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CPT 62230: Revision or Replacement of Malfunctioning CSF Shunt
CPT code 62230 designates surgical replacement or revision of a malfunctioning component of an existing cerebrospinal fluid (CSF) shunt system. This code captures interventions for blocked shunts, valves, or distal catheters that impair CSF drainage and may involve neuroendoscopic assistance. Nationally, procedures to manage shunt malfunction are clinically significant due to risks of increased intracranial pressure, infection, and the need for timely surgical intervention.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for 62230, typical sites of service, and the common service type. The publication also presents benchmarking context where available, notes on payer coverage patterns, and any recent policy updates that affect coding and authorization for shunt revision procedures.
The content provides clinicians, coding professionals, and policy analysts with a clear summary of when 62230 is reported, what the procedure entails, and which payers are commonly involved. Data limitations are noted where input fields were not provided. The focus is national in scope and intended to support accurate coding and administrative planning for CSF shunt revision or replacement procedures.
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Billing Code Overview
CPT code 62230 describes the replacement or revision of a malfunctioning component of a previously placed cerebrospinal fluid (CSF) shunt system. The procedure is performed when a blockage or failure in the shunt, valve, or distal catheter prevents effective CSF drainage. A neuroendoscope may be used to assist visualization and repair during the procedure.
Service type: Surgical repair/revision of implanted intracranial CSF shunt system
Typical site of service: Hospital operating room or inpatient surgical suite; may also be performed in ambulatory surgical centers when clinically appropriate.