2025 CPT code 0275T
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: Surgery - Percutaneous Decompressive Laminotomy/Laminectomy Procedures through Interlaminar Approach Category III Codes Feed
Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, with or without additional procedures, using indirect image guidance, single or multiple lumbar levels, unilateral or bilateral.
Modifiers may be applicable depending on the specific circumstances of the procedure.Consult the current CPT guidelines and payer specific requirements.
Medical necessity is determined by the presence of clinically significant symptoms related to nerve root compression caused by spinal stenosis, herniated disc, or other conditions amenable to this minimally invasive decompression technique.Pre-authorization may be required by some payers.
The physician or qualified healthcare professional performs the procedure under indirect image guidance, making small incisions and utilizing specialized instruments to decompress the neural elements. This may include removing portions of bone, ligaments, or herniated disc material.
- Category III Codes
- Category III Codes > Percutaneous Decompressive Laminotomy/Laminectomy Procedures through Interlaminar Approach
In simple words: This procedure relieves pressure on nerves in the lower back.A small incision is made, and special tools are used to create more space for the nerves, potentially removing parts of bone or a damaged disc.The doctor uses imaging to guide the process.
This CPT code 0275T represents a percutaneous laminotomy/laminectomy performed through an interlaminar approach to decompress neural elements in the lumbar spine.The procedure may involve ligamentous resection, discectomy, facetectomy, and/or foraminotomy, as needed.It's performed using indirect image guidance (e.g., fluoroscopy, CT) and can be done at single or multiple levels, unilaterally or bilaterally.
Example 1: A 55-year-old patient presents with severe lower back pain radiating down the right leg due to lumbar spinal stenosis.A percutaneous laminotomy with foraminotomy is performed at L4-L5 using fluoroscopic guidance to decompress the nerve root., A 60-year-old patient with a herniated disc at L3-L4 and L4-L5 undergoes a bilateral 0275T procedure with discectomy at both levels, utilizing CT guidance., A 48-year-old patient experiences chronic lower back pain from ligamentum flavum hypertrophy. A percutaneous laminotomy with ligamentous resection is performed at L5-S1 using fluoroscopic guidance.
Detailed patient history, including symptoms, imaging studies (MRI, CT), operative report, anesthesia records, pathology reports if tissue is removed, and post-operative recovery notes.
** Due to the investigational nature of this code, payers may have specific requirements for coverage, including participation in clinical trials.Always verify payer coverage prior to performing the procedure.The use of an endoscope is optional.
- Revenue Code: P1F (Major Procedure - Explor/Decompr/ExcisDisc)
- RVU: Information not available in provided sources.RVUs are dependent on various factors including geographic location and payer.
- Global Days: Information not available in provided sources. The global period will vary depending on payer and specific circumstances.
- Payment Status: Active, but reimbursement varies by payer and may require pre-authorization or participation in a clinical trial (especially for Medicare).
- Modifier TC rule: The application of TC modifiers (technical component) depends on the specific services performed and the payer. Consult payer-specific guidelines.
- Fee Schedule: Fee schedule information is not available in provided sources. Reimbursement varies by payer, location, and other factors.
- Specialties:Neurosurgery, Orthopedic Surgery, Pain Management
- Place of Service:Office, Ambulatory Surgical Center, Hospital Outpatient Department