Procedures: Craniotomy for a patient with benign clinoidal meningioma.
The surgeon carried out a stereotactic osteoplastic craniotomy along with resection of clinoidal/sphenoid wing mass. For the microdissection an intraoperative microscope was used. Prior to decompressing the superior orbital fissure, the tumor was extirpated through the opticocarotid, carotid oculomotor, as well as prechiasmatic spaces.
Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT codes for a craniotomy with resection of a clinoidal/sphenoid wing mass (benign meningioma) are 61512 for the craniotomy and tumor resection, and 69990 for the use of the operating microscope, which is an additional procedure often coded with neurosurgical procedures. The stereotactic guidance is represented by 61781. The correct ICD-10-CM code for a benign meningioma is D32.0. This combination accurately reflects the procedures described and the diagnosis.

Procedures: Craniotomy for a Patient with Benign Clinoidal Meningioma