2025 CPT code 63265
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Nervous System Surgery Feed
Laminectomy for excision or evacuation of an extradural intraspinal lesion (other than a neoplasm) in the cervical spine.
Modifiers may be applicable depending on the circumstances of the procedure.Consult the CPT manual and payer guidelines for appropriate modifier usage. Examples:Modifier 59 (distinct procedural service) may be used if additional procedures are performed. Modifiers -50, -51, -52, etc can be used depending on the services rendered.
Medical necessity is established by the presence of clinically significant symptoms and imaging evidence demonstrating an extradural lesion that is causing compression of the spinal cord or nerve roots. The procedure is medically necessary to alleviate symptoms and prevent permanent neurological damage.
The neurosurgeon or spine surgeon is responsible for performing the laminectomy, identifying and removing the lesion, controlling bleeding, and ensuring proper wound closure.Anesthesiology services are also required.
In simple words: The doctor removes a bone part (lamina) in the neck to reach and take out a non-cancerous growth on the spinal cord covering.This involves an incision, removal of the growth, and wound closure.
This procedure involves a laminectomy to access and remove or evacuate an extradural lesion in the cervical spine.The lesion must be non-neoplastic. The procedure begins with an incision at the back of the neck, followed by dissection through the tissue to expose the spinal cord.A portion of the cervical vertebra's lamina is removed to access the lesion. The lesion is then excised or evacuated, and any excess fluid or blood is drained. The wound is closed in layers.
Example 1: A patient presents with symptoms of cervical myelopathy secondary to an extradural hematoma following a motor vehicle accident. A cervical laminectomy is performed to evacuate the hematoma, relieving the compression on the spinal cord., A patient experiences chronic neck pain and neurological deficits attributed to an extradural abscess. A cervical laminectomy is performed to drain the abscess, remove the infected material, and decompress the spinal cord., Imaging studies reveal an extradural granuloma in the cervical spine. A laminectomy is performed to excise the granuloma and alleviate the spinal cord compression.
* Detailed history and physical examination documenting the patient's symptoms and neurological findings.* Preoperative imaging studies (e.g., MRI, CT myelogram) showing the location, size, and extent of the lesion.* Operative report detailing the surgical procedure, including the type of laminectomy performed, the location and nature of the lesion, and the extent of resection or evacuation.* Pathology report confirming the diagnosis and nature of the lesion (if applicable).* Postoperative imaging studies to assess the surgical outcome and to rule out any complications.* Complete documentation of the patient's postoperative course, including any complications or adverse events.
** Always confirm with the payer regarding specific coding requirements and documentation for this procedure.This information is for general guidance only and should not substitute professional medical coding advice.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: Data unavailable. Refer to CMS guidelines and local payer contracts for RVU and reimbursement details.
- Global Days: Global period details are dependent on payer-specific guidelines and local policies.Consult the specific payer's guidelines for accurate information.
- Payment Status: Active
- Modifier TC rule: No TC modifier applies to this code.
- Fee Schedule: Data unavailable. Refer to historical CPT fee schedules and payer specific data for historical fee information.
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital