2025 CPT code 63305
Effective Date: N/A Surgery - Surgical Procedures on the Nervous System Surgery Feed
Vertebral corpectomy (vertebral body resection), partial or complete, for excision of intraspinal lesion, single segment; intradural, thoracic by transthoracic approach.
Modifier 62 (Two Surgeons), as per the provided guidelines, is applicable in specific scenarios. Other modifiers may be relevant depending on the circumstances, such as modifier 22 for increased procedural services.
Medical necessity for this procedure is established by demonstrating significant spinal cord compression or neurological deficit caused by the intradural lesion, requiring surgical decompression for symptom relief and prevention of further neurological damage.
The surgeon's responsibilities include performing the transthoracic approach, resecting the affected vertebral body, excising the intradural lesion, decompressing the spinal cord, and reconstructing the spinal column, often with bone grafts and instrumentation.
In simple words: This procedure involves removing part or all of a vertebra in your mid-back to remove a growth or lesion pressing on your spinal cord. The surgery is done through your chest.
This code describes a surgical procedure where a portion or all of a thoracic vertebra is removed to access and excise an intradural lesion.The approach is transthoracic, meaning through the chest wall.This is a complex spinal surgery performed to decompress the spinal cord by removing the vertebral body and any associated lesions affecting the dura mater.
Example 1: A patient presents with an intradural tumor at the T6 level causing spinal cord compression. A transthoracic corpectomy is performed to remove the tumor and the affected vertebral body., A patient has an intradural abscess at T5 causing neurological deficits. A transthoracic corpectomy is performed to drain the abscess and excise the infected vertebral body., A patient suffers a thoracic fracture with an intradural hematoma and bone fragments compressing the spinal cord.A transthoracic corpectomy is performed to remove the bone fragments, evacuate the hematoma, and decompress the spinal cord.
Operative report detailing the transthoracic approach, extent of vertebral body resection, type of lesion, and method of spinal reconstruction; imaging studies (MRI, CT) confirming the diagnosis and location of the lesion; and medical necessity documentation supporting the need for surgical intervention.
- Revenue Code: P1G
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital