CPT® Code 62230

The procedure described by CPT® Code 62230 involves the replacement or revision of a cerebrospinal fluid (CSF) shunt, specifically targeting obstructed valves or distal catheters within the shunt system. A CSF shunt is a medical device used to manage conditions that lead to an accumulation of cerebrospinal fluid, such as hydrocephalus. Over time, components of the shunt system can malfunction due to various factors, including obstruction caused by protein deposits in the CSF or dislodgement of the distal catheter, particularly when it terminates in the peritoneum. This procedure is essential for restoring proper CSF flow and alleviating symptoms associated with shunt malfunction. The process begins with a thorough evaluation of the shunt system to identify the specific component that is obstructed or malfunctioning. Depending on the findings, the procedure may involve repositioning or replacing the malfunctioning catheter or valve, ensuring that the CSF can flow freely and effectively. The surgical approach typically includes making an incision over the malfunctioning area, followed by a series of steps to either repair or replace the affected components, ultimately securing them to the surrounding tissues to maintain stability and function.