2025 CPT code 63075
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Nervous System Feed
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace
Modifier 62 can be appended when two surgeons perform distinct parts of the procedure as primary surgeons. Modifiers 22, 51, 52, 53, etc., might also apply depending upon specific circumstances.
Medical necessity for 63075 is established by documentation of radiculopathy or myelopathy caused by a herniated cervical disc that has not responded to conservative treatment.
The surgeon makes an incision in the front of the neck, retracts the carotid artery and sternocleidomastoid muscle, removes the herniated disc material, and may insert a bone graft.The incision is then closed with sutures.
In simple words: This is a surgery to remove a damaged disc in your neck that is pressing on your spinal cord or nerves. The surgery is done through the front of your neck, and the surgeon removes the damaged part of the disc and any bone spurs that are causing pressure. This helps to relieve pain and other symptoms caused by the herniated disc.
This procedure involves the surgical removal of a herniated disc in the cervical spine (neck) to relieve pressure on the spinal cord and/or nerve roots. It includes removal of any bone spurs (osteophytes) that may be contributing to the compression.The procedure is performed through an anterior approach (from the front of the neck). It addresses a single interspace, meaning the space between two adjacent vertebrae.
Example 1: A patient presents with neck pain and radiating arm pain due to a herniated cervical disc at C5-C6.Conservative treatment has failed, and a discectomy (63075) is performed to decompress the nerve root., A patient experiences spinal cord compression due to a large herniated disc with osteophyte formation at C6-C7. An anterior discectomy (63075) is performed to remove the disc and bone spurs, relieving pressure on the spinal cord., Two surgeons work together as primary surgeons during a complex cervical discectomy at C4-C5.Each surgeon performs a distinct part of the procedure and reports 63075-62.
Documentation should include the diagnosis, the location of the herniated disc (cervical level and interspace), evidence of nerve root or spinal cord compression (e.g., imaging studies, neurological exam findings), and failed conservative treatment. Operative notes must detail the procedure including osteophytectomy, if performed.
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center