2025 CPT code 63283
(unknown) Effective Date: N/A Revision Date: N/A Surgery - Nervous System Surgery Feed
Laminectomy for biopsy/excision of intraspinal neoplasm; intradural, sacral.
Modifiers may be applicable to indicate specific circumstances of the procedure, such as increased procedural services (22), multiple procedures (51), or distinct procedural service (59).
Medical necessity for 63283 is established by documentation demonstrating the presence of an intradural tumor in the sacral spine causing neurological symptoms or posing a risk of neurological compromise. Imaging studies, neurological examination findings, and the patient's clinical history should support the need for surgical intervention.
The surgeon performs the procedure, including patient preparation, anesthesia, incision, lamina removal, tumor biopsy and excision, fluid drainage, and wound closure.
In simple words: The surgeon removes part of the sacral bone in the lower back to access the spinal cord.A tumor inside the protective covering of the spinal cord is removed and sent to a lab for tests. The surgeon then closes the area.
This procedure involves removing a portion of the sacral lamina (the back part of the vertebra that covers the spinal canal) to access and excise an intradural (inside the dura mater) spinal cord tumor. A biopsy of the tumor is taken and sent for testing.The procedure includes accessing the spinal cord by retracting soft tissues and muscles, incising the dura mater, locating the tumor, taking a biopsy, excising the tumor, draining any excess fluid or blood, and closing the wound in layers.
Example 1: A patient presents with neurological symptoms and imaging reveals an intradural tumor in the sacral region of the spinal cord. A laminectomy (63283) is performed to access and remove the tumor., A biopsy of a suspected intradural tumor in the sacrum is needed for diagnosis. A laminectomy (63283) is performed, a biopsy is taken, and if the tumor is confirmed, it is excised during the same procedure., A patient with a previously diagnosed intradural tumor in the sacral spine undergoes a laminectomy (63283) for tumor excision to relieve pressure on the spinal cord and improve neurological function.
Documentation should include the operative report detailing the procedure, the size and location of the tumor, the type of biopsy taken, the method of tumor removal, and any complications encountered. Pre-operative imaging studies and pathology reports confirming the diagnosis are also required.
- Revenue Code: P1G
- Payment Status: unknown
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center