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CPT 61607: Extradural Skull Base Neoplasm Resection
CPT code 61607 covers extradural removal of vascular or infectious neoplasms at the base of the middle cranial fossa, including lesions in the parasellar area, cavernous sinus, clivus, or midline skull base. This complex neurosurgical procedure is clinically significant due to the critical anatomy involved and the potential for substantial resource use, including specialized surgical teams and inpatient hospital care. Nationally, accurate coding for these skull base resections affects case mix classification, quality measurement, and reimbursement for high-acuity neurosurgical services.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, and the scope of billing considerations tied to CPT code 61607. The publication provides benchmarks and payer-specific policy summaries where available, highlights coding and clinical context that influence reimbursement, and outlines common documentation and service characteristics relevant to audits and prior authorization. Data not available in the input will be identified as such in detailed sections.
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Billing Code Overview
CPT code 61607 describes surgical removal of a portion or all of a vascular or infectious neoplasm located in the extradural space at the base of the middle cranial fossa. The lesion locations specified include the parasellar area, cavernous sinus, clivus, or midline skull base. This is a neurosurgical procedure addressing tumors or infectious masses situated between the inner skull and the outer covering of the brain.
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Service type: Neurosurgical cranial tumor resection (extradural skull base neoplasm removal)
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Typical site of service: Hospital operating room or specialized tertiary surgical center with neurosurgery and skull base surgery capability