CPT® Code 62201

A ventriculocisternostomy, specifically a stereotactic neuroendoscopic method for the third ventricle, is a minimally invasive surgical procedure aimed at alleviating conditions related to cerebrospinal fluid (CSF) flow obstruction. This procedure, commonly known as endoscopic third ventriculostomy (ETV), involves the creation of an opening in the floor of the third ventricle to facilitate the drainage of CSF into the cistern, thereby bypassing any blockages that may be present. The technique utilizes advanced neuroendoscopic tools, allowing for precise navigation and visualization of the cerebral structures while minimizing damage to surrounding tissues. The procedure begins with an incision in the scalp, followed by the creation of a burr hole in the skull, which provides access to the ventricular system. The use of a neuroendoscope enables the surgeon to visualize the anatomy of the ventricles and perform necessary interventions, such as fenestration of the third ventricle floor. This approach is particularly beneficial for patients suffering from conditions such as hydrocephalus, where the accumulation of CSF can lead to increased intracranial pressure and associated neurological symptoms. The careful manipulation of instruments and monitoring of intracranial pressures during the procedure are critical to ensure patient safety and the effectiveness of the intervention.