CPT code 63047 covers a surgical procedure called a laminectomy, facetectomy, and foraminotomy. The surgeon performs this procedure to correct spinal stenosis on a single vertebral segment in the lumbar region of the spine.
What Is CPT Code 63047?
CPT 63047 describes a surgical procedure called a laminectomy, facetectomy, and foraminotomy.
This procedure is performed to correct spinal stenosis. This spinal canal narrowing can compress the spinal cord, cauda equina and/or nerve roots and causes pain, numbness, weakness, and difficulty walking.
The procedure is performed on a single vertebral segment in the lumbar region of the spine.
Laminectomy is the excision of the thin bony plate at the back of a vertebra.
Facetectomy is the excision of an area of a vertebra characterized by its smooth surface.
Foraminotomy is the incision into the vertebral opening through which nerve bundles exit out to the body.
The procedure can be performed either unilaterally or bilaterally (on one or both sides) of the spine.
The decompression of the spinal cord, cauda equina, and/or nerve roots is also included to relieve the stenosis or to narrow that is causing compression.
The CPT book describes CPT code 63047 as: “Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [e.g., spinal or lateral recess stenosis]), single vertebral segment; lumbar.”
The 63047 procedure aims to alleviate the pain and discomfort caused by the stenosis and improve the patient’s overall quality of life.
The surgeon performs laminectomy, facetectomy, and foraminotomy on a single lumbar vertebral segment to correct spinal stenosis and relieve compression on the spinal cord or nerve roots.
The patient is prepped and anesthetized before the surgeon begins by removing the spinous process (the bony projection on the back of the vertebrae).
This is followed by removing one or both lamina and enclosing the spinal cord.
The next step is the decompression of the nerves. Again, the procedure focuses on the individual vertebra and the nerve roots exiting through the foramen to relieve the stenosis or narrowing causing compression on the spinal cord or nerve roots.
Once the stenosis has been relieved, the surgeon closes the incision in layers to ensure proper healing and minimize the risk of infection.
The patient will need to rest and recover for a while and will likely need to undergo physical therapy to help strengthen the muscles and improve mobility in the affected area.
The success rate of the 63047 procedure is high, and many patients experience significant improvement in their symptoms and overall well-being following the procedure.
How To Use CPT 63047
CPT code 63047 can be used to report the first spinal level the provider is treating, and add-on code CPT 63048 for each additional level that is treated after the first and applies to one side (unilateral) or both sides (bilateral) of the spine.
Depending on the procedure, you can use CPT 63045, CPT 63046, or CPT 63047 for the first spinal level.