2025 CPT code 63300
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Nervous System Feed
Partial or complete vertebral corpectomy (vertebral body resection) for excision of intraspinal lesion, single segment; extradural, cervical.
Modifiers may be applicable. Refer to current CPT guidelines and payer policies for modifier usage.
Medical necessity must be established by demonstrating the presence of an extradural lesion causing neurological symptoms or spinal cord compression. This is supported by relevant imaging studies (MRI, CT), neurological examination findings, and documentation of failed conservative treatment options.
The surgeon performs the corpectomy procedure, including incision, bone and disc removal, lesion excision, bone grafting, and wound closure.They also manage pre- and post-operative care.
In simple words: This procedure removes part or all of a neck vertebra to access and remove a growth pressing on the spinal cord.The surgery is done through the front of the neck.
This code describes a surgical procedure where a portion or all of a cervical vertebra's body is removed to access and excise an intraspinal lesion located outside the dural sac (extradural). It involves a single vertebral segment.
Example 1: A patient presents with cervical radiculopathy and myelopathy due to a large extradural tumor compressing the spinal cord at C5. A 63300 is performed to remove the tumor., A patient has an extradural bony spur at C6 causing spinal cord compression. A partial corpectomy (63300) is performed to decompress the spinal cord. , A patient experiences neurological symptoms from an extradural abscess at C7. A complete corpectomy (63300) is performed to drain the abscess and decompress the spinal cord.
Operative report detailing the extent of the corpectomy (partial or complete), the location (cervical vertebra), the approach (anterior), the type of lesion excised, any associated procedures like bone grafting or instrumentation, and pre- and post-operative diagnoses.
** This code does not include arthrodesis (fusion) or reconstruction of the spine, which are reported separately. For multiple levels, use code 63308 to denote an additional segment.
- Payment Status: Active
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center