2025 CPT code 63272
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Nervous System Surgery Feed
Laminectomy for excision of an intradural lesion (other than a neoplasm) in the lumbar spine.
Modifiers may be applicable based on the specific circumstances of the procedure, such as modifier 51 (multiple procedures) or 59 (distinct procedural service). Consult the CPT manual for detailed modifier guidelines.
The medical necessity for a laminectomy is established when conservative treatments (e.g., medication, physical therapy) have failed to relieve symptoms, and the patient experiences significant pain, neurological deficits, or progressive functional impairment due to spinal stenosis, herniated disc, or an intradural lesion.The procedure should be deemed medically necessary by the treating physician and justified based on objective clinical findings.
The surgeon is responsible for all aspects of the procedure, from pre-operative preparation and anesthesia to the incision, dissection, lamina removal, dural incision, lesion excision or evacuation, hemostasis, wound closure, and post-operative care.
In simple words: The doctor removes a part of the bone in the lower back (a laminectomy) to reach and take out an abnormal growth inside the spinal covering.This involves making an incision, removing part of the bone, accessing and removing the growth, and then closing the wound.
This procedure involves a laminectomy to access and excise or evacuate an intradural lesion (excluding neoplasms) located in the lumbar spine.The surgeon makes a midline incision in the lower back, dissects through tissues to reach the spinal cord, removes a portion of the lamina of a lumbar vertebra, incises the dura mater, removes the lesion, and drains any fluid or blood. The wound is then closed in layers.
Example 1: A patient presents with chronic lower back pain and radiating pain down the leg (sciatica) due to a herniated disc pressing on a nerve root. A laminectomy is performed to decompress the nerve root., A patient experiences progressive weakness in their legs due to spinal stenosis. A laminectomy is performed to enlarge the spinal canal and alleviate pressure on the spinal cord., A patient has an intradural lesion in the lumbar region, confirmed by MRI, causing pain and neurological deficits.A laminectomy is performed to access and remove the lesion.
* Thorough history and physical examination documenting symptoms and neurological findings.* Pre-operative imaging studies (e.g., MRI, CT scan) clearly demonstrating the lesion's location and extent.* Operative report detailing the surgical technique, findings, and specimens removed.* Post-operative neurological assessment.* Pathology report if tissue is sent for analysis.
** This code is for the excision or evacuation of intradural lesions excluding neoplasms.Neoplasm excision would require a different code.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- Payment Status: Active
- Modifier TC rule: TC modifiers are not applicable for this code, as it represents the complete procedure.
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Hospital Outpatient