationale for the procedure.* Intraoperative notes detailing the approach, techniques used (e.g., neuroendoscopy), and findings.* Postoperative notes including assessment of hemostasis, and the type of catheter used (if replaced).* Imaging studies (if used).* Patient's medical history and physical examination findings.
** Always refer to the most up-to-date CPT codebook and payer guidelines for accurate coding and reimbursement. The use of a neuroendoscope is considered an add-on service reported separately with 62160.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available in the provided text.Relative Value Units (RVUs) are subject to change and depend on location and payer.
- Global Days: This information is not provided. The global period for surgical procedures varies depending on the specific procedure and payer.
- Payment Status: Active
- Modifier TC rule: The provided source does not specify if a Technical Component (TC) modifier is applicable. Further clarification from payer guidelines is recommended.
- Fee Schedule: Historical fee schedule data is not available in the provided text.Contact your payer or refer to fee schedule databases for historical fee information.
- Specialties:Neurosurgery, Neurology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center