2025 CPT code 63281
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Nervous System Surgery Feed
Laminectomy for biopsy/excision of an intradural, extramedullary thoracic spinal neoplasm.
Modifiers may be necessary depending on the circumstances of the surgery.For example, modifier 51 (multiple procedures) may be applicable if other procedures are performed during the same operative session.
Medical necessity is established by the presence of a symptomatic intradural, extramedullary thoracic spinal neoplasm that is causing neurological compromise.Surgical excision is indicated to alleviate symptoms and prevent further neurological deterioration.
The neurosurgeon or spine surgeon is responsible for this procedure.Responsibilities include preoperative evaluation, surgical technique, and postoperative care.
In simple words: The doctor removes part of a vertebra in the upper back to access and remove a tumor located near the spinal cord but outside of the cord itself.A sample of the tumor is sent to a lab for testing.
This procedure involves a laminectomy to access and excise an intradural, extramedullary neoplasm in the thoracic spine.The lamina of the affected thoracic vertebra is removed. The dura mater is incised to expose the tumor, which is located outside the spinal cord but within the dural sac. A biopsy is taken, and the neoplasm is excised.Hemostasis is achieved, and the wound is closed in layers.
Example 1: A 55-year-old patient presents with progressive myelopathy and imaging reveals an intradural, extramedullary meningioma in the T6-T7 region.Code 63281 is used to describe the laminectomy and tumor excision., A 60-year-old patient with a history of neurofibromatosis presents with radiculopathy. MRI shows an intradural, extramedullary neurofibroma at T10.A laminectomy with tumor excision (63281) is performed., A 70-year-old patient with progressive weakness and sensory loss undergoes imaging that demonstrates an intradural, extramedullary schwannoma in the thoracic spine.The laminectomy and tumor excision are coded as 63281.
** The provided data does not fully specify all aspects of the procedure and billing.It is crucial to review all guidelines and payer-specific rules for accurate coding.
- Revenue Code: P1G (Major Procedure - Other)
- RVU: This information is not provided in the source data.RVUs vary based on geographic location and other factors.
- Global Days: Global surgical period details are not specified in the provided data.Consult the specific payer's guidelines for the appropriate global period.
- Payment Status: Active
- Modifier TC rule: The TC (Technical Component) modifier may be applicable if the physician is billing only for the technical component of the procedure.This will depend on the specific payment arrangements and billing practices.
- Fee Schedule: Fee schedule information varies based on payer and geographic location.Refer to the relevant fee schedule for historical data.
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center