2025 CPT code 63270
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Nervous System Surgery Feed
Laminectomy for excision of an intradural lesion (other than neoplasm) in the cervical spine.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 59 for distinct procedural service, 22 for increased procedural services). Consult the official CPT manual for specific modifier guidance.
Medical necessity is established by the presence of clinically significant neurological deficits (e.g., radiculopathy, myelopathy) caused by the intradural lesion, unresponsive to conservative management.
The neurosurgeon or spine surgeon is responsible for performing the laminectomy, including incision, dissection, lamina removal, dural opening, lesion excision/evacuation, hemostasis, and wound closure.Anesthesiologist provides anesthesia and monitors the patient during the procedure.
In simple words: The doctor removes a part of the bone in your neck (a laminectomy) to reach and take out a non-cancerous growth pressing on your spinal cord. This involves an incision, removal of the bone, and then closing the wound.
This procedure involves a laminectomy to access and remove or evacuate an intradural lesion (excluding neoplasms) in the cervical spine.The patient is positioned prone under general anesthesia. A midline incision is made over the cervical lesion, followed by dissection through the overlying tissues.The lamina of the affected vertebra is removed to expose the dura.The dura is incised, the intradural lesion is identified and excised or evacuated, and any excess fluid or blood is drained. Wound closure is performed in layers.
Example 1: A 55-year-old patient presents with chronic neck pain and progressive weakness in the upper extremities due to a cervical spinal stenosis. A laminectomy is performed to decompress the spinal cord., A 60-year-old patient with a history of trauma experiences severe neck pain and paresthesia in the arms due to a cervical intradural cyst.Laminectomy and cyst removal are performed., A 40-year-old patient presents with progressive gait instability and lower extremity weakness due to a cervical intradural arachnoid cyst. Laminectomy with cyst excision is indicated for decompression.
Preoperative imaging (MRI, CT scan) showing the location and size of the lesion, operative report detailing the surgical procedure, including the extent of lamina removal, and postoperative neurological examination.
** Accurate coding requires detailed documentation of the location and nature of the lesion, extent of the laminectomy, and any additional procedures performed.
- Revenue Code: P1G (Major Procedure - Other)
- Payment Status: Active
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center