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CPT®
62116

CPT® Code 62116
Deleted

Official Description

Reduction of craniomegalic skull (eg, treated hydrocephalus); with simple cranioplasty

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

The procedure described by CPT® Code 62116 involves the reduction of a craniomegalic skull, which is characterized by an abnormally large head size often resulting from conditions such as hydrocephalus. Hydrocephalus is a medical condition where excess cerebrospinal fluid accumulates in the brain's ventricles, leading to increased intracranial pressure and subsequent enlargement of the skull. During this surgical intervention, the physician meticulously separates each individual bone of the skull to allow for the removal of excess bone material. This reduction process is crucial for alleviating pressure on the brain and restoring a more normal skull shape. Following the reduction, the separated skull bones are reattached, often utilizing techniques that ensure stability and promote healing. This procedure not only addresses the physical deformity but also aims to improve neurological function and overall quality of life for the patient.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 62116 is indicated for patients presenting with craniomegaly, particularly when it is a result of treated hydrocephalus. The following conditions may warrant this surgical intervention:

  • Hydrocephalus Excess cerebrospinal fluid accumulation leading to increased intracranial pressure and skull enlargement.
  • Abnormal Skull Growth Conditions resulting in disproportionate skull size that may affect neurological function or aesthetic appearance.
  • Neurological Symptoms Symptoms such as headaches, cognitive impairment, or developmental delays associated with increased intracranial pressure.

2. Procedure

The procedure for CPT® Code 62116 involves several critical steps to ensure effective reduction of the craniomegalic skull:

  • Step 1: Anesthesia Administration The patient is placed under general anesthesia to ensure comfort and immobility during the surgical procedure.
  • Step 2: Incision and Exposure A surgical incision is made on the scalp to provide access to the skull. The incision is carefully planned to minimize scarring and facilitate healing.
  • Step 3: Separation of Skull Bones The surgeon meticulously separates each bone of the skull. This step is crucial as it allows for the precise removal of excess bone material contributing to the craniomegaly.
  • Step 4: Bone Reduction Excess bone is removed to achieve a more normal skull size and shape. This reduction is performed with careful consideration of the underlying brain structures.
  • Step 5: Reattachment of Skull Bones After the appropriate amount of bone has been removed, the surgeon reattaches the skull bones using fixation techniques that may include plates, screws, or sutures to ensure stability during the healing process.
  • Step 6: Closure of Incision The incision in the scalp is closed using sutures or staples, and the area is dressed appropriately to promote healing and minimize infection risk.

3. Post-Procedure

Post-procedure care for patients undergoing the reduction of a craniomegalic skull includes monitoring for any signs of complications such as infection, bleeding, or neurological changes. Patients are typically observed in a recovery area until they are stable. Pain management is provided as needed, and instructions for wound care are given to ensure proper healing. Follow-up appointments are essential to assess the surgical site, monitor recovery, and evaluate any improvements in neurological function. Patients may also require rehabilitation services to support recovery and address any developmental concerns.
Short Descr REDUCTION OF SKULL DEFECT
Medium Descr RDCTJ CRANIOMEGALIC SKULL W/SIMPLE CRANIOPLASTY
Long Descr Reduction of craniomegalic skull (eg, treated hydrocephalus); with simple cranioplasty
Status Code Active Code
Global Days 090 - Major Surgery
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 9 - Concept does not apply.
Assistant Surgeon (80, 82) 2 - Payment restriction for assistants at surgery does not apply to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Inpatient Procedures, not paid under OPPS
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) none
MUE Not applicable/unspecified.
CCS Clinical Classification 9 - Other OR therapeutic nervous system procedures
Date
Action
Notes
2015-01-01 Deleted Code deleted
1991-01-01 Added First appearance in code book in 1991.
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