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CPT 61750: Image-Guided Intracranial Lesion Biopsy or Excision
CPT code 61750 denotes an image-guided neurosurgical procedure in which part of the skull is removed and an intracranial lesion is biopsied, aspirated, or excised using coordinates mapped from CT and/or MRI. This code captures complex, operating-room–based care involving neurosurgical planning and stereotactic localization. Nationally, accurate coding for this procedure affects clinical documentation, facility and professional reimbursement, and tracking of neurosurgical case mix and outcomes.
Key payers in the coverage landscape include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for 61750, typical sites of service, and the payer mix commonly responsible for coverage decisions. The publication summarizes benchmarks and coding considerations, highlights policy updates that commonly affect authorization and bundling, and provides clinical context relevant to coding and billing teams.
This material is intended for billing managers, neurosurgical clinicians involved in documentation, revenue cycle staff, and policy analysts who need a clear, national-level summary of the code, its clinical use, and the payer environment. Data not available in the input is noted where relevant.
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Billing Code Overview
CPT code 61750 describes a neurosurgical procedure in which the provider removes a portion of skull bone (craniotomy) and biopsies, aspirates, and/or excises an intracranial lesion using mapped coordinates derived from computed tomography (CT) and/or magnetic resonance imaging (MRI) to identify the target lesion. This procedure is an image-guided intracranial biopsy or excision performed with stereotactic localization.
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Service type: Image-guided neurosurgical intracranial lesion biopsy/excision
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Typical site of service: Hospital operating room or specialized ambulatory surgical center with neurosurgical and neuroradiology capabilities