CPT® Code 61323

Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; with lobectomy

A decompressive craniectomy or craniotomy is a surgical procedure aimed at alleviating increased intracranial pressure, known as intracranial hypertension. This procedure can be performed with or without duraplasty, which is a technique used to repair or augment the dura mater, the outermost layer of the protective covering of the brain. The primary goal of this intervention is to relieve pressure on the brain, which can be caused by various conditions, including traumatic brain injury, stroke, or other neurological disorders. In this specific procedure, there is no evacuation of associated intraparenchymal hematoma, meaning that any bleeding within the brain tissue itself is not addressed during this operation. Additionally, the procedure includes a lobectomy, which involves the surgical removal of a portion of the brain, specifically targeting swollen brain tissue to further control intracranial pressure. The surgical approach involves creating scalp flaps and utilizing burr holes to access the skull, followed by the careful removal or repositioning of the bone flap to allow for adequate decompression of the brain. This comprehensive approach is critical in managing severe cases of intracranial hypertension and preventing potential neurological damage.