2025 CPT code 63276
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Nervous System Surgery Feed
Laminectomy for biopsy/excision of an extradural thoracic spinal neoplasm.
Modifiers may apply depending on the circumstances of the procedure. Consult the CPT manual and local payer guidelines.
The procedure is medically necessary to alleviate neurological deficits and pain caused by spinal cord compression from an extradural tumor.The extent of the surgery should be based on the size and location of the tumor.
The surgeon is responsible for all aspects of the procedure, including patient preparation, incision, lamina removal, tumor excision, biopsy collection, wound closure, and postoperative care. Anesthesiologist or CRNA provides anesthesia.
In simple words: The doctor removes part of a bone in the back (thoracic vertebra) to reach and remove a tumor outside the spinal cord's protective covering. A sample of the tumor is sent to a lab for testing.
This procedure involves a laminectomy to access and remove a portion of an extradural spinal neoplasm located in the thoracic region.A biopsy is taken for pathological examination. The procedure includes the removal of a portion of the lamina of the thoracic vertebra, access to the spinal cord, excision of the extradural growth, and closure of the surgical site.The excised portion of the lesion is sent for pathological testing.Extradural means outside the dura mater, the tough outer membrane surrounding the spinal cord.
Example 1: A 55-year-old male presents with progressive thoracic back pain and neurological deficits. Imaging reveals an extradural tumor compressing the spinal cord at T6-T7. Code 63276 is used to describe the laminectomy and excision of this tumor., A 60-year-old female with a history of multiple myeloma develops an extradural spinal cord compression in the thoracic spine. The patient undergoes a laminectomy to decompress the spinal cord and resect the tumor mass (code 63276)., A 70-year-old patient with metastatic lung cancer presents with intractable thoracic pain. MRI scan reveals epidural spinal metastases.A laminectomy is performed to remove the tumor, decompress the spinal cord and alleviate the pain. Code 63276 is used.
* Preoperative imaging (MRI, CT) showing the location and extent of the tumor.* Operative report detailing the procedure, including the levels of laminectomy, extent of tumor resection, and pathology results.* Anesthesia record.* Pathology report confirming the diagnosis.* Postoperative imaging (if performed).* Documentation of medical necessity.
** Always refer to the most current CPT coding manual and local payer guidelines for precise coding instructions and reimbursement policies.This information is for educational purposes only and does not constitute medical advice.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available. Consult a fee schedule or billing resource for current RVU values.
- Global Days: Global surgical period details are not provided in the source data. Refer to local payer guidelines for specific information.
- Payment Status: Active
- Modifier TC rule: The modifier TC (Technical Component) does not usually apply to this code, as it encompasses the entire procedure.
- Fee Schedule: This information is not provided. Consult historical fee schedules for relevant data.
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center