2025 CPT code 63050
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Nervous System Surgery Feed
Cervical laminoplasty with decompression of the spinal cord, involving two or more vertebral segments.
Modifiers such as 59 (distinct procedural service), 78 (unplanned return to OR), or others may be applicable based on the specific circumstances of the procedure.
Medical necessity for cervical laminoplasty is established when conservative treatment (physical therapy, medication) fails to alleviate symptoms of cervical spinal stenosis or myelopathy, and the patient experiences progressive neurological deficits that compromise their quality of life.The procedure aims to prevent irreversible neurological damage.
The neurosurgeon or spine surgeon is responsible for performing the cervical laminoplasty, including making the incision, creating the hinge in the lamina, expanding the spinal canal, and potentially using bone struts or plates for stabilization.
In simple words: This surgery opens up the space around your spinal cord in your neck to relieve pressure.The doctor makes a cut in the bone, spreads it open, and may use small pieces to hold it open. This helps reduce pain and numbness in your arms and legs.
Cervical laminoplasty is a surgical procedure performed to alleviate pressure on the spinal cord and nerves in the neck region.It involves creating a hinge on one side of the lamina (the bony arch of a vertebra) and spreading it open like a door, expanding the spinal canal. This decompression relieves pressure on the spinal cord and nerve roots, addressing symptoms such as neck pain, arm or leg weakness, numbness, and difficulty walking.The procedure may involve two or more vertebral segments. Bone struts or small metallic plates might be used to maintain the expanded space.
Example 1: A 60-year-old patient presents with cervical spondylotic myelopathy (CSM), characterized by progressive weakness in both arms and legs, gait instability, and impaired fine motor skills.A cervical laminoplasty is performed to decompress the spinal cord over three vertebral segments., A 55-year-old patient experiences severe neck pain radiating down the right arm, accompanied by numbness and weakness in the hand.Imaging reveals cervical spinal stenosis and ossification of the posterior longitudinal ligament (OPLL) at two levels. A laminoplasty is performed to alleviate the compression of the nerve roots., A 70-year-old patient with a history of cervical spinal stenosis undergoes a cervical laminoplasty to address worsening gait disturbances and urinary incontinence.The procedure successfully decompresses the spinal cord, improving neurological function.
* Detailed history and physical examination documenting symptoms.* Preoperative imaging studies (e.g., MRI, CT) showing cervical spinal stenosis.* Operative report detailing the surgical technique, levels involved, and any complications.* Postoperative neurological examination and imaging.
** This code is for cervical laminoplasty with decompression of the spinal cord, specifically involving two or more vertebral segments.The use of implants (bone struts or plates) is included in the code.
- Revenue Code: P3D (MAJOR PROCEDURE, ORTHOPEDIC - OTHER)
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier may apply depending on the specific billing and payment structure.
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center