Find policies, billing codes, payers, states, and providers
CPT 61316: Temporary Subcutaneous Cranial Bone Graft Pocketing
CPT code 61316 is an add-on surgical code for temporary subcutaneous storage of a cranial bone graft when immediate cranioplasty is not advisable, most often due to cerebral edema that could raise intracranial pressure. The procedure involves creating a skin incision and a subcutaneous pocket—frequently in the abdomen—to house a split-thickness or full-thickness bone flap, or fragmented bone material, for later retrieval and reimplantation. Nationally, this code matters because it captures an important staged neurosurgical workflow that affects inpatient surgical coding, resource use, and follow-up reconstructive procedures.
Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find guidance on the clinical context in which CPT code 61316 is used, common settings of care, and what to expect in terms of coding classification and service line placement. The publication summarizes benchmarks where available, highlights relevant policy and coverage considerations affecting reimbursement and utilization, and places the procedure in broader care pathways for patients requiring delayed cranioplasty. Data not included in the input—such as specific payer rate tables, associated taxonomies, and ICD-10 diagnosis mappings—is noted as unavailable.
Customize your policy alerts
Sign up for cpt 61316 policy alerts
Get alerted when payer policies referencing 61316 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 61316 describes an add-on cranial bone graft pocketing procedure performed when immediate replacement of a cranial bone flap is contraindicated, commonly because of brain swelling that could increase intracranial pressure. The provider makes an incision in the skin and creates a subcutaneous pocket — most often in the abdomen — and temporarily places a split-thickness or full-thickness cranial bone graft, or shaved bone/dust material, for later retrieval and reimplantation.
Service Type: Surgical — cranial bone graft pocketing (temporary subcutaneous storage of autologous bone flap)
Typical Site of Service: Operating room or surgical suite with post‑operative monitoring; graft pocket most commonly located in the abdomen