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CPT®
62163

CPT® Code 62163
Deleted

Official Description

Neuroendoscopy, intracranial; with retrieval of foreign body

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

Neuroendoscopy, intracranial, with retrieval of a foreign body, is a minimally invasive surgical procedure designed to remove foreign objects from the ventricular system of the brain. This procedure is particularly relevant when a foreign body, such as a ventricular catheter, has become lodged within the ventricles, which are the fluid-filled spaces in the brain. The use of neuroendoscopy allows for direct visualization and access to the ventricular system through a small incision, minimizing damage to surrounding tissues. The procedure involves creating a burr hole in the skull, through which a neuroendoscope is inserted. This specialized instrument enables the surgeon to inspect the brain's cortex and navigate to the site of the foreign body. Once located, the foreign object is carefully freed from any adhesions or scar tissue, captured with a grasping device, and removed. The procedure concludes with a thorough inspection of the ventricular system to ensure there is no bleeding or obstruction of cerebrospinal fluid flow, followed by the closure of the incision. This technique is essential for addressing complications arising from foreign bodies in the brain, ensuring patient safety and promoting recovery.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The neuroendoscopy procedure with retrieval of a foreign body is indicated in specific clinical scenarios where a foreign object is present within the ventricular system. The following conditions may warrant this procedure:

  • Presence of a Ventricular Catheter A ventricular catheter that has become dislodged or obstructed within the ventricular system may require retrieval to prevent complications such as infection or hydrocephalus.
  • Foreign Body Migration Instances where a foreign body has migrated into the ventricular system, potentially causing neurological symptoms or impairing cerebrospinal fluid flow.
  • Complications from Previous Surgeries Patients who have undergone previous neurosurgical procedures may develop complications leading to the presence of foreign bodies that necessitate removal.

2. Procedure

The procedure for neuroendoscopy with retrieval of a foreign body involves several critical steps to ensure successful access and removal of the foreign object. The following outlines the procedural steps:

  • Step 1: Incision and Exposure A small incision is made in the scalp to access the skull. The surgeon carefully exposes the skull to prepare for the creation of a burr hole.
  • Step 2: Burr Hole Creation A burr hole is strategically placed in the skull to allow for the insertion of the neuroendoscope into the ventricular system. This step is crucial for providing access while minimizing trauma to surrounding tissues.
  • Step 3: Dura Incision The dura mater, a protective membrane covering the brain, is incised to facilitate the insertion of the neuroendoscope. This allows the surgeon to gain direct access to the ventricular system.
  • Step 4: Neuroendoscope Insertion The neuroendoscope is inserted through the burr hole, enabling visualization of the brain's cortex and the ventricular system. The surgeon inspects the cortex to ensure that large blood vessels are not obstructing the planned trocar insertion site.
  • Step 5: Trocar Introduction A trocar is introduced into the ventricle, providing a pathway for further exploration and intervention within the ventricular system.
  • Step 6: Foreign Body Inspection The ventricular system is thoroughly inspected to locate the foreign body. This step is critical for identifying the exact position and condition of the object.
  • Step 7: Adhesion Release The foreign body is carefully freed from any adhesions or scar tissue that may be present, ensuring that it can be safely removed without causing additional damage.
  • Step 8: Foreign Body Retrieval A grasping device is inserted through the working channel of the neuroendoscope to capture and remove the foreign body from the ventricular system.
  • Step 9: Final Inspection After the foreign body is removed, the ventricular system is reinspected to confirm that there is no bleeding and that cerebrospinal fluid flow is unobstructed.
  • Step 10: Closure The neuroendoscope is removed, and the dura is repaired. The burr hole is closed using bone wax, and the overlying soft tissue and skin are closed in layers to complete the procedure.

3. Post-Procedure

Post-procedure care following neuroendoscopy with retrieval of a foreign body involves monitoring the patient for any signs of complications, such as bleeding or infection. Patients may be observed in a recovery area for a period to ensure stability before being transferred to a regular ward. Pain management and neurological assessments are conducted to evaluate the patient's recovery. Instructions regarding activity restrictions and follow-up appointments are provided to ensure proper healing and monitoring of the surgical site. It is essential to educate the patient on signs of potential complications that should prompt immediate medical attention.
Short Descr ZNEUROENDOSCOPY W/FB REMOVAL
Medium Descr NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY
Long Descr Neuroendoscopy, intracranial; with retrieval of foreign body
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 09 - Concept does not apply.
Assistant Surgeon (80, 82) 2 - Payment restriction for assistants at surgery does not apply to this procedure...
Co-Surgeons (62) 1 - Co-surgeons could be paid, though supporting documentation is required...
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) P1G - Major procedure - Other
MUE Not applicable/unspecified.
CCS Clinical Classification 1 - Incision and excision of CNS
Date
Action
Notes
2020-12-31 Deleted Code deleted.
2003-01-01 Added First appearance in code book in 2003.
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