Intracranial Procedures in Sitting Position

Procedures within the cranial cavity with the patient in a sitting position.

CPT code:

218

Category:

Category I

Section:

Anesthesia

Specialty:

Neurosurgery, Anesthesia

Type:

Surgical

This CPT code refers to intracranial procedures performed with the patient in a sitting position, which is a specific approach used in certain neurosurgical cases. These procedures are conducted to access and treat conditions within the cranial cavity, such as tumors, vascular abnormalities, or hydrocephalus, with the patient in a unique, tilted position. Proper positioning and surgical techniques are critical to the success of these procedures.

Under what category does Intracranial Procedures in Sitting Position fall?

Category I

What is the billing unit for Intracranial Procedures in Sitting Position?

Per Procedure

Modifiers

Clinical use

CPT code 00218 is associated with open surgical procedures for the removal of spinal tumors located in the sacrum. These procedures may involve sacrectomy, tumor resection, and other techniques to address sacral tumors, which can be benign or malignant.

Documentation

Comprehensive documentation for 00218 includes the patient's medical history, pre-operative imaging and diagnosis of the sacral tumor, informed consent, surgical procedure details, including the approach, extent of resection, and any complications encountered during the surgery. A pathology report on the excised tumor is also crucial.