Neurological Surgery in the ASC: CPT Codes and Coverage
Neurological surgery treats the brain, spine, spinal cord, and peripheral nerves. In an ambulatory surgery center, the outpatient work is largely spine and nerve based: decompressions, laminotomies, and peripheral nerve procedures. The CPT family runs from 61000 through 64999, with higher-volume ASC codes clustering in the spine decompression and nerve ranges. Examples include 63030 (laminotomy for decompression of a single lumbar nerve root) and 63047 (lumbar laminectomy with facetectomy and foraminotomy).
Whether a specific code suits the ASC setting depends on its ASC-eligibility status, worth confirming before scheduling. Coders should confirm each code's ASC-eligibility status rather than assume the whole 61000-64999 range qualifies.
Pilot Analysis
Get the complete Neurological Surgery analysis
Tell us where to send it. Our team will prepare an analysis of Neurological Surgery covering what payers reimburse across markets and where your rates may sit, and email it to you within 5-10 business days. Need it faster? Book a demo.
Neurological Surgery codes(1–60 of 531)
- 63030Lumbar laminotomy with decompression of nerve root(s), single level
- 63047Lam facetec & foramot lumbar
- 64721Carpal tunnel release (neuroplasty of the median nerve at the wrist)
- 61000Remove cranial cavity fluid
- 61001Remove cranial cavity fluid
- 61020Remove brain cavity fluid
- 61026Injection into brain canal
- 61050Remove brain canal fluid
- 61055Injection into brain canal
- 61070Brain canal shunt procedure
- 61105Tdh sdrl/ventr puncture
- 61107Tdh puncture implant ventr catheter
- 61108Tdh puncture evac&/drg sdrl hmta
- 61120Burr hole for ventr puncture
- 61140Burr hole/trephine biopsy brain/lesion
- 61150Bur hol/trph drg brn abs/cst
- 61151Burr hole/trephine subsequent tapping
- 61154Burr hole with evac&/drg hematoma
- 61156Burr hol aspir hematoma/cst icer
- 61210Burr hole implant ventr catheter
- 61215Ins subcutaneous rsvr pmp/nfs sys
- 61250Burr hole/trephine sttl exploration
- 61253Burr hole trephine ittl unilateral/bi
- 61304Craniectomy/craniotomy exploration supratntorl
- 61305Craniectomy/craniotomy exploration infratntorl
- 61312Craniectomy/craniotomy sttl xdrl/sdrl
- 61313Craniectomy/craniotomy sttl icere
- 61314Craniectomy/craniotomy ittl xdrl/sdrl
- 61315Craniectomy/craniotomy ittl ntracereblr
- 61316Inc & subcutaneous placement cranial bone graft
- 61320Craniectomy/craniotomy drg icr abs sttl
- 61321Craniectomy/craniotomy drg icr abs ittl
- 61322Craniectomy/craniotomy dcmprv without lobec
- 61323Craniectomy/craniotomy dcmprv with lobec
- 61330Decompression orbit only transcrnl
- 61333Exploration orbit with removal lesion
- 61340Subtemporal cranial decompression
- 61343Craniectomy sopl cervical lam decompression
- 61345Oth cranial decompression posterior fossa
- 61450Craniectomy stpl sctj cmprn/decompression
- 61458Craniectomy sopl xpl/decompression crl nerve
- 61460Craniectomy sopl sctj 1+crnl nerve
- 61500Craniectomy excision tumor/bone lesion skull
- 61501Craniectomy f/osteomyelitis
- 61510Craniectomy trephine excision brn tumor sttl
- 61512Craniectomy trephine excision mngioma sttl
- 61514Craniectomy trephine excision brn abs sttl
- 61516Craniectomy trephine excision cyst sttl
- 61517Implant brn intrcv chemotx agt
- 61518Removal of brain lesion
- 61519Remove brain lining lesion
- 61520Removal of brain lesion
- 61521Removal of brain lesion
- 61522Removal of brain abscess
- 61524Removal of brain lesion
- 61526Removal of brain lesion
- 61530Removal of brain lesion
- 61531Implant brain electrodes
- 61533Implant brain electrodes
- 61534Removal of brain lesion
Are neurosurgery procedures done in an ASC?
Yes, many are. Spine decompressions such as 63030 and 63047 and peripheral nerve releases such as 64721 (carpal tunnel surgery) are commonly performed in ambulatory surgery centers and billed under place of service 24. Higher-acuity intracranial and complex spinal procedures generally remain in the hospital setting. Whether a specific code suits the ASC setting depends on its ASC-eligibility status, worth confirming before scheduling.
What CPT codes does neurological surgery use?
Neurosurgery uses the CPT family from 61000 through 64999, spanning the skull and brain, spine and spinal cord, and peripheral nervous system. In the ASC context the most relevant codes are in the spine decompression range, such as 63030 and 63047, and the peripheral nerve range, such as 64721. Our dataset maps 531 codes in this specialty to ASC relevance, and each linked page shows the descriptor and coverage status.
How do I know if a neurosurgery code is covered in an ASC?
Check each code's ASC-eligibility status before scheduling. ASC-eligible codes can be performed in a certified ambulatory surgery center. Ancillary services support those procedures, while some codes are not typically performed in an ASC. Because this specialty ranges from simple nerve releases to complex spine work, confirm each code individually rather than assuming the entire 61000-64999 range is ASC-eligible.