2025 CPT code 63306
Effective Date: N/A Surgery - Surgical Procedures on the Nervous System Surgery Feed
Partial or complete vertebral corpectomy (vertebral body resection) for excision of an intraspinal lesion at a single thoracic segment via a thoracolumbar approach.
Modifiers such as 22 (increased procedural services), 51 (multiple procedures), 62 (two surgeons), and others may be applicable depending on the specific circumstances.
Medical necessity is established by documentation of spinal cord or nerve root compression caused by the intradural lesion, along with associated neurological symptoms. The documentation should demonstrate that less invasive procedures are not appropriate.
The surgeon performs the corpectomy, removes the lesion, and may also perform a spinal fusion or reconstruction using bone grafts and/or instrumentation.
In simple words: This surgery removes part or all of a bone in your mid-back to access and remove a growth pressing on your spinal cord. The surgery is done through an incision in your chest and back.
This procedure involves the partial or complete resection of a vertebral body in the thoracic spine to remove an intradural lesion.A thoracolumbar approach is used, meaning the incision is made through the chest and back.The procedure is performed on a single vertebral segment."Intradural" signifies that the lesion is located within the dura mater, the protective membrane surrounding the spinal cord.
Example 1: A patient presents with an intradural tumor at the T8 level causing spinal cord compression.A 63306 is performed to remove the tumor., A patient has an intradural abscess at T6 causing neurological deficits. A 63306 is performed to drain the abscess and decompress the spinal cord., A patient with a thoracic spinal fracture and an associated intradural hematoma undergoes a 63306 for decompression and stabilization.
Operative report detailing the approach, extent of corpectomy, type of lesion, and any reconstruction performed. Pre- and post-operative imaging studies. Medical necessity documentation justifying the procedure.
- Revenue Code: P1G
- Specialties:Neurosurgery, Orthopedic Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center