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CPT 61606: Excision of Intradural Lesion at Middle Cranial Fossa Base
CPT code 61606 denotes an advanced neurosurgical procedure: removal of an intradural neoplastic, vascular, or infectious lesion at the base of the middle cranial fossa, including lesions situated in the infratemporal fossa, parapharyngeal space, or petrous apex, with optional dural repair. Nationally, this code represents high-complexity cranial surgery typically performed in hospital operating rooms or tertiary neurosurgical centers and has implications for specialty reimbursement, surgical resource utilization, and care coordination for complex cranial pathology. Key payers considered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will gain a concise overview of the clinical context and service setting for CPT code 61606, plus what follows in the full publication: benchmark payment ranges and utilization patterns where available, relevant policy or billing updates that affect neurosurgical indexing and claims adjudication, and clinical considerations tied to operative complexity and site of service. Data not available in the input will be identified explicitly in the detailed sections of the full publication.
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Billing Code Overview
CPT code 61606 describes surgical removal of a neoplastic, vascular, or infectious lesion located at the base of the middle cranial fossa that is intradural (within or beneath the outer covering of the brain). The description specifies lesions in anatomically complex locations including the infratemporal fossa, parapharyngeal space, or petrous apex. The service may include repair of the dura mater, which can involve placement of a dural graft if needed.
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Service type: Neurosurgical intracranial lesion excision (intradural) at middle cranial fossa base
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Typical site of service: Hospital operating room or tertiary care surgical center with neurosurgical capability