ACGME Case Logs

ACGME Case Logs

Link to ACGME Logging website

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SPINE

Procedure
Code
ACDF
22551
Corpectomy
Vertebral corpectomy (vertebral body resection), partial or complete, anterior approach with decompression of spinal cord and/or nerve root(s); cervical, single segment
63081
PCDF
63015
C1-2
22595
Posterior spinal fusion
22800
TLIF
22633
ALIF
22558
XLIF
22558
Removal of hardware
22852
MCD
63030
Lami
63005
Tethered cord release
63200
Myelomeningocele repair < 5cm
63704
Myelomeningocele repair > 5cm
63706

Cranial - Trauma

DHC
Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of intracranial hypertension, without evacuation of associated intraparenchymal hematoma; without lobectomy
61322
Burr holes
61108
Hematoma (epidural or subdural)
Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural
61312
Abscess
61320
Cranioplasty > 5cm
62141

Cranial - Tumors

Stereotactic biopsy
Burr hole(s) or trephine; with biopsy of brain or intracranial lesion
61140
Intraaxial Tumor (non-meningioma)
Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentorial, except meningioma
61510
Meningioma
Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentorial
61512
Tumors: CP Angle / Infratentorial / posterior fossa
Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebellopontine angle tumor
61520
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Extra
  • 61500 (Pediatric: cranial tumor): Craniectomy; with excision of tumor or other bone lesion of skull
 

Endonasal 

Pituitary
62165
CSF Leak
61618

Cranial - Vascular

Aneurysm clip
Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation
61697
AVM
Surgery of intracranial arteriovenous malformation; supratentorial, complex
61682

Extracranial - Vascular

carotid endarterectomy
35301
carotid artery stent
37215
Extras
  • 37609 (Cranial: Vascular, Open Procedure): Ligation or biopsy, temporal artery

Endovascular

Mechanical thrombectomy / infusion of thrombolysis
61645
Coil/pipe
61624
Stent
61635

CSF Diversion

VP Shunt
62223
Lumbar-peritoneal shunt
63740
ETV
62201

Cranial - Pain

Microvascular decompression (MVD)
61450
Chiari
Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spinal cord, with or without dural graft (eg, Arnold-Chiari malformation)
61343

Functional

Spinal cord stimulator
63650
Pump
62360
DBS
61885
Battery Change
61888
Rhizotomy
64610
VNS
64568
Extra
  • 63655 (Spinal: stimulation/lesion/pump) - Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural
  • 63661 (Spinal: stimulation/lesion/pump) - removal of SCS

Epilepsy

Seizure focus excision
Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery
61534
anterior Temporal lobectomy
Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography during surgery
61537
sEEG Lead placement
Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring
61760
Extras
  • 61850 (Epilepsy) - Twist drill or burr hole(s) for implantation of neurostimulator electrodes, cortical
  • 61860 (Epilepsy) - Craniectomy or craniotomy for implantation of neurostimulator electrodes, cerebral, cortical
  • 61863 (Functional) - Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), without use of intraoperative microelectrode recording
  • 61867 (Functional) - Twist drill, burr hole, craniotomy, or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg, thalamus, globus pallidus, subthalamic nucleus, periventricular, periaqueductal gray), with use of intraoperative microelectrode recording; first array
  • 61885 (PDM) - Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array
  • 61886 (PDM) - Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to 2 or more electrode arrays

    Bedside procedures

    EVD/ ICP monitor
    61107
    shunt tap
    61026
    Lumbar Puncture / Lumbar Drain
    62272
    CervTRXN - cervical traction?
    Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure)
    20660
    CentralLine
    36556
    Laryngoscopy
    31575
    Bronchoscopy
    31626
    Arterial line
    36620
    Angiography
    36222
    IMGGuidance
    61781

    Non-tracked procedures

    Kyphoplasty
    22513
    I&D
    10180
    wound vac
    97605
    Sacroiliac fusion
    27279
    craniosynostosis
    61550
    spinal tumor
    63276

    Peripheral Nerve

    carpal tunnel release
    64721