2025 CPT code 63273
Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Nervous System Feed
Laminectomy for excision of intraspinal lesion other than neoplasm, intradural; sacral
Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (22), multiple procedures (51), reduced services (52), and others. These should be used judiciously and only when appropriate.
Medical necessity should be supported by documentation demonstrating the patient's neurological symptoms, the impact on their function, and the failure of conservative treatments (if any). The documentation should clearly link the lesion to the symptoms and explain why surgical intervention is required.
The surgeon performs the procedure, which includes prepping and anesthetizing the patient, making the incision, retracting tissues and muscles, removing the lamina, incising the dura, excising the lesion, draining excess fluid/blood, and closing the wound.
In simple words: This procedure removes a part of the sacrum bone in your lower back to access and remove a non-cancerous growth located inside the protective covering of your spinal cord. The surgery involves an incision, moving muscles aside, removing part of the bone, opening the spinal cord's protective layer, removing the growth, and closing the incision.
This code describes a surgical procedure where a portion of the sacral lamina (the bony arch of the vertebra) is removed to access and excise an intraspinal (within the spinal canal) lesion that is not a tumor and is located within the dura mater (the protective membrane surrounding the spinal cord).The procedure involves making an incision, retracting soft tissues and muscles, removing a portion of the sacral lamina, incising the dura, locating the lesion, excising it, and closing the incision in layers.
Example 1: A patient presents with neurological symptoms in the lower extremities due to a cyst pressing on the sacral spinal cord, necessitating a laminectomy and excision of the cyst., Following trauma, a patient develops an intradural hematoma (blood clot) in the sacral region requiring surgical removal via laminectomy., A patient with an intradural abscess in the sacral spinal canal undergoes laminectomy and excision to alleviate pressure and prevent further complications.
Documentation should include the patient's history, physical exam findings, neurological assessment, imaging studies (MRI, CT) confirming the presence and location of the lesion, operative report detailing the procedure, and post-operative care plan.
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center