2025 CPT code 63620
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Stereotactic Radiosurgery (Spinal) Surgical Procedures on the Nervous System Feed
Stereotactic radiosurgery for one spinal lesion using externally generated ionizing radiation.
Modifiers may apply depending on the circumstances of the procedure. Consult the CPT® guidelines for applicable modifiers.
Medical necessity is established through documentation supporting the diagnosis of a spinal lesion requiring treatment with stereotactic radiosurgery.The lesion must affect spinal neural tissue or abut the dura mater (for tumors), or be subdural (for AVMs). The chosen treatment method must be medically appropriate and consistent with current clinical guidelines.The treatment must be deemed medically necessary by the treating physician and should be supported by appropriate documentation to justify the clinical indications.
The neurosurgeon is responsible for performing the stereotactic radiosurgery procedure, including the planning, targeting, and delivery of radiation to the spinal lesion.The radiation oncologist handles the treatment planning, dosimetry, and management aspects of the radiation therapy.
- Surgical Procedures on the Nervous System
- Surgical Procedures on the Nervous System > Stereotactic Radiosurgery (Spinal)
In simple words: This medical code describes a procedure where doctors use special radiation to target and destroy a single problem area in the spine without surgery.Doctors use precise imaging to pinpoint the problem, then use radiation to treat it. This is done without cutting into the spine.
This CPT code, 63620, reports stereotactic radiosurgery for a single spinal lesion.The procedure involves using externally generated ionizing radiation (particle beam, gamma ray, or linear accelerator) to destroy a targeted area within the spine.Pre-operative imaging (CT or MRI) is used to define the target, which is then precisely targeted using a stereotactic system. The procedure is non-invasive, eliminating the need for surgical incision.Computer-assisted planning is included in this code.This code should not be reported more than once per course of treatment for a single lesion, even if multiple treatment sessions (up to five) are necessary.Additional lesions treated within the same course of treatment are reported using code 63621.
Example 1: A patient presents with a small, localized spinal tumor abutting the dura mater. Stereotactic radiosurgery (63620) is chosen as the treatment modality to precisely target and destroy the tumor without invasive surgery. , A patient with two separate spinal lesions is treated with stereotactic radiosurgery. Code 63620 is reported for the first lesion, and code 63621 is reported for the second lesion., A patient diagnosed with a spinal arteriovenous malformation (AVM) located subdurally is treated with stereotactic radiosurgery using the 63620 code. The radiation oncologist reports the appropriate codes for treatment planning and delivery.
* Detailed patient history and clinical presentation.* Pre-operative imaging (CT or MRI) demonstrating the lesion.* Documentation of lesion location, size, and proximity to critical structures.* Treatment plan outlining the radiation parameters (dose, fractionation).* Post-operative imaging (if obtained) to assess the treatment response.* Operative report detailing the procedure, including confirmation of the target and radiation delivery method.
** The information provided is based on the available text and may not be exhaustive. Always refer to the official CPT® manual and current coding guidelines for the most accurate and up-to-date information.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available in the provided text.RVUs vary by geographic location and payer.
- Global Days : The global period is not specified for this code in the provided text. Further information is needed.
- Payment Status: Active
- Modifier TC rule: The information on the application of a Technical Component (TC) modifier is not available in the provided text. Consult the CPT manual and current guidelines for clarification.
- Fee Schedule : Historical fee schedule data is not available in the provided text. This information varies by payer and geographic location.
- Specialties:Neurosurgery, Radiation Oncology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center