2025 CPT code 62269
Effective Date: N/A Surgery - Surgical Procedures on the Nervous System Feed
Biopsy of spinal cord, percutaneous needle.
Modifiers 22, 51, 52, 53, 58, 73, 74, 76, 77, 78, 79, 80, 81, 82, 99, AQ, AR, AS, CR, ET, GA, GC, GJ, GR, KX, PD, Q5, Q6, QJ may be applicable.
Medical necessity for a spinal cord biopsy must be clearly documented. This includes the patient's symptoms, the results of imaging studies, and the clinical question that the biopsy is intended to answer. The documentation must demonstrate that the benefits of the procedure outweigh the risks.
Providers perform this procedure to test tissue of a lesion to determine its behavior. The provider anesthetizes the area to inject with the needle, inserts a biopsy needle, collects tissue or blood samples, and withdraws the needle. The provider uses imaging guidance to view the procedure and guide needle placement. After the procedure, the provider dresses the wound.
In simple words: The doctor inserts a needle into your spinal cord to take a small tissue sample for testing. This helps figure out what's going on if there's a problem area in your spinal cord.
Biopsy of spinal cord, percutaneous needle. This code is for a percutaneous needle biopsy of the spinal cord.
Example 1: A patient presents with progressive numbness and weakness in their legs. An MRI reveals a lesion on the spinal cord. A percutaneous needle biopsy is performed under fluoroscopic guidance to obtain a tissue sample for diagnosis., A patient with a history of cancer develops new neurological symptoms. Imaging shows a possible metastatic lesion in the spinal cord. A percutaneous needle biopsy is done to determine if the lesion is cancerous., A patient experiences sudden onset of back pain and paralysis. Imaging suggests an inflammatory process affecting the spinal cord. A percutaneous needle biopsy is performed to confirm the diagnosis and guide treatment.
Documentation should include the indication for the biopsy, the type of imaging guidance used, the location of the biopsy, and the results of the biopsy. The report from the pathologist who analyzes the tissue sample should also be included.
- Specialties:Neurology, Neurosurgery, Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center