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CPT 62225: Ventricular Catheter Replacement or Flush for CSF Drainage
Headline: CPT code 62225 covers replacement or flushing of a blocked ventricular catheter to restore cerebrospinal fluid (CSF) drainage. Lead: CPT code 62225 identifies a neurosurgical procedure to replace or clear a previously placed ventricular catheter when obstruction prevents CSF from draining; the procedure can be performed with an endoscope and typically occurs in an operating room or ambulatory surgery center.
CPT code 62225 matters nationally because ventricular catheter malfunction can lead to elevated intracranial pressure, infection risk, and neurologic worsening, making timely revision or flushing clinically important. Payers commonly involved in coverage decisions and reimbursement for this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
This publication provides a concise clinical and billing overview of CPT code 62225, including the clinical context for use, typical sites of service, and common modifiers used with the code. Readers will find benchmarks on utilization and reimbursement patterns where available, discussion of payer coverage considerations, and operational notes relevant to facility and professional billing. Data not available in the input will be identified as such in the detailed sections.
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Billing Code Overview
CPT code 62225 describes the replacement or flushing of a previously placed ventricular catheter for drainage of cerebrospinal fluid (CSF). This procedure is performed when a ventricular catheter is blocked or malfunctioning and requires restoration of CSF drainage; an endoscopic approach may be used.
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Service type: Surgical/neurosurgical device maintenance and revision
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Typical site of service: Operating room or procedure suite in an acute care hospital or ambulatory surgery center