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2025 CPT code 61783

Stereotactic computer-assisted (navigational) procedure; spinal.

Code 61783 is an add-on code and should be reported in addition to the primary procedure code.It should not be reported as a stand-alone code.

Modifiers may be applicable depending on the specific circumstances of the procedure (e.g., 52 for reduced services, 59 for a distinct procedural service). Refer to current CPT guidelines.

Medical necessity for 61783 is established when the use of stereotactic navigation is required for accurate and safe performance of a spinal procedure, particularly in complex cases where precise localization is critical.

The physician determines the coordinates for the target by measuring reference lines and calculating angles using a computer to determine various trajectories and choose the specific entry point and trajectory to use through the spine to pinpoint the target. This planning can take an additional hour or two of physician's time.

IMPORTANT (Do not report 61783 in conjunction with 63620, 63621)

In simple words: The doctor uses a special computer system with 3D imaging (like a fancy GPS) to help guide instruments precisely during complex spinal surgery. This technology is especially helpful for risky procedures that need extreme accuracy.

This add-on procedure involves the use of a computer navigation system in conjunction with computed tomography (CT) and/or magnetic resonance imaging (MRI) scans to guide and navigate spinal procedures.It is used in high-risk clinical situations requiring precise localization and navigational assistance, such as spinal cord procedures for spinal lesions. The provider uses imaging guidance to determine coordinates for the target by measuring reference lines and calculating angles using a computer to determine various trajectories and choose the specific entry point and trajectory to use through the spine to pinpoint the target.

Example 1: A patient with a spinal cord tumor requires precise localization for a biopsy. Code 61783 is used in conjunction with the biopsy code., A patient with a spinal fracture needs precise alignment of the vertebrae during a spinal fusion.Code 61783 is reported along with the spinal fusion code., A patient requires removal of a foreign object lodged in the spinal canal.The surgeon uses stereotactic navigation (61783) to precisely locate and remove the object. This would be reported in addition to the code for removal of the foreign body.

Documentation should include the primary procedure performed, the use of stereotactic navigation, the specific spinal location, and the medical necessity for the use of this technology.

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